Drug Details
General
Brand Name: ACETAMINOPHEN-COD #4 TABLET
Generic Name: acetaminophen with codeine
Manufacturer: MALLINCKRODT PH
NDC: 00406048505
Drug Information
Family Planning drug: No
Diabetic Supply Drug: No
HTW drug: No
HTWPlus drug: No
Long-acting reversible contraception product: No
Refill-to-soon Utilization*: 90%
Specialty Drug†: No
Drug Pricing
Retail Pharmacy Cost: .44829
Retail Pharmacy Eff Date: 02/27/2024
Specialty Pharmacy Cost: .44044
Specialty Pharmacy Eff Date: 02/27/2024
Long-term Care Pharmacy Cost: .43753
Long-term Care Pharmacy Eff Date: 02/27/2024
340B Rate: .23596
Premium Preferred Generic Incentive‡: No