ADALIMUMAB-ADAZ(CF) PEN 40 MG

Drug Details

General

Brand Name: ADALIMUMAB-ADAZ(CF) PEN 40 MG
Generic Name: adalimumab-adaz
Manufacturer: SANDOZ
NDC: 61314032720
Package size: .4ML

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*: 75%
Specialty Drug†: No

Drug Pricing

Retail Pharmacy Cost: 1611.2425
Retail Pharmacy Eff Date: 02/13/2024
Specialty Pharmacy Cost: 1512.595
Specialty Pharmacy Eff Date: 02/13/2024
Long-term Care Pharmacy Cost: 1588.22475
Long-term Care Pharmacy Eff Date: 02/20/2024
340B Rate: 706.97375
Premium Preferred Generic Incentive‡: No

* Impacts only claims paid by HHSC: traditional Medicaid, CSHCN, HTW, and KHC Programs.

† Refer to the Specialty Drug Handbook for more information..

‡ Refer to the Premium Preferred Generic Drugs section for information about traditional Medicaid claim pricing and PPG pricing incentives.