ADALIMUMAB-FKJP(CF) PEN 40 MG

Drug Details

General

Brand Name: ADALIMUMAB-FKJP(CF) PEN 40 MG
Generic Name: adalimumab-fkjp
Manufacturer: MYLAN SPEC/BIOC
NDC: 49502041602
Package size: 2EA

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: 487.55
Retail Pharmacy Eff Date: 12/15/2023
Specialty Pharmacy Cost: 457.7
Specialty Pharmacy Eff Date: 12/15/2023
Long-term Care Pharmacy Cost: 480.585
Long-term Care Pharmacy Eff Date: 12/15/2023
340B Rate: 213.925
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.