Drug Details
General
Brand Name: ALA-HIST IR 2 MG TABLET
Generic Name: dexbrompheniramine maleate
Manufacturer: POLY PHARMACEUT
NDC: 50991078360
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: .61804
Retail Pharmacy Eff Date: 03/01/2022
Specialty Pharmacy Cost: .5802
Specialty Pharmacy Eff Date: 03/01/2022
Long-term Care Pharmacy Cost: .60921
Long-term Care Pharmacy Eff Date: 03/01/2022
340B Rate: .27118
Premium Preferred Generic Incentive‡: No