ALBUTEROL HFA 90 MCG INHALER

Drug Details

General

Brand Name: ALBUTEROL HFA 90 MCG INHALER
Generic Name: albuterol sulfate
Manufacturer: CIPLA USA, INC.
NDC: 69097014260
Package size: 6.7GM

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: 2.96519
Retail Pharmacy Eff Date: 02/27/2024
Specialty Pharmacy Cost: 2.91329
Specialty Pharmacy Eff Date: 02/27/2024
Long-term Care Pharmacy Cost: 2.89402
Long-term Care Pharmacy Eff Date: 02/27/2024
340B Rate: 1.66737
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.