ALLERGY-CONGEST 12HR 60-120 MG

Drug Details

General

Brand Name: ALLERGY-CONGEST 12HR 60-120 MG
Generic Name: fexofenadine/pseudoephedrine
Manufacturer: LEADER
NDC: 70000051802
Package size: 30EA

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: .47685
Retail Pharmacy Eff Date: 08/29/2023
Specialty Pharmacy Cost: .4685
Specialty Pharmacy Eff Date: 08/29/2023
Long-term Care Pharmacy Cost: .4654
Long-term Care Pharmacy Eff Date: 08/29/2023
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.