ALOGLIPTIN-PIOGLIT 25-15 MG TB

Drug Details

General

Brand Name: ALOGLIPTIN-PIOGLIT 25-15 MG TB
Generic Name: alogliptin benz/pioglitazone
Manufacturer: PERRIGO/PADAGIS
NDC: 45802035165
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: 6.37
Retail Pharmacy Eff Date: 12/26/2017
Specialty Pharmacy Cost: 5.98
Specialty Pharmacy Eff Date: 12/26/2017
Long-term Care Pharmacy Cost: 6.279
Long-term Care Pharmacy Eff Date: 12/26/2017
340B Rate: 2.795
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.