ALPRAZOLAM INTENSOL 1 MG/ML

Drug Details

General

Brand Name: ALPRAZOLAM INTENSOL 1 MG/ML
Generic Name: alprazolam
Manufacturer: ROXANE/WEST-WAR
NDC: 00054306844
Package size: 30ML

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*: 90%
Specialty Drug†: No

Drug Pricing

Retail Pharmacy Cost: 2.99292
Retail Pharmacy Eff Date: 06/01/2016
Specialty Pharmacy Cost: 2.80968
Specialty Pharmacy Eff Date: 06/01/2016
Long-term Care Pharmacy Cost: 2.95016
Long-term Care Pharmacy Eff Date: 06/01/2016
340B Rate: 1.31322
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.