AMOXICILLIN 125 MG/5 ML SUSP

Drug Details

General

Brand Name: AMOXICILLIN 125 MG/5 ML SUSP
Generic Name: amoxicillin
Manufacturer: AUROBINDO PHARM
NDC: 65862070601
Package size: 100ML
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%

Drug Pricing

Retail Pharmacy Cost: .01986
Retail Pharmacy Eff Date: 12/28/2021
Specialty Pharmacy Cost: .01951
Specialty Pharmacy Eff Date: 12/28/2021
Long-term Care Pharmacy Cost: .01938
Long-term Care Pharmacy Eff Date: 12/28/2021
340B Cost: .01225
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 09/07/2015
PDL Class: PENICILLINS
Compound-only use: No

CHIP

Effective date: 09/07/2015
Compound-only use: No

CSHCN

Effective date: 09/07/2015
Compound-only use: No

KHC

Effective date: 09/07/2015