AMPHETAMINE SULFATE 5 MG TAB

Drug Details

General

Brand Name: AMPHETAMINE SULFATE 5 MG TAB
Generic Name: amphetamine sulfate
Manufacturer: DR.REDDY'S LAB
NDC: 43598089701
Package size: 100EA
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%

Drug Pricing

Retail Pharmacy Cost: 2.73714
Retail Pharmacy Eff Date: 09/01/2020
Specialty Pharmacy Cost: 2.56956
Specialty Pharmacy Eff Date: 09/01/2020
Long-term Care Pharmacy Cost: 2.69803
Long-term Care Pharmacy Eff Date: 09/01/2020
340B Cost: 1.20099
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 09/01/2020
Compound-only use: No

CHIP

Effective date: 09/01/2020
Compound-only use: No

CSHCN

Effective date: 09/01/2020
Compound-only use: No