ANDROGEL 1.62% GEL PUMP

Drug Details

General

Brand Name: ANDROGEL 1.62% GEL PUMP
Generic Name: testosterone
Manufacturer: ABBVIE US LLC
NDC: 00051846233
Package size: 75GM

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: 7.93572
Retail Pharmacy Eff Date: 02/28/2023
Specialty Pharmacy Cost: 7.79684
Specialty Pharmacy Eff Date: 02/28/2023
Long-term Care Pharmacy Cost: 7.74526
Long-term Care Pharmacy Eff Date: 02/28/2023
340B Rate: 3.56074
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.