BELBUCA 750 MCG FILM

Drug Details

General

Brand Name: BELBUCA 750 MCG FILM
Generic Name: buprenorphine HCl
Manufacturer: BIODELIVERY SCI
NDC: 59385002660
Package size: 60EA

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: 16.40221
Retail Pharmacy Eff Date: 01/16/2024
Specialty Pharmacy Cost: 16.11517
Specialty Pharmacy Eff Date: 01/16/2024
Long-term Care Pharmacy Cost: 16.00855
Long-term Care Pharmacy Eff Date: 01/16/2024
340B Rate: 7.34511
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.