BREZTRI AEROSPHERE INHALER

Drug Details

General

Brand Name: BREZTRI AEROSPHERE INHALER
Generic Name: budesonide/glycopyr/formoterol
Manufacturer: ASTRAZENECA
NDC: 00310461612
Package size: 10.7GM
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: 53.06698
Retail Pharmacy Eff Date: 02/24/2021
Specialty Pharmacy Cost: 52.1383
Specialty Pharmacy Eff Date: 02/24/2021
Long-term Care Pharmacy Cost: 51.79337
Long-term Care Pharmacy Eff Date: 02/24/2021
340B Cost: 23.72635
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 02/24/2021
Compound-only use: No

CHIP

Effective date: 02/24/2021
Compound-only use: No

CSHCN

Effective date: 02/24/2021
Compound-only use: No