BUPRENORPHINE 8 MG TABLET SL

Drug Details

General

Brand Name: BUPRENORPHINE 8 MG TABLET SL
Generic Name: buprenorphine HCl
Manufacturer: BRYANT RANCH PR
NDC: 71335115402
Package size: 60EA

Drug Information

Family Planning drug: No
Diabetic Supply Drug: No
HTW drug: No
HTWPlus drug: Yes
Long-acting reversible contraception product: No
Refill-to-soon Utilization*: 90%
Specialty Drug†: No

Drug Pricing

Retail Pharmacy Cost: 1.30666
Retail Pharmacy Eff Date: 07/12/2021
Specialty Pharmacy Cost: 1.22666
Specialty Pharmacy Eff Date: 07/12/2021
Long-term Care Pharmacy Cost: 1.28799
Long-term Care Pharmacy Eff Date: 07/12/2021
340B Rate: .57333
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.