BUPRENORPHINE 8 MG TABLET SL

Drug Details

Brand Name: BUPRENORPHINE 8 MG TABLET SL

Generic Name: buprenorphine HCl

Manufacturer: BRYANT RANCH PR

NDC: 71335115403

Package size: 30EA

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

Retail Pharmacy Cost: 1.5582

Retail Pharmacy Eff Date: 05/09/2023

Specialty Pharmacy Cost: 1.4628

Specialty Pharmacy Eff Date: 05/09/2023

Long-term Care Pharmacy Cost: 1.53594

Long-term Care Pharmacy Eff Date: 05/09/2023

340B Rate: .6837

Premium Preferred Generic Incentive‡: No

Effective date: 12/14/2020

Compound-only use: No

PDL PA Required: No

FFS Clinical PA Required‡: Yes

Part B Cost-share Drug**: No

Part D Wrap-around Drug***: No

Effective date: 12/14/2020

Effective date: 12/14/2020

Compound-only use: No

Effective date: 09/01/2020