BUPRENORPHINE 8 MG TABLET SL

Drug Details

Brand Name: BUPRENORPHINE 8 MG TABLET SL

Generic Name: buprenorphine HCl

Manufacturer: ACTAVIS/TEVA

NDC: 00228315303

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: .88595

Retail Pharmacy Eff Date: 02/27/2024

Specialty Pharmacy Cost: .87044

Specialty Pharmacy Eff Date: 02/27/2024

Long-term Care Pharmacy Cost: .86468

Long-term Care Pharmacy Eff Date: 02/27/2024

340B Rate: 1.09836

Premium Preferred Generic Incentive‡: No

Effective date: 05/12/2015

Compound-only use: No

PDL PA Required: No

PDL Class: OPIATE DEPENDENCE TREATMENTS

FFS Clinical PA Required‡: Yes

Part B Cost-share Drug**: No

Part D Wrap-around Drug***: No

Effective date: 05/12/2015

Effective date: 05/12/2015

Compound-only use: No

Effective date: 09/01/2020