BUPRENORPHINE 8 MG TABLET SL

Drug Details

General

Brand Name: BUPRENORPHINE 8 MG TABLET SL
Generic Name: buprenorphine HCl
Manufacturer: MYLAN
NDC: 00378092493
Package size: 30EA

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: 1.63332
Retail Pharmacy Eff Date: 11/12/2019
Specialty Pharmacy Cost: 1.53332
Specialty Pharmacy Eff Date: 11/12/2019
Long-term Care Pharmacy Cost: 1.60999
Long-term Care Pharmacy Eff Date: 11/12/2019
340B Rate: .71666
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.