BUPRENORPHINE-NALOX 2-0.5MG TB

Drug Details

Brand Name: BUPRENORPHINE-NALOX 2-0.5MG TB

Generic Name: buprenorphine HCl/naloxone HCl

Manufacturer: GSMS, INC.

NDC: 60429058633

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: .75622

Retail Pharmacy Eff Date: 10/01/2020

Specialty Pharmacy Cost: .70992

Specialty Pharmacy Eff Date: 10/01/2020

Long-term Care Pharmacy Cost: .74542

Long-term Care Pharmacy Eff Date: 10/01/2020

340B Rate: .33181

Premium Preferred Generic Incentive‡: No

Effective date: 10/01/2020

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: 10/01/2020

Effective date: 10/01/2020

Compound-only use: No

Effective date: 09/01/2020