BUPRENORPHINE-NALOX 2-0.5MG TB

Drug Details

Brand Name: BUPRENORPHINE-NALOX 2-0.5MG TB

Generic Name: buprenorphine HCl/naloxone HCl

Manufacturer: BRYANT RANCH PR

NDC: 63629948201

Package size: 30EA

Family Planning drug: No

Diabetic Supply Drug: No

HTW drug: No

HTWPlus drug: No

Long-acting reversible contraception product: No

Refill-to-soon Utilization*: 90%

Specialty Drug†: No

Retail Pharmacy Cost: .47594

Retail Pharmacy Eff Date: 07/05/2023

Specialty Pharmacy Cost: .4468

Specialty Pharmacy Eff Date: 07/05/2023

Long-term Care Pharmacy Cost: .46914

Long-term Care Pharmacy Eff Date: 07/05/2023

340B Rate: .20883

Premium Preferred Generic Incentive‡: No

Effective date: 07/05/2023

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: 07/05/2023

Effective date: 07/05/2023

Compound-only use: No