BUPRENORPHINE-NALOX 2-0.5MG TB

Drug Details

Brand Name: BUPRENORPHINE-NALOX 2-0.5MG TB

Generic Name: buprenorphine HCl/naloxone HCl

Manufacturer: PHARM ASSOC INC

NDC: 00121101830

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: .53821

Retail Pharmacy Eff Date: 03/12/2024

Specialty Pharmacy Cost: .52879

Specialty Pharmacy Eff Date: 03/12/2024

Long-term Care Pharmacy Cost: .52529

Long-term Care Pharmacy Eff Date: 03/12/2024

340B Rate: .39775

Premium Preferred Generic Incentive‡: No

Effective date: 10/02/2023

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: 10/02/2023

Effective date: 10/02/2023

Compound-only use: No