BUPRENORPHINE-NALOX 4-1MG FILM

Drug Details

General

Brand Name: BUPRENORPHINE-NALOX 4-1MG FILM
Generic Name: buprenorphine HCl/naloxone HCl
Manufacturer: SANDOZ
NDC: 00781722764
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: 7.18666
Retail Pharmacy Eff Date: 02/09/2021
Specialty Pharmacy Cost: 6.74666
Specialty Pharmacy Eff Date: 02/09/2021
Long-term Care Pharmacy Cost: 7.08399
Long-term Care Pharmacy Eff Date: 02/09/2021
340B Rate: 3.15333
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.