DOXYCYCLINE MONO 75 MG TABLET

Drug Details

General

Brand Name: DOXYCYCLINE MONO 75 MG TABLET
Generic Name: doxycycline monohydrate
Manufacturer: AVET PHARMACEUT
NDC: 23155013401
Package size: 100EA

Drug Information

Family Planning drug: No
Diabetic Supply Drug: No
HTW drug: No
HTWPlus drug: No
Long-acting reversible contraception product: No
Refill-to-soon Utilization*: 75%
Specialty Drug†: No

Drug Pricing

Retail Pharmacy Cost: 1.01577
Retail Pharmacy Eff Date: 06/01/2016
Specialty Pharmacy Cost: .95358
Specialty Pharmacy Eff Date: 06/01/2016
Long-term Care Pharmacy Cost: 1.00125
Long-term Care Pharmacy Eff Date: 06/01/2016
340B Rate: .44569
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.