BUTALB-ACETAMIN-CAFF 50-325-40

Drug Details

General

Brand Name: BUTALB-ACETAMIN-CAFF 50-325-40
Generic Name: butalb/acetaminophen/caffeine
Manufacturer: ACTAVIS/TEVA
NDC: 00591336905
Package size: 500EA
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%

Drug Pricing

Retail Pharmacy Cost: .18896
Retail Pharmacy Eff Date: 03/23/2021
Specialty Pharmacy Cost: .18565
Specialty Pharmacy Eff Date: 03/23/2021
Long-term Care Pharmacy Cost: .18442
Long-term Care Pharmacy Eff Date: 03/23/2021
340B Cost: .26879
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 01/28/2008
Compound-only use: No

CHIP

Effective date: 01/28/2008
Compound-only use: No

CSHCN

Effective date: 01/28/2008
Compound-only use: No