BUTRANS 5 MCG/HR PATCH

Drug Details

General

Brand Name: BUTRANS 5 MCG/HR PATCH
Generic Name: buprenorphine
Manufacturer: PURDUE PHARMA L
NDC: 59011075004
Package size: 4EA

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*: 90%
Specialty Drug†: No

Drug Pricing

Retail Pharmacy Cost: 49.05127
Retail Pharmacy Eff Date: 01/09/2024
Specialty Pharmacy Cost: 48.19287
Specialty Pharmacy Eff Date: 01/09/2024
Long-term Care Pharmacy Cost: 47.87403
Long-term Care Pharmacy Eff Date: 01/09/2024
340B Rate: 21.98912
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.