CHILD COLD-ALLERGY LIQUID

Drug Details

Brand Name: CHILD COLD-ALLERGY LIQUID

Generic Name: brompheniramine/phenylephrine

Manufacturer: LEADER

NDC: 70000005701

Package size: 118ML

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

Premium Preferred Generic Incentive‡: No

Effective date: 01/30/2023

Compound-only use: No

PDL PA Required: No

PDL Class: COUGH AND COLD: COLD

FFS Clinical PA Required‡: Yes

Part B Cost-share Drug**: No

Part D Wrap-around Drug***: Yes

Effective date: 01/30/2023

Compound-only use: No