CIPROFLOXACIN HCL 250 MG TAB

Drug Details

General

Brand Name: CIPROFLOXACIN HCL 250 MG TAB
Generic Name: ciprofloxacin HCl
Manufacturer: YILING PHARMACE
NDC: 69117000801
Package size: 100EA
Family Planning drug: No
Diabetic Supply Drug: No
HTW drug: Yes
HTWPlus drug: No
Long-acting reversible contraception product: No
Refill-to-soon Utilization*: 75%

Drug Pricing

Retail Pharmacy Cost: .09846
Retail Pharmacy Eff Date: 03/23/2021
Specialty Pharmacy Cost: .09673
Specialty Pharmacy Eff Date: 03/23/2021
Long-term Care Pharmacy Cost: .09609
Long-term Care Pharmacy Eff Date: 03/23/2021
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 03/12/2020
End date: 01/01/2040
End reason: No Longer Rebatable
Compound-only use: No

CHIP

Effective date: 03/12/2020
End date: 01/01/2040
End reason: No Longer Rebatable
Compound-only use: No

CSHCN

Effective date: 03/12/2020
End date: 01/01/2040
End reason: No Longer Rebatable
Compound-only use: No

HTW

Effective date: 06/19/2020
End date: 01/01/2040