CYPROHEPTADINE 4 MG TABLET

Drug Details

General

Brand Name: CYPROHEPTADINE 4 MG TABLET
Generic Name: cyproheptadine HCl
Manufacturer: INGENUS PHARMAC
NDC: 50742019001
Package size: 100EA
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: .13443
Retail Pharmacy Eff Date: 04/27/2021
Specialty Pharmacy Cost: .13207
Specialty Pharmacy Eff Date: 04/27/2021
Long-term Care Pharmacy Cost: .1312
Long-term Care Pharmacy Eff Date: 04/27/2021
340B Cost: .0387
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 09/30/2015
Compound-only use: No

CHIP

Effective date: 09/30/2015
Compound-only use: No

CSHCN

Effective date: 09/30/2015
Compound-only use: No