Drug Details
General
Brand Name: DICLEGIS DR 10-10 MG TABLET
Generic Name: doxylamine succinate/vit B6
Manufacturer: DUCHESNAY USA,
NDC: 55494010010
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*: 75%
Specialty Drug†: No
Drug Pricing
Retail Pharmacy Cost: 5.22268
Retail Pharmacy Eff Date: 12/26/2023
Specialty Pharmacy Cost: 5.13128
Specialty Pharmacy Eff Date: 12/26/2023
Long-term Care Pharmacy Cost: 5.09733
Long-term Care Pharmacy Eff Date: 12/26/2023
340B Rate: 2.3392
Premium Preferred Generic Incentive‡: No