DIVALPROEX SOD DR 125 MG TAB

Drug Details

General

Brand Name: DIVALPROEX SOD DR 125 MG TAB
Generic Name: divalproex sodium
Manufacturer: SUN PHARMACEUTI
NDC: 62756079688
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: .06002
Retail Pharmacy Eff Date: 03/23/2021
Specialty Pharmacy Cost: .05896
Specialty Pharmacy Eff Date: 03/23/2021
Long-term Care Pharmacy Cost: .05857
Long-term Care Pharmacy Eff Date: 03/23/2021
340B Cost: .02709
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 09/11/2008
PDL Class: ANTICONVULSANTS
Compound-only use: No

CHIP

Effective date: 09/11/2008
Compound-only use: No

CSHCN

Effective date: 09/11/2008
Compound-only use: No