FLUCONAZOLE 10 MG/ML SUSP

Drug Details

General

Brand Name: FLUCONAZOLE 10 MG/ML SUSP
Generic Name: fluconazole
Manufacturer: WEST-WARD/HIKMA
NDC: 00054000285
Package size: 35ML
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: .60479
Retail Pharmacy Eff Date: 02/09/2021
Specialty Pharmacy Cost: .56776
Specialty Pharmacy Eff Date: 02/09/2021
Long-term Care Pharmacy Cost: .59615
Long-term Care Pharmacy Eff Date: 02/09/2021
340B Cost: .26537
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Compound-only use: No

CHIP

Compound-only use: No
Compound-only use: No

KHC

Effective date: 04/03/2006
End date: 09/01/2021
End reason: No Longer Rebatable