FOSINOPRIL SODIUM 10 MG TAB

Drug Details

General

Brand Name: FOSINOPRIL SODIUM 10 MG TAB
Generic Name: fosinopril sodium
Manufacturer: CIPLA USA, INC.
NDC: 69097085605
Package size: 90EA
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: .15389
Retail Pharmacy Eff Date: 03/23/2021
Specialty Pharmacy Cost: .15119
Specialty Pharmacy Eff Date: 03/23/2021
Long-term Care Pharmacy Cost: .15019
Long-term Care Pharmacy Eff Date: 03/23/2021
340B Cost: .14643
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 09/02/2016
Compound-only use: No

CHIP

Effective date: 09/02/2016
Compound-only use: No

CSHCN

Effective date: 09/02/2016
Compound-only use: No