LOSARTAN POTASSIUM 100 MG TAB

Drug Details

Brand Name: LOSARTAN POTASSIUM 100 MG TAB

Generic Name: losartan potassium

Manufacturer: GRANULES PHARMA

NDC: 70010074310

Package size: 1000EA

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

Retail Pharmacy Cost: .05564

Retail Pharmacy Eff Date: 02/27/2024

Specialty Pharmacy Cost: .05466

Specialty Pharmacy Eff Date: 02/27/2024

Long-term Care Pharmacy Cost: .0543

Long-term Care Pharmacy Eff Date: 02/27/2024

340B Rate: .0299

Premium Preferred Generic Incentive‡: No

Effective date: 09/12/2023

Compound-only use: No

PDL PA Required: No

PDL Class: ANGIOTENSIN MODULATORS

FFS Clinical PA Required‡: Yes

Part B Cost-share Drug**: No

Part D Wrap-around Drug***: No

Effective date: 09/12/2023

Effective date: 09/12/2023

Compound-only use: No