GENERESS FE CHEWABLE TABLET

Drug Details

General

Brand Name: GENERESS FE CHEWABLE TABLET
Generic Name: noreth-ethinyl estradiol/iron
Manufacturer: ALLERGAN INC.
NDC: 00023603003
Package size: 28EA
Family Planning drug: Yes
Diabetic Supply Drug: No
HTW drug: Yes
HTWPlus drug: No
Long-acting reversible contraception product: No
Refill-to-soon Utilization*: 75%

Drug Pricing

Retail Pharmacy Cost: 5.72658
Retail Pharmacy Eff Date: 01/28/2020
Specialty Pharmacy Cost: 5.37597
Specialty Pharmacy Eff Date: 01/28/2020
Long-term Care Pharmacy Cost: 5.64477
Long-term Care Pharmacy Eff Date: 01/28/2020
340B Cost: 2.51268
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 04/09/2019
Compound-only use: No

CHIP

Effective date: 04/09/2019
Compound-only use: No

CSHCN

Effective date: 04/09/2019
Compound-only use: No
Comments: Refer to program requirements

HTW

Effective date: 09/04/2019