GLIPIZIDE 5 MG TABLET

Drug Details

General

Brand Name: GLIPIZIDE 5 MG TABLET
Generic Name: glipizide
Manufacturer: MYLAN
NDC: 00378110501
Package size: 100EA
Family Planning drug: No
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: .03037
Retail Pharmacy Eff Date: 04/27/2021
Specialty Pharmacy Cost: .02983
Specialty Pharmacy Eff Date: 04/27/2021
Long-term Care Pharmacy Cost: .02964
Long-term Care Pharmacy Eff Date: 04/27/2021
340B Cost: .0273
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 03/01/2002
Compound-only use: No

CHIP

Effective date: 03/01/2002
Compound-only use: No

CSHCN

Effective date: 03/01/2002
Compound-only use: No

HTW

Effective date: 07/01/2016

KHC

Effective date: 03/01/2002