GUAIFENESIN 100 MG/5 ML SOLN

Drug Details

General

Brand Name: GUAIFENESIN 100 MG/5 ML SOLN
Generic Name: guaifenesin
Manufacturer: METHOD PHARMACE
NDC: 58657050816
Package size: 473ML

Drug Information

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

Drug Pricing

Retail Pharmacy Cost: .01158
Specialty Pharmacy Cost: .01138
Long-term Care Pharmacy Cost: .0113
340B Rate: .00635
Premium Preferred Generic Incentive‡: No

* Impacts only claims paid by HHSC: traditional Medicaid, CSHCN, HTW, and KHC Programs.

† Refer to the Specialty Drug Handbook for more information..

‡ Refer to the Premium Preferred Generic Drugs section for information about traditional Medicaid claim pricing and PPG pricing incentives.