HALOPERIDOL 20 MG TABLET

Drug Details

Brand Name: HALOPERIDOL 20 MG TABLET

Generic Name: haloperidol

Manufacturer: METHOD PHARMACE

NDC: 58657070501

Package size: 100EA

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: .94441

Retail Pharmacy Eff Date: 02/28/2023

Specialty Pharmacy Cost: .92788

Specialty Pharmacy Eff Date: 02/28/2023

Long-term Care Pharmacy Cost: .92174

Long-term Care Pharmacy Eff Date: 02/28/2023

340B Rate: .55895

Premium Preferred Generic Incentive‡: No

Effective date: 03/26/2020

Compound-only use: No

PDL PA Required: No

PDL Class: ANTIPSYCHOTICS

FFS Clinical PA Required‡: Yes

Part B Cost-share Drug**: No

Part D Wrap-around Drug***: No

Effective date: 03/26/2020

Effective date: 03/26/2020

Compound-only use: No