NORVASC 5 MG TABLET

Drug Details

General

Brand Name: NORVASC 5 MG TABLET
Generic Name: amlodipine besylate
Manufacturer: PFIZER/VIATRIS
NDC: 00069153068
Package size: 90EA

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: 8.13847
Retail Pharmacy Eff Date: 02/13/2024
Specialty Pharmacy Cost: 7.99604
Specialty Pharmacy Eff Date: 02/13/2024
Long-term Care Pharmacy Cost: 7.94314
Long-term Care Pharmacy Eff Date: 02/13/2024
340B Rate: 3.64276
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.