JAKAFI 25 MG TABLET

Drug Details

General

Brand Name: JAKAFI 25 MG TABLET
Generic Name: ruxolitinib phosphate
Manufacturer: INCYTE CORPORAT
NDC: 50881002560
Package size: 60EA
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%

Drug Pricing

Retail Pharmacy Cost: 247.009
Retail Pharmacy Eff Date: 10/12/2021
Specialty Pharmacy Cost: 231.886
Specialty Pharmacy Eff Date: 10/12/2021
Long-term Care Pharmacy Cost: 243.4803
Long-term Care Pharmacy Eff Date: 10/12/2021
340B Cost: 108.3815
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 04/01/2012
Compound-only use: No

CHIP

Effective date: 04/01/2012
Compound-only use: No

CSHCN

Effective date: 04/01/2012
Compound-only use: No