LUCEMYRA 0.18 MG TABLET

Drug Details

Brand Name: LUCEMYRA 0.18 MG TABLET

Generic Name: lofexidine HCl

Manufacturer: USWM, LLC, D.B.

NDC: 78670005036

Package size: 36EA

Family Planning drug: No

Diabetic Supply Drug: No

HTW drug: No

HTWPlus drug: Yes

Long-acting reversible contraception product: No

Refill-to-soon Utilization*: 75%

Specialty Drug†: No

Retail Pharmacy Cost: 23.12629

Retail Pharmacy Eff Date: 01/23/2024

Specialty Pharmacy Cost: 22.72157

Specialty Pharmacy Eff Date: 01/23/2024

Long-term Care Pharmacy Cost: 22.57125

Long-term Care Pharmacy Eff Date: 01/23/2024

340B Rate: 10.4576

Premium Preferred Generic Incentive‡: No

Effective date: 03/15/2021

Compound-only use: No

PDL PA Required: No

PDL Class: OPIATE DEPENDENCE TREATMENTS

FFS Clinical PA Required‡: No

Part B Cost-share Drug**: No

Part D Wrap-around Drug***: No

Effective date: 03/15/2021

Effective date: 03/15/2021

Compound-only use: No

Effective date: 09/01/2020