LYVISPAH 10 MG GRANULE PACKET

Drug Details

General

Brand Name: LYVISPAH 10 MG GRANULE PACKET
Generic Name: baclofen
Manufacturer: SAOL/AMNEAL PHA
NDC: 70257041487
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: 3.21221
Retail Pharmacy Eff Date: 01/10/2023
Specialty Pharmacy Cost: 3.01554
Specialty Pharmacy Eff Date: 01/10/2023
Long-term Care Pharmacy Cost: 3.16632
Long-term Care Pharmacy Eff Date: 01/10/2023
340B Rate: 1.40944
Premium Preferred Generic Incentive‡: No