MESALAMINE ER 0.375 GRAM CAP

Drug Details

General

Brand Name: MESALAMINE ER 0.375 GRAM CAP
Generic Name: mesalamine
Manufacturer: MYLAN
NDC: 00378137578
Package size: 120EA
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: 2.22235
Retail Pharmacy Eff Date: 03/23/2021
Specialty Pharmacy Cost: 2.18345
Specialty Pharmacy Eff Date: 03/23/2021
Long-term Care Pharmacy Cost: 2.16901
Long-term Care Pharmacy Eff Date: 03/23/2021
340B Cost: 1.57816
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 03/02/2020
Compound-only use: No

CHIP

Effective date: 03/02/2020
Compound-only use: No

CSHCN

Effective date: 03/02/2020
Compound-only use: No