MITOXANTRONE 25 MG/12.5 ML VL

Drug Details

General

Brand Name: MITOXANTRONE 25 MG/12.5 ML VL
Generic Name: mitoxantrone HCl
Manufacturer: HOSPIRA/PFIZER
NDC: 61703034365
Package size: 12.5ML
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: 16.7431
Retail Pharmacy Eff Date: 01/05/2021
Specialty Pharmacy Cost: 15.71801
Specialty Pharmacy Eff Date: 01/05/2021
Long-term Care Pharmacy Cost: 16.50391
Long-term Care Pharmacy Eff Date: 01/05/2021
340B Cost: 7.34646
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 08/18/2006
Compound-only use: No

CHIP

Effective date: 08/18/2006
Compound-only use: No

CSHCN

Effective date: 08/18/2006
Compound-only use: No