NEXPLANON 68 MG IMPLANT

Drug Details

General

Brand Name: NEXPLANON 68 MG IMPLANT
Generic Name: etonogestrel
Manufacturer: ORGANON LLC
NDC: 78206014501
Package size: 1EA

Drug Information

Family Planning drug: Yes
Diabetic Supply Drug: No
HTW drug: Yes
HTWPlus drug: No
Long-acting reversible contraception product: Yes
Refill-to-soon Utilization*: 75%
Specialty Drug†: No

Drug Pricing

Retail Pharmacy Cost: 1133.1544
Retail Pharmacy Eff Date: 01/09/2024
Specialty Pharmacy Cost: 1063.7776
Specialty Pharmacy Eff Date: 01/09/2024
Long-term Care Pharmacy Cost: 1116.96648
Long-term Care Pharmacy Eff Date: 01/09/2024
340B Rate: 497.2004
Premium Preferred Generic Incentive‡: No

* Impacts only claims paid by HHSC: traditional Medicaid, CSHCN, HTW, and KHC Programs.

† Refer to the Specialty Drug Handbook for more information..

‡ Refer to the Premium Preferred Generic Drugs section for information about traditional Medicaid claim pricing and PPG pricing incentives.