MOEXIPRIL HCL 15 MG TABLET

Drug Details

Brand Name: MOEXIPRIL HCL 15 MG TABLET

Generic Name: moexipril HCl

Manufacturer: TEVA USA

NDC: 00093515001

Package size: 100EA

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

Retail Pharmacy Cost: .8792

Retail Pharmacy Eff Date: 12/26/2023

Specialty Pharmacy Cost: .86381

Specialty Pharmacy Eff Date: 12/26/2023

Long-term Care Pharmacy Cost: .85809

Long-term Care Pharmacy Eff Date: 12/26/2023

340B Rate: .40678

Premium Preferred Generic Incentive‡: No

Effective date: 04/21/2009

Compound-only use: No

PDL PA Required: Yes

PDL Class: ANGIOTENSIN MODULATORS

FFS Clinical PA Required‡: No

Part B Cost-share Drug**: No

Part D Wrap-around Drug***: No

Effective date: 04/21/2009

Effective date: 04/21/2009

Compound-only use: No

Effective date: 04/21/2009