OMEPRAZOLE DR 20 MG CAPSULE

Drug Details

General

Brand Name: OMEPRAZOLE DR 20 MG CAPSULE
Generic Name: omeprazole
Manufacturer: DR.REDDY'S LAB
NDC: 55111015830
Package size: 30EA
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: .04095
Retail Pharmacy Eff Date: 03/23/2021
Specialty Pharmacy Cost: .04023
Specialty Pharmacy Eff Date: 03/23/2021
Long-term Care Pharmacy Cost: .03996
Long-term Care Pharmacy Eff Date: 03/23/2021
340B Cost: .0602
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 09/01/2009
Compound-only use: No

CHIP

Effective date: 09/01/2009
Compound-only use: No

CSHCN

Effective date: 09/01/2009
Compound-only use: No

KHC

Effective date: 07/01/2012