OXYMORPHONE HCL ER 5 MG TABLET

Drug Details

General

Brand Name: OXYMORPHONE HCL ER 5 MG TABLET
Generic Name: oxymorphone HCl
Manufacturer: AMNEAL PHARMACE
NDC: 64896069513
Package size: 60EA

Drug Information

Family Planning drug: No
Diabetic Supply Drug: No
HTW drug: No
HTWPlus drug: No
Long-acting reversible contraception product: No
Refill-to-soon Utilization*: 90%
Specialty Drug†: No

Drug Pricing

Retail Pharmacy Cost: 4.63284
Specialty Pharmacy Cost: 4.55408
Long-term Care Pharmacy Cost: 4.52165
340B Rate: 2.06321
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.