PAMIDRONATE 30 MG/10 ML VIAL

Drug Details

General

Brand Name: PAMIDRONATE 30 MG/10 ML VIAL
Generic Name: pamidronate disodium
Manufacturer: HOSPIRA/PFIZER
NDC: 61703032418
Package size: 10ML
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: 1.36024
Retail Pharmacy Eff Date: 01/05/2021
Specialty Pharmacy Cost: 1.27696
Specialty Pharmacy Eff Date: 01/05/2021
Long-term Care Pharmacy Cost: 1.3408
Long-term Care Pharmacy Eff Date: 01/05/2021
340B Cost: .59684
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 08/16/2016
Compound-only use: No

CHIP

Effective date: 08/16/2016
Compound-only use: No

CSHCN

Effective date: 08/16/2016
Compound-only use: No