ESCITALOPRAM 20 MG TABLET

Drug Details

Brand Name: ESCITALOPRAM 20 MG TABLET

Generic Name: escitalopram oxalate

Manufacturer: MAJOR PHARMACEU

NDC: 00904642761

Package size: 100EA

Family Planning drug: No

Diabetic Supply Drug: No

HTW drug: Yes

HTWPlus drug: No

Long-acting reversible contraception product: No

Refill-to-soon Utilization*: 75%

Specialty Drug†: No

Retail Pharmacy Cost: .08599

Retail Pharmacy Eff Date: 02/27/2024

Specialty Pharmacy Cost: .08448

Specialty Pharmacy Eff Date: 02/27/2024

Long-term Care Pharmacy Cost: .08392

Long-term Care Pharmacy Eff Date: 02/27/2024

340B Rate: .07731

Premium Preferred Generic Incentive‡: No

Effective date: 02/09/2015

Compound-only use: No

PDL PA Required: No

PDL Class: ANTIDEPRESSANTS: SSRIs

FFS Clinical PA Required‡: No

Part B Cost-share Drug**: No

Part D Wrap-around Drug***: No

Effective date: 02/09/2015

Effective date: 02/09/2015

Compound-only use: No

Effective date: 07/01/2016

Effective date: 09/01/2022