TIMOLOL MALEATE 0.25% EYE DROP

Drug Details

General

Brand Name: TIMOLOL MALEATE 0.25% EYE DROP
Generic Name: timolol maleate/PF
Manufacturer: INGENUS PHARMAC
NDC: 50742028760
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*: 75%
Specialty Drug†: No

Drug Pricing

Retail Pharmacy Cost: 6.50948
Retail Pharmacy Eff Date: 02/21/2023
Specialty Pharmacy Cost: 6.11094
Specialty Pharmacy Eff Date: 02/21/2023
Long-term Care Pharmacy Cost: 6.41649
Long-term Care Pharmacy Eff Date: 02/21/2023
340B Rate: 2.8562
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.