SPORANOX 100 MG CAPSULE

Drug Details

Brand Name: SPORANOX 100 MG CAPSULE

Generic Name: itraconazole

Manufacturer: JANSSEN PHARM.

NDC: 50458029004

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%

Specialty Drug†: No

Retail Pharmacy Cost: 27.58308

Retail Pharmacy Eff Date: 01/15/2019

Specialty Pharmacy Cost: 25.89432

Specialty Pharmacy Eff Date: 01/15/2019

Long-term Care Pharmacy Cost: 27.18903

Long-term Care Pharmacy Eff Date: 01/15/2019

340B Rate: 12.10278

Premium Preferred Generic Incentive‡: No

Effective date: 03/01/2002

Compound-only use: No

PDL PA Required: Yes

PDL Class: ANTIFUNGALS: ORAL

FFS Clinical PA Required‡: No

Part B Cost-share Drug**: No

Part D Wrap-around Drug***: No

Effective date: 03/01/2002

Effective date: 03/01/2002

Compound-only use: No