STERILE WATER FOR IRRIGATION

Drug Details

General

Brand Name: STERILE WATER FOR IRRIGATION
Generic Name: water for irrigation,sterile
Manufacturer: B.BRAUN
NDC: 00264210150
Package size: 2000ML
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: .00179
Retail Pharmacy Eff Date: 07/02/2019
Specialty Pharmacy Cost: .00168
Specialty Pharmacy Eff Date: 07/02/2019
Long-term Care Pharmacy Cost: .00176
Long-term Care Pharmacy Eff Date: 07/02/2019
340B Cost: .00078
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 03/01/2002
Compound-only use: No

CHIP

Effective date: 03/01/2002
Compound-only use: No

CSHCN

Effective date: 03/01/2002
Compound-only use: No