SUBVENITE 200 MG TABLET

Drug Details

General

Brand Name: SUBVENITE 200 MG TABLET
Generic Name: lamotrigine
Manufacturer: OWP PHARMACEUTI
NDC: 69102032001
Package size: 100EA
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: .09621
Retail Pharmacy Eff Date: 03/23/2021
Specialty Pharmacy Cost: .09452
Specialty Pharmacy Eff Date: 03/23/2021
Long-term Care Pharmacy Cost: .0939
Long-term Care Pharmacy Eff Date: 03/23/2021
340B Cost: .043
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 01/28/2019
PDL Class: ANTICONVULSANTS
Compound-only use: No

CHIP

Effective date: 01/28/2019
Compound-only use: No

CSHCN

Effective date: 01/28/2019
Compound-only use: No