SULFAMETHOXAZOLE-TMP SUSP

Drug Details

General

Brand Name: SULFAMETHOXAZOLE-TMP SUSP
Generic Name: sulfamethoxazole/trimethoprim
Manufacturer: ANI PHARMACEUTI
NDC: 62559055016
Package size: 473ML
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: .07896
Retail Pharmacy Eff Date: 11/23/2021
Specialty Pharmacy Cost: .07757
Specialty Pharmacy Eff Date: 11/23/2021
Long-term Care Pharmacy Cost: .07706
Long-term Care Pharmacy Eff Date: 11/23/2021
340B Cost: .06526
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 06/12/2020
Compound-only use: No

CHIP

Effective date: 06/12/2020
Compound-only use: No

CSHCN

Effective date: 06/12/2020
Compound-only use: No