SULFAMETHOXAZOLE-TMP SUSP

Drug Details

General

Brand Name: SULFAMETHOXAZOLE-TMP SUSP
Generic Name: sulfamethoxazole/trimethoprim
Manufacturer: AUROBINDO PHARM
NDC: 65862049647
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: .09873
Retail Pharmacy Eff Date: 03/23/2021
Specialty Pharmacy Cost: .097
Specialty Pharmacy Eff Date: 03/23/2021
Long-term Care Pharmacy Cost: .09636
Long-term Care Pharmacy Eff Date: 03/23/2021
340B Cost: .03915
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 04/25/2011
Compound-only use: No

CHIP

Effective date: 04/25/2011
Compound-only use: No

CSHCN

Effective date: 04/25/2011
Compound-only use: No

KHC

Effective date: 04/01/2015