TEMAZEPAM 7.5 MG CAPSULE

Drug Details

General

Brand Name: TEMAZEPAM 7.5 MG CAPSULE
Generic Name: temazepam
Manufacturer: MUTUAL PHARM CO
NDC: 53489064801
Package size: 100EA

Drug Information

Family Planning drug: No
Diabetic Supply Drug: No
HTW drug: No
HTWPlus drug: No
Long-acting reversible contraception product: No
Refill-to-soon Utilization*: 90%
Specialty Drug†: No

Drug Pricing

Retail Pharmacy Cost: 6.81913
Retail Pharmacy Eff Date: 03/05/2024
Specialty Pharmacy Cost: 6.40163
Specialty Pharmacy Eff Date: 03/05/2024
Long-term Care Pharmacy Cost: 6.72171
Long-term Care Pharmacy Eff Date: 03/05/2024
340B Rate: 2.99206
Premium Preferred Generic Incentive‡: No

* Impacts only claims paid by HHSC: traditional Medicaid, CSHCN, HTW, and KHC Programs.

† Refer to the Specialty Drug Handbook for more information..

‡ Refer to the Premium Preferred Generic Drugs section for information about traditional Medicaid claim pricing and PPG pricing incentives.