TESTOSTERON ENAN 1,000 MG/5 ML

Drug Details

General

Brand Name: TESTOSTERON ENAN 1,000 MG/5 ML
Generic Name: testosterone enanthate
Manufacturer: WEST-WARD/HIKMA
NDC: 00143975001
Package size: 5ML

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: 14.08453
Retail Pharmacy Eff Date: 02/27/2024
Specialty Pharmacy Cost: 13.83805
Specialty Pharmacy Eff Date: 02/27/2024
Long-term Care Pharmacy Cost: 13.7465
Long-term Care Pharmacy Eff Date: 02/27/2024
340B Rate: 7.05888
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.