TESTOSTERONE 1% (25MG/2.5G) PK

Drug Details

General

Brand Name: TESTOSTERONE 1% (25MG/2.5G) PK
Generic Name: testosterone
Manufacturer: ACTAVIS/TEVA
NDC: 00591321630
Package size: 2.5GM

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: 1.47594
Retail Pharmacy Eff Date: 02/27/2024
Specialty Pharmacy Cost: 1.45011
Specialty Pharmacy Eff Date: 02/27/2024
Long-term Care Pharmacy Cost: 1.44051
Long-term Care Pharmacy Eff Date: 02/27/2024
340B Rate: 2.09008
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.