TESTOSTERONE 1.62% (2.5 G) PKT

Drug Details

General

Brand Name: TESTOSTERONE 1.62% (2.5 G) PKT
Generic Name: testosterone
Manufacturer: PERRIGO/PADAGIS
NDC: 45802036665
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: 2.86541
Retail Pharmacy Eff Date: 02/27/2024
Specialty Pharmacy Cost: 2.81526
Specialty Pharmacy Eff Date: 02/27/2024
Long-term Care Pharmacy Cost: 2.79664
Long-term Care Pharmacy Eff Date: 02/27/2024
340B Rate: 2.08079
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.