THIORIDAZINE 50 MG TABLET

Drug Details

Brand Name: THIORIDAZINE 50 MG TABLET

Generic Name: thioridazine HCl

Manufacturer: MYLAN

NDC: 00378061601

Package size: 100EA

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%

Specialty Drug†: No

Retail Pharmacy Cost: .81974

Retail Pharmacy Eff Date: 10/24/2023

Specialty Pharmacy Cost: .80539

Specialty Pharmacy Eff Date: 10/24/2023

Long-term Care Pharmacy Cost: .80006

Long-term Care Pharmacy Eff Date: 10/24/2023

340B Rate: .36038

Premium Preferred Generic Incentive‡: No

Effective date: 03/01/2002

Compound-only use: No

PDL PA Required: No

PDL Class: ANTIPSYCHOTICS

FFS Clinical PA Required‡: Yes

Part B Cost-share Drug**: No

Part D Wrap-around Drug***: No

Effective date: 03/01/2002

Effective date: 03/01/2002

Compound-only use: No