TRIAMTERENE-HCTZ 75-50 MG TAB

Drug Details

General

Brand Name: TRIAMTERENE-HCTZ 75-50 MG TAB
Generic Name: triamterene/hydrochlorothiazid
Manufacturer: APOTEX CORP
NDC: 60505265701
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%

Drug Pricing

Retail Pharmacy Cost: .13205
Retail Pharmacy Eff Date: 03/23/2021
Specialty Pharmacy Cost: .12973
Specialty Pharmacy Eff Date: 03/23/2021
Long-term Care Pharmacy Cost: .12888
Long-term Care Pharmacy Eff Date: 03/23/2021
340B Cost: .12121
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 11/06/2006
Compound-only use: No

CHIP

Effective date: 11/06/2006
Compound-only use: No

CSHCN

Effective date: 11/06/2006
Compound-only use: No