URSODIOL 500 MG TABLET

Drug Details

General

Brand Name: URSODIOL 500 MG TABLET
Generic Name: ursodiol
Manufacturer: ACTAVIS/TEVA
NDC: 00591300501
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: 1.22393
Retail Pharmacy Eff Date: 03/23/2021
Specialty Pharmacy Cost: 1.20251
Specialty Pharmacy Eff Date: 03/23/2021
Long-term Care Pharmacy Cost: 1.19455
Long-term Care Pharmacy Eff Date: 03/23/2021
340B Cost: 1.63516
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 01/13/2015
PDL Class: BILE SALTS
Compound-only use: No

CHIP

Effective date: 01/13/2015
Compound-only use: No

CSHCN

Effective date: 01/13/2015
Compound-only use: No