VIMPAT 150 MG TABLET

Drug Details

General

Brand Name: VIMPAT 150 MG TABLET
Generic Name: lacosamide
Manufacturer: UCB PHARMA
NDC: 00131247935
Package size: 60EA
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: 15.80808
Retail Pharmacy Eff Date: 01/19/2021
Specialty Pharmacy Cost: 15.53143
Specialty Pharmacy Eff Date: 01/19/2021
Long-term Care Pharmacy Cost: 15.42868
Long-term Care Pharmacy Eff Date: 01/19/2021
340B Cost: 7.08818
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 06/01/2009
PDL Class: ANTICONVULSANTS
Compound-only use: No

CHIP

Effective date: 06/01/2009
Compound-only use: No

CSHCN

Effective date: 06/01/2009
Compound-only use: No