ZARONTIN 250 MG CAPSULE

Drug Details

General

Brand Name: ZARONTIN 250 MG CAPSULE
Generic Name: ethosuximide
Manufacturer: PFIZER US PHARM
NDC: 00071023724
Package size: 100EA

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*: 75%
Specialty Drug†: No

Drug Pricing

Retail Pharmacy Cost: 1.30115
Specialty Pharmacy Cost: 1.22148
Long-term Care Pharmacy Cost: 1.28256
340B Rate: .57091
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.