ZOLMITRIPTAN 2.5 MG ODT

Drug Details

General

Brand Name: ZOLMITRIPTAN 2.5 MG ODT
Generic Name: zolmitriptan
Manufacturer: RISING PHARM
NDC: 64980025616
Package size: 6EA
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: 2.74833
Retail Pharmacy Eff Date: 02/23/2021
Specialty Pharmacy Cost: 2.70023
Specialty Pharmacy Eff Date: 02/23/2021
Long-term Care Pharmacy Cost: 2.68237
Long-term Care Pharmacy Eff Date: 02/23/2021
340B Cost: 2.61225
Premium Preferred Generic Incentive†: Yes

Program Coverage

Medicaid

Effective date: 09/18/2020
Compound-only use: No

CHIP

Effective date: 09/18/2020
Compound-only use: No

CSHCN

Effective date: 09/18/2020
Compound-only use: No