LISDEXAMFETAMINE 60 MG CAPSULE

Drug Details

General

Brand Name: LISDEXAMFETAMINE 60 MG CAPSULE
Generic Name: lisdexamfetamine dimesylate
Manufacturer: APOTEX CORP
NDC: 60505474401
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: 6.62895
Retail Pharmacy Eff Date: 03/18/2024
Specialty Pharmacy Cost: 6.51294
Specialty Pharmacy Eff Date: 03/18/2024
Long-term Care Pharmacy Cost: 6.46985
Long-term Care Pharmacy Eff Date: 03/18/2024
340B Rate: 4.82773
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.