PALYNZIQ 20 MG/ML SYRINGE

Drug Details

General

Brand Name: PALYNZIQ 20 MG/ML SYRINGE
Generic Name: pegvaliase-pqpz
Manufacturer: BIOMARIN PHARMA
NDC: 68135067340
Package size: 1ML

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†: Yes

Drug Pricing

Retail Pharmacy Cost: 602.7
Retail Pharmacy Eff Date: 12/12/2023
Specialty Pharmacy Cost: 565.8
Specialty Pharmacy Eff Date: 12/12/2023
Long-term Care Pharmacy Cost: 594.09
Long-term Care Pharmacy Eff Date: 12/12/2023
340B Rate: 264.45
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.