ISRADIPINE 2.5 MG CAPSULE

Drug Details

General

Brand Name: ISRADIPINE 2.5 MG CAPSULE
Generic Name: isradipine
Manufacturer: EPIC PHARMA LLC
NDC: 42806026301
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: 9.56842
Retail Pharmacy Eff Date: 07/13/2021
Specialty Pharmacy Cost: 8.9826
Specialty Pharmacy Eff Date: 07/13/2021
Long-term Care Pharmacy Cost: 9.43173
Long-term Care Pharmacy Eff Date: 07/13/2021
340B Rate: 4.19839
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.