|
Brand Name
|
Generic Name
|
Route of Administration
|
Lowest WAC Unit
|
Lowest AWP Unit
|
| Cometriq (100 MG Daily Dose) |
Cabozantinib |
0 |
$346.06 |
$415.27 |
|
Manufacturer
|
NDC Number
|
Package Description
|
WAC Per Package
|
WAC Per Unit
|
Effective Date
|
AWP Per Package
|
AWP Per Unit
|
Effective Date
|
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|
Brand Name
|
Generic Name
|
Route of Administration
|
Lowest WAC Unit
|
Lowest AWP Unit
|
| Cometriq (140 MG Daily Dose) |
Cabozantinib |
0 |
$173.03 |
$207.64 |
|
Manufacturer
|
NDC Number
|
Package Description
|
WAC Per Package
|
WAC Per Unit
|
Effective Date
|
AWP Per Package
|
AWP Per Unit
|
Effective Date
|
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|
Brand Name
|
Generic Name
|
Route of Administration
|
Lowest WAC Unit
|
Lowest AWP Unit
|
| Cometriq (60 MG Daily Dose) |
Cabozantinib |
ORAL |
$230.71 |
$276.85 |
|
Manufacturer
|
NDC Number
|
Package Description
|
WAC Per Package
|
WAC Per Unit
|
Effective Date
|
AWP Per Package
|
AWP Per Unit
|
Effective Date
|
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