|
Brand Name
|
Generic Name
|
Route of Administration
|
Lowest WAC Unit
|
Lowest AWP Unit
|
| Piqray (200 MG Daily Dose) |
Alpelisib |
0 |
$787.13 |
$944.55 |
|
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
|
| Piqray (250 MG Daily Dose) |
Alpelisib |
0 |
$393.56 |
$472.28 |
|
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
|
| Piqray (300 MG Daily Dose) |
Alpelisib |
ORAL |
$393.56 |
$472.28 |
|
Manufacturer
|
NDC Number
|
Package Description
|
WAC Per Package
|
WAC Per Unit
|
Effective Date
|
AWP Per Package
|
AWP Per Unit
|
Effective Date
|
| You must be logged in to view this data. Not a member? Click Here to Register |
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