Rx0000090 |
UCB, Inc |
03/31/2019 |
50474077066 |
BRIVARACETAM 100MG TAB |
01/01/2019 |
74.90 |
1145.00 |
02/21/2021 |
Single Source Drug |
128620000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474097075 |
BRIVARACETAM 100MG TAB |
01/01/2019 |
32.11 |
490.72 |
02/21/2021 |
Single Source Drug |
128620000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474077009 |
BRIVARACETAM 100MG TAB UD |
01/01/2019 |
124.84 |
1908.34 |
02/21/2021 |
Single Source Drug |
128620000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474087015 |
BRIVARACETAM 100MG TAB UD |
01/01/2019 |
74.90 |
1145.00 |
02/21/2021 |
Single Source Drug |
128620000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474037066 |
BRIVIACT 10MG TAB |
01/01/2019 |
74.90 |
1145.00 |
02/21/2021 |
Single Source Drug |
128620000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474047066 |
BRIVIACT 25MG TAB |
01/01/2019 |
74.90 |
1145.00 |
02/21/2021 |
Single Source Drug |
128620000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474047009 |
BRIVIACT 25MG TAB UD |
01/01/2019 |
124.84 |
1908.34 |
02/21/2021 |
Single Source Drug |
128620000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474057066 |
BRIVIACT 50MG TAB |
01/01/2019 |
74.90 |
1145.00 |
02/21/2021 |
Single Source Drug |
128620000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474057009 |
BRIVIACT 5OMG TAB UD |
01/01/2019 |
124.84 |
1908.34 |
02/21/2021 |
Single Source Drug |
128620000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474067066 |
BRIVIACT 75MG TAB |
01/01/2019 |
74.90 |
1145.00 |
02/21/2021 |
Single Source Drug |
128620000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474070062 |
CIMZIA LYOPHOLIZED POWDER FOR INJECTION |
01/01/2019 |
283.11 |
4327.43 |
02/13/2024 |
Single Source Drug |
1057280000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474071079 |
CIMZIA PRE-FILLED SYRINGE |
01/01/2019 |
283.11 |
4327.43 |
02/13/2024 |
Single Source Drug |
1057280000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474071081 |
CIMZIA STARTER KIT |
01/01/2019 |
849.33 |
12982.29 |
02/13/2024 |
Single Source Drug |
1057280000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474080103 |
NEUPRO 1MG 30 PATCH |
01/01/2019 |
25.86 |
672.48 |
03/30/2021 |
Single Source Drug |
119180000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474080203 |
NEUPRO 2MG 30 PATCH |
01/01/2019 |
25.86 |
672.48 |
03/30/2021 |
Single Source Drug |
119180000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474080303 |
NEUPRO 3MG 30 PATCH |
01/01/2019 |
25.86 |
672.48 |
03/30/2021 |
Single Source Drug |
119180000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474080403 |
NEUPRO 4MG 30 PATCH |
01/01/2019 |
25.86 |
672.48 |
03/30/2021 |
Single Source Drug |
119180000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474080503 |
NEUPRO 6MG 30 PATCH |
01/01/2019 |
25.86 |
672.48 |
03/30/2021 |
Single Source Drug |
119180000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
50474080603 |
NEUPRO 8MG 30 PATCH |
01/01/2019 |
25.86 |
672.48 |
03/30/2021 |
Single Source Drug |
119180000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
00131247835 |
VIMPAT 100MG TAB |
01/01/2019 |
56.55 |
864.33 |
03/17/2022 |
Single Source Drug |
969960000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
00131247860 |
VIMPAT 100MG TAB, UD |
01/01/2019 |
62.21 |
950.83 |
03/17/2022 |
Single Source Drug |
969960000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
00131247935 |
VIMPAT 150MG TAB |
01/01/2019 |
59.89 |
915.39 |
03/17/2022 |
Single Source Drug |
969960000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
00131247960 |
VIMPAT 150MG TAB, UD |
01/01/2019 |
65.87 |
1006.97 |
03/17/2022 |
Single Source Drug |
969960000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
00131248035 |
VIMPAT 200MG TAB |
01/01/2019 |
59.91 |
915.65 |
03/17/2022 |
Single Source Drug |
969960000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
00131248060 |
VIMPAT 200MG TAB, UD |
01/01/2019 |
65.90 |
1007.30 |
03/17/2022 |
Single Source Drug |
969960000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
00131247735 |
VIMPAT 50MG TAB |
01/01/2019 |
36.17 |
552.85 |
03/17/2022 |
Single Source Drug |
969960000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
00131247760 |
VIMPAT 50MG TAB, UD |
01/01/2019 |
39.80 |
608.20 |
03/17/2022 |
Single Source Drug |
969960000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
00131181067 |
VIMPAT INJECTION 200MG/20ML |
01/01/2019 |
49.48 |
756.26 |
03/17/2022 |
Single Source Drug |
969960000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
00131541070 |
VIMPAT ORAL SOLUTION 10MG LIQUID |
01/01/2019 |
46.79 |
715.14 |
03/17/2022 |
Single Source Drug |
969960000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Rx0000090 |
UCB, Inc |
03/31/2019 |
00131541071 |
VIMPAT ORAL SOLUTION 10MG LIQUID |
01/01/2019 |
23.40 |
357.58 |
03/17/2022 |
Single Source Drug |
969960000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |