Table: q1_q4_2020_prescription_drugs_wac_increases , manufacturer_name like F*

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oshpd_id manufacturer_name date_reported ndc_number drug_product_description wac_effective_date wac_increase_amount wac_after_increase patent_expiration_date drug_source_type unit_sales_volume_in_us unit_sales_volume_non_public_indicator cost_increase_factors cost_increase_factors_non_public_indicator change_improvement_description change_improvement_non_public_indicator acquisition_date company_acquired_from acquisition_price acquisition_price_non_public_indicator acquisition_price_comment wac_at_acquisition wac_year_prior_to_acquisition year_drug_introduced_to_market wac_at_intro_to_market supporting_documents general_comments
Rx0000063 Ferring Pharmaceuticals 06/30/2020 55566280001 Cervidil 10MG VAGINAL INSERT (dinoprostone, 10mg) 04/28/2020 24.64 435.23 None Single Source Drug None 1 None 1 None 1 10/01/2015 Allergan plc None 1 None 306.27 None 1995 140.00 None None
Rx0000063 Ferring Pharmaceuticals 03/31/2020 55566750102 MENOPUR (menotropins for injection)/75 units/vial - 5 single-dose vials per package 02/20/2020 59.30 1047.55 None Single Source Drug None 1 None 1 None 1 None None None None None None None None None None "Note: The acquisition fields do not apply because Ferring did not acquire the product within the past five years. NDC 55566750101 is the NDC for the 0.9% Sodium Chloride Injection, USP, 2 mL product included in the Menopur kit. The Sodium Chloride is used for mixing the medicine. NDC 55566750101 does not have a WAC price. "
Rx0000193 Forte Bio-Pharma, LLC 12/31/2020 72245019310 Nalocet 2.5mg/300mg Tablet 100Ct 10/01/2020 218.50 2403.50 None Non-innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000193 Forte Bio-Pharma, LLC 12/31/2020 72245019303 Nalocet 2.5mg/300mg Tablet 30ct 10/01/2020 65.55 721.05 None Non-innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000129 Fresenius Kabi USA LLC 03/31/2020 63323016505 Dexamethasone Sodium Phosphate Liquid 20 mg 5mL 03/21/2020 13.75 157.75 None Non-innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None https://reports.siera.oshpd.ca.gov/api/report/drug-pricing/attachment?id=335 The information contained in this report is subject to the following limitations and assumptions. (1) Consistent with the relevant statutes and regulations, all information contained in this report is limited to that which Fresenius Kabi USA (“Fresenius Kabi”) believes is otherwise in the public domain or publicly available. Where possible, Fresenius Kabi has used the non-public indicator to indicate it does not believe the corresponding data element is otherwise in the public domain or publicly available. (2) For Column F, Fresenius Kabi did not provide a patent expiration date for products that have lost patent exclusivity. (3) For Columns N-U, Fresenius Kabi has not provided a response for "drug products" (as defined in the regulations) that were not acquired in their finished form from an unrelated company in the previous 5 years. (4) Fresenius Kabi USA's product portfolio, including this product, consists primarily of sterile injectable products administered during a patient's inpatient hospital stay. Such hospital stays are subject to variability depending upon a particular patient's needs. The dosing requirements as set forth in the prescribing information for these products are given as a range, based in large part on the number of days of the patient's admission. As such, Fresenius Kabi has based its calculations for purposes of this submission on the recommended dosage for the average length of stay within range present in the product's prescribing information. For example, if a product's prescribing information requires the administration of 1 vial of drug product per day over the course of a 3 to 5 day admission, Fresenius Kabi has based the calculation on 1 vial administered during a 4-day patient admission (an average of the 3-5 day range).
Rx0000129 Fresenius Kabi USA LLC 09/30/2020 63323022935 Protamine Sulfate Inj. 250mg 25mL SDV NOVAPLUS 07/01/2020 3.05 29.17 None Non-innovator Multiple Source Drug None 1 None 1 None None None None None None None None None None None None Drug was not acquired within the previous 5 years
Rx0000129 Fresenius Kabi USA LLC 09/30/2020 63323022915 Protamine Sulfate Inj. 50mg 5mL SDV NOVAPLUS 07/01/2020 27.50 244.75 None Non-innovator Multiple Source Drug None 1 None 1 None None None None None None None None None None None None Drug was not acquired within the previous 5 years