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 |