Table: q1_q4_2021_prescription_drug_wac_increases , manufacturer_name like B*

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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
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208035310 ALREX® (loteprednol etabonate ophthalmic suspension 0.2%), 10mL 01/01/2021 23.91 502.17 None Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208035305 ALREX® (loteprednol etabonate ophthalmic suspension 0.2%), 5mL 01/01/2021 11.95 251.09 None Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208062901 BEPREVE™ Ophthalmic Solution USP, 1.5%, 10mL 01/01/2021 22.01 462.10 01/13/2025 Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208062902 BEPREVE™ Ophthalmic Solution USP, 1.5%, 5mL 01/01/2021 11.51 241.61 01/13/2025 Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208044605 BESIVANCE® (besifloxacin ophthalmic suspension 0.6%), 5mL 01/01/2021 10.77 190.29 01/09/2031 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208000401 ISTALOL™ Ophthalmic Solution USP, 0.5%, 2.5mL 01/01/2021 10.96 193.73 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208000403 ISTALOL™ Ophthalmic Solution USP, 0.5%, 5mL 01/01/2021 21.93 387.43 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208080060 LACRISERT® (hydroxypropyl cellulose ophthalmic insert), 5mg, 60 Sterile Ophthalmic Inserts 01/01/2021 31.89 563.33 None Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208050307 LOTEMAX® (loteprednol etabonate ophthalmic Gel 0.5%), 5g 01/01/2021 12.13 214.30 None Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208044335 LOTEMAX® (loteprednol etabonate ophthalmic Ointment 0.5%), 3.5g 01/01/2021 17.07 301.55 None Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208029910 LOTEMAX® (loteprednol etabonate ophthalmic suspension 0.5%), 10mL 01/01/2021 30.24 534.15 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208029915 LOTEMAX® (loteprednol etabonate ophthalmic suspension 0.5%), 15mL 01/01/2021 44.95 794.14 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208029905 LOTEMAX® (loteprednol etabonate ophthalmic suspension 0.5%), 5mL 01/01/2021 15.12 267.10 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208060203 PROLENSA™ (bromfenac ophthalmic solution) 0.07% 3mL 01/01/2021 16.96 299.63 11/11/2033 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208081205 TIMOPTIC® (Timolol Maleate Ophthalmic Solution) 0.25%, 5mL 01/01/2021 11.07 195.55 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208081310 TIMOPTIC® (Timolol Maleate Ophthalmic Solution) 0.50%, 10mL 01/01/2021 15.35 271.14 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208081305 TIMOPTIC® (Timolol Maleate Ophthalmic Solution) 0.50%, 5mL 01/01/2021 11.98 211.62 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208081425 TIMOPTIC-XE® (Timolol Maleate Ophthalmic Gel Forming Solution) 0.25%, 5mL 01/01/2021 12.95 228.79 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208081605 TIMOPTIC-XE® (Timolol Maleate Ophthalmic Gel Forming Solution) 0.50%, 5mL 01/01/2021 14.19 250.71 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208050402 VYZULTA™ (latanoprostene bunod ophthalmic solution) 0.024%, 2.5mL 01/01/2021 12.13 214.38 10/03/2025 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208050405 VYZULTA™ (latanoprostene bunod ophthalmic solution) 0.024%, 5mL 01/01/2021 24.27 428.77 10/03/2025 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208053535 ZIRGAN™ (Ganciclovir Ophthalmic Gel 0.15%), 5mL 01/01/2021 22.34 394.68 None Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208035810 ZYLET® (loteprednol etabonate 0.5% and tobramycin 0.3% ophthalmic Suspension), 10mL 01/01/2021 31.47 555.96 None Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000096 Bausch + Lomb, Inc. 03/31/2021 24208035805 ZYLET® (loteprednol etabonate 0.5% and tobramycin 0.3% ophthalmic Suspension), 5mL 01/01/2021 15.74 277.97 None Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187581030 APLENZIN® (bupropion hydrobromide), Extended-Release Tablets, 174mg 30ct 01/01/2021 117.61 1606.27 06/27/2026 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187581130 APLENZIN® (bupropion hydrobromide), Extended-Release Tablets, 348mg 30ct 01/01/2021 155.03 2117.46 06/27/2026 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187581230 APLENZIN® (bupropion hydrobromide), Extended-Release Tablets, 522mg 30ct 01/01/2021 352.80 4818.71 06/27/2026 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187006410 ATIVAN® Tablets 1mg 1,000s 01/01/2021 2756.36 37647.08 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187006301 ATIVAN® Tablets .5mg 100s 01/01/2021 210.68 2877.54 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187006401 ATIVAN® Tablets 1mg 100s 01/01/2021 281.44 3843.97 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187006501 ATIVAN® Tablets 2mg 100s 01/01/2021 448.52 6126.08 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 25010030515 DEMSER® (metyrosine), 250mg Capsules, 100ct 01/01/2021 2210.87 39058.65 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187410010 LIBRAX Oral Capsule 5-2.5 MG (Chlordiazepoxide Hydrochloride and Clidinium Bromide), 100ct 01/01/2021 362.02 4944.50 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187301220 MESTINON 60mg /SYRUP (pyridostigmine bromide) 473mL 1 Bottle 01/01/2021 78.88 1393.51 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187301030 MESTINON 60mg TABLETS 100s (pyridostigmine bromide) 01/01/2021 97.11 1715.62 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187301330 MESTINON TIMESPAN 180mg TABLETS (pyridostigmine bromide) 30 CT 01/01/2021 55.26 976.21 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 66490069110 MYSOLINE 250 mg TABLETS, 100s (primidone) 01/01/2021 403.73 5514.23 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 66490069010 MYSOLINE 50 mg TABLETS, 100s (primidone) 01/01/2021 117.32 1602.38 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187305050 ONEXTON™ (Clindamycin Phosphate and Benzoyl Peroxide) Gel, 1.2%/3.75% 50g Pump 01/01/2021 35.56 628.27 08/05/2029 Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187442010 PEPCID® (Famotidine) Tablets, 20mg, 100 01/01/2021 89.73 1225.53 None Non-innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187442030 PEPCID® (Famotidine) Tablets, 20mg, 30 01/01/2021 26.92 367.67 None Non-innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187444010 PEPCID® (Famotidine) Tablets, 40mg, 100 01/01/2021 173.43 2368.75 None Non-innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187444030 PEPCID® (Famotidine) Tablets, 40mg, 30 01/01/2021 52.02 710.58 None Non-innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187149825 TIMOPTIC® in OCUDOSE® (TIMOLOL MALEATE OPHTHALMIC SOLUTION) 0.25%, 0.3mL, 60ct 01/01/2021 26.60 469.97 None Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187149605 TIMOPTIC® in OCUDOSE® (TIMOLOL MALEATE OPHTHALMIC SOLUTION) 0.50%, 0.3mL, 60ct 01/01/2021 30.33 535.92 None Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187073030 WELLBUTRIN® XL 150mg Tablets, 30ct 01/01/2021 116.11 1585.88 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187073090 WELLBUTRIN® XL 150mg Tablets, 90ct 01/01/2021 348.36 4757.94 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187073130 WELLBUTRIN® XL 300mg Tablets, 30ct 01/01/2021 153.27 2093.43 None Innovator Multiple Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000097 Bausch Health US, LLC 03/31/2021 00187045302 ZELAPAR (selegiline HCI) 1.25mg Orally Disintegrating Tablets, 60ct 01/01/2021 274.38 4847.28 None Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The product was not acquired within the last 5 years. No patent expiration date listed.
Rx0000233 BioDelivery Sciences International, Inc. 03/31/2021 59385002260 Belbuca 150 mcg, film, 60ct box 01/01/2021 17.44 366.26 12/21/2032 Single Source Drug None 1 None 1 None 1 01/06/2017 Endo Pharmaceuticals 7536000 None Acquisition price reflects cumulative price for NDCs: 59384002160, 59384002260, 59384002360, 59384002460, 59384002560, 59384002660, and 59384002760. 278.60 255.60 2015 255.60 None None
Rx0000233 BioDelivery Sciences International, Inc. 03/31/2021 59385002360 Belbuca 300 mcg, film, 60ct box 01/01/2021 27.39 575.22 12/21/2032 Single Source Drug None 1 None 1 None 1 01/06/2017 Endo Pharmaceuticals 7536000 None Acquisition price reflects cumulative price for NDCs: 59384002160, 59384002260, 59384002360, 59384002460, 59384002560, 59384002660, and 59384002760. 437.53 401.40 2015 401.40 None None
Rx0000233 BioDelivery Sciences International, Inc. 03/31/2021 59385002460 Belbuca 450 mcg, film, 60ct box 01/01/2021 37.22 781.58 12/21/2032 Single Source Drug None 1 None 1 None 1 01/06/2017 Endo Pharmaceuticals 7536000 None Acquisition price reflects cumulative price for NDCs: 59384002160, 59384002260, 59384002360, 59384002460, 59384002560, 59384002660, and 59384002760. 594.49 545.40 2015 545.40 None None
Rx0000233 BioDelivery Sciences International, Inc. 03/31/2021 59385002560 Belbuca 600 mcg, film, 60ct box 01/01/2021 39.71 834.00 12/21/2032 Single Source Drug None 1 None 1 None 1 01/06/2017 Endo Pharmaceuticals 7536000 None Acquisition price reflects cumulative price for NDCs: 59384002160, 59384002260, 59384002360, 59384002460, 59384002560, 59384002660, and 59384002760. 634.38 582.00 2015 582.00 None None
Rx0000233 BioDelivery Sciences International, Inc. 03/31/2021 59385002160 Belbuca 75 mcg, film, 60ct box 01/01/2021 17.44 366.26 12/21/2032 Single Source Drug None 1 None 1 None 1 01/06/2017 Endo Pharmaceuticals 7536000 None Acquisition price reflects cumulative price for NDCs: 59384002160, 59384002260, 59384002360, 59384002460, 59384002560, 59384002660, and 59384002760. 278.60 255.60 2015 255.60 None None
Rx0000233 BioDelivery Sciences International, Inc. 03/31/2021 59385002660 Belbuca 750 mcg, film, 60ct box 01/01/2021 41.76 877.00 12/21/2032 Single Source Drug None 1 None 1 None 1 01/06/2017 Endo Pharmaceuticals 7536000 None Acquisition price reflects cumulative price for NDCs: 59384002160, 59384002260, 59384002360, 59384002460, 59384002560, 59384002660, and 59384002760. 667.08 612.00 2015 612.00 None None
Rx0000233 BioDelivery Sciences International, Inc. 03/31/2021 59385002760 Belbuca 900 mcg, film, 60ct box 01/01/2021 42.99 902.79 12/21/2032 Single Source Drug None 1 None 1 None 1 01/06/2017 Endo Pharmaceuticals 7536000 None Acquisition price reflects cumulative price for NDCs: 59384002160, 59384002260, 59384002360, 59384002460, 59384002560, 59384002660, and 59384002760. 686.70 630.00 2015 630.00 None None
Rx0000233 BioDelivery Sciences International, Inc. 03/31/2021 59385004130 Symproic .2mg mg tablet, 30 ct bottle 01/01/2021 18.86 395.97 11/11/2031 Single Source Drug None 1 None 1 None 1 04/04/2019 Shionogi Inc. 30000000 None None 313.95 313.95 2017 313.95 None None
Rx0000099 Biogen 03/31/2021 64406000801 TYSABRI (natalizumab) Injection 300 mg/15 mL (20 mg/mL) solution in a single-dose vial 01/01/2021 372.31 7463.99 03/05/2027 Single Source Drug None 1 Multiple factors are considered when determining price increases, including the continued level of R&D investment in the product, as well as the product?s value to patients, present and future benefits to society, and fulfilling Biogen?s commitment to innovation, affordability and sustainability. None This increase was not necessitated by a change or improvement in the product. None None None None None None None None None None None Tysabri was not acquired by Biogen from another company in the last 5 years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597000201 APTIVUS 100MG/ML SOLUTION 95 01/01/2021 23.64 614.73 None Single 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=471 For Column F there are no unexpired patents for this product per the Orange Book. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597000302 APTIVUS 250MG CAPSULE 120 01/01/2021 70.93 1844.29 None Single 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=472 For Column F there are no unexpired patents for this product per the Orange Book. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597008717 ATROVENT HFA 17mcg Canister 12.9 01/01/2021 16.46 427.85 01/17/2030 Single 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=482 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597003134 CATAPRES TTS-1 0.1mg PATCH 4 01/01/2021 11.16 290.24 None 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=476 For Column F there are no unexpired patents for this product per the Orange Book. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597003234 CATAPRES TTS-2 0.2mg PATCH 4 01/01/2021 18.80 488.71 None 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=477 For Column F there are no unexpired patents for this product per the Orange Book. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597003334 CATAPRES TTS-3 0.3mg PATCH 4 01/01/2021 26.07 677.93 None 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=478 For Column F there are no unexpired patents for this product per the Orange Book. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597002402 COMBIVENT RESPIMAT 20-100mcg Cartridge 4 01/01/2021 17.06 443.51 10/16/2030 Single 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=473 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597014130 GILOTRIF 20MG TABLET 30 01/01/2021 570.70 10082.42 07/05/2030 Single 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=495 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597013730 GILOTRIF 30MG TABLET 30 01/01/2021 570.70 10082.42 07/05/2030 Single 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=490 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597013830 GILOTRIF 40MG TABLET 30 01/01/2021 570.70 10082.42 07/05/2030 Single 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=491 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597015230 JARDIANCE 10MG TABLET 30 01/01/2021 26.12 548.54 06/11/2034 Single 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=504 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597015237 JARDIANCE 10MG TABLET 3x10 01/01/2021 26.12 548.54 06/11/2034 Single 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=505 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597015290 JARDIANCE 10MG TABLET 90 01/01/2021 78.36 1645.61 06/11/2034 Single 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=506 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597015330 JARDIANCE 25MG TABLET 30 01/01/2021 26.12 548.54 06/11/2034 Single 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=507 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597015337 JARDIANCE 25MG TABLET 3x10 01/01/2021 26.12 548.54 06/11/2034 Single 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=508 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597015390 JARDIANCE 25MG TABLET 90 01/01/2021 78.36 1645.61 06/11/2034 Single 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=509 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597014818 JENTADUETO 2.5MG-1000MG Tablet 180 01/01/2021 69.35 1456.37 06/04/2030 Single 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=502 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597014860 JENTADUETO 2.5MG-1000MG Tablet 60 01/01/2021 23.12 485.46 06/04/2030 Single 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=503 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597014618 JENTADUETO 2.5MG-500MG Tablet 180 01/01/2021 69.35 1456.37 06/04/2030 Single 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=498 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597014660 JENTADUETO 2.5MG-500MG Tablet 60 01/01/2021 23.12 485.46 06/04/2030 Single 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=499 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597014718 JENTADUETO 2.5MG-850MG Tablet 180 01/01/2021 69.35 1456.37 06/04/2030 Single 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=500 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597014760 JENTADUETO 2.5MG-850MG Tablet 60 01/01/2021 23.12 485.46 06/04/2030 Single 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=501 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597027094 JENTADUETO XR 2.5MG-1000MG Tablet 180 01/01/2021 69.35 1456.37 03/06/2033 Single 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=523 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597027073 JENTADUETO XR 2.5MG-1000MG Tablet 60 01/01/2021 23.12 485.46 03/06/2033 Single 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=522 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597027533 JENTADUETO XR 5MG-1000MG Tablet 30 01/01/2021 23.12 485.46 03/06/2033 Single 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=524 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597027581 JENTADUETO XR 5MG-1000MG Tablet 90 01/01/2021 69.35 1456.37 03/06/2033 Single 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=525 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597010930 MIRAPEX ER 0.375MG TABLET 30 01/01/2021 25.35 659.08 09/08/2029 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=486 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597028530 MIRAPEX ER 0.75MG TABLET 30 01/01/2021 25.35 659.08 09/08/2029 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=528 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597011330 MIRAPEX ER 1.5MG TABLET 30 01/01/2021 25.35 659.08 09/08/2029 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=487 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597028630 MIRAPEX ER 2.25MG TABLET 30 01/01/2021 25.35 659.08 09/08/2029 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=529 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597011530 MIRAPEX ER 3.0MG TABLET 30 01/01/2021 25.35 659.08 09/08/2029 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=488 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597028730 MIRAPEX ER 3.75MG TABLET 30 01/01/2021 25.35 659.08 09/08/2029 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=530 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597011630 MIRAPEX ER 4.5MG TABLET 30 01/01/2021 25.35 659.08 09/08/2029 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=489 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597003001 MOBIC 15MG TABLET 100 01/01/2021 54.71 1422.50 None 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=475 For Column F there are no unexpired patents for this product per the Orange Book. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597002901 MOBIC 7.5MG TABLET 100 01/01/2021 35.78 930.31 None 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=474 For Column F there are no unexpired patents for this product per the Orange Book. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597014360 OFEV 100MG CAPSULE 60 01/01/2021 629.07 11113.60 06/07/2029 Single 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=496 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597014560 OFEV 150MG CAPSULE 60 01/01/2021 629.07 11113.60 06/07/2029 Single 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=497 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597010854 PRADAXA 110MG CAPSULE 10x6 01/01/2021 18.34 476.92 07/20/2031 Single 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=484 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597010860 PRADAXA 110MG CAPSULE 60 01/01/2021 18.34 476.92 07/20/2031 Single 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=485 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597036082 PRADAXA 150MG CAPSULE 10x6 01/01/2021 18.34 476.92 07/20/2031 Single 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=540 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597036055 PRADAXA 150MG CAPSULE 60 01/01/2021 18.34 476.92 07/20/2031 Single 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=539 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597035556 PRADAXA 75MG CAPSULE 10x6 01/01/2021 18.34 476.92 07/20/2031 Single 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=538 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597035509 PRADAXA 75MG CAPSULE 60 01/01/2021 18.34 476.92 07/20/2031 Single 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=537 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597019705 PRAXBIND 2.5g/50mL Vials 2 01/01/2021 272.46 4279.26 07/20/2031 Single 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=521 For Column F, this drug is not listed in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), and there are no patents listed in the FDA database “Purple Book: Lists of Licensed Biological Products with Reference Product Exclusivity and Biosimilarity or Interchangeability Evaluations”. Patent expiration is provided from the Orange Book listing for an associated drug. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597007541 SPIRIVA HANDIHALER 18mcg Blister Card 30 01/01/2021 22.76 478.00 04/19/2030 Single 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=479 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597007575 SPIRIVA HANDIHALER 18mcg Blister Card 5 01/01/2021 4.51 94.67 04/19/2030 Single 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=481 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597007547 SPIRIVA HANDIHALER 18mcg Blister Card 90 01/01/2021 68.29 1434.01 04/19/2030 Single 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=480 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597016061 SPIRIVA RESPIMAT 1.25mcg Cartridge 4 01/01/2021 22.76 478.00 04/16/2031 Single 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=513 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597010061 SPIRIVA RESPIMAT 2.5mcg Cartridge 4 01/01/2021 22.76 478.00 04/16/2031 Single 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=483 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597015561 STIOLTO RESPIMAT 2.5mcg Cartridge 4 01/01/2021 16.86 438.38 10/16/2030 Single 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=510 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597019261 STRIVERDI RESPIMAT 2.5mcg Cartridge 4 01/01/2021 8.98 233.52 10/16/2030 Single 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=520 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597016818 SYNJARDY 12.5-1000MG Tablet 180 01/01/2021 78.36 1645.61 04/03/2034 Single 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=514 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597016860 SYNJARDY 12.5-1000MG Tablet 60 01/01/2021 26.12 548.54 04/03/2034 Single 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=515 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597018018 SYNJARDY 12.5-500MG Tablet 180 01/01/2021 78.36 1645.61 04/03/2034 Single 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=518 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597018060 SYNJARDY 12.5-500MG Tablet 60 01/01/2021 26.12 548.54 04/03/2034 Single 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=519 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597017518 SYNJARDY 5-1000MG Tablet 180 01/01/2021 78.36 1645.61 04/03/2034 Single 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=516 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597017560 SYNJARDY 5-1000MG Tablet 60 01/01/2021 26.12 548.54 04/03/2034 Single 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=517 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597015918 SYNJARDY 5-500MG TABLET 180 01/01/2021 78.36 1645.61 04/03/2034 Single 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=511 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597015960 SYNJARDY 5-500MG TABLET 60 01/01/2021 26.12 548.54 04/03/2034 Single 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=512 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597028073 SYNJARDY XR 10mg-1000mg Tablet 30 01/01/2021 26.12 548.54 06/11/2034 Single 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=526 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597028090 SYNJARDY XR 10mg-1000mg Tablet 90 01/01/2021 78.36 1645.61 06/11/2034 Single 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=527 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597030093 SYNJARDY XR 12.5mg-1000mg Tablet 180 01/01/2021 78.36 1645.61 06/11/2034 Single 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=536 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597030045 SYNJARDY XR 12.5mg-1000mg Tablet 60 01/01/2021 26.12 548.54 06/11/2034 Single 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=535 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597029588 SYNJARDY XR 25mg-1000mg Tablet 30 01/01/2021 26.12 548.54 06/11/2034 Single 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=534 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597029578 SYNJARDY XR 25mg-1000mg Tablet 90 01/01/2021 78.36 1645.61 06/11/2034 Single 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=533 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597029059 SYNJARDY XR 5mg-1000mg Tablet 180 01/01/2021 78.36 1645.61 06/11/2034 Single 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=531 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597029074 SYNJARDY XR 5mg-1000mg Tablet 60 01/01/2021 26.12 548.54 06/11/2034 Single 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=532 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597014061 TRADJENTA 5MG TABLET 100 01/01/2021 77.06 1618.19 03/05/2031 Single 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=493 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597014030 TRADJENTA 5MG TABLET 30 01/01/2021 23.12 485.46 03/05/2031 Single 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=492 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000038 Boehringer Ingelheim 03/31/2021 00597014090 TRADJENTA 5MG TABLET 90 01/01/2021 69.35 1456.37 03/05/2031 Single 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=494 For Column F as reflected in the FDA publication, Approved Drug Products with Therapeutic Equivalence Evaluations (the “Orange Book”), the latest patent expiration is provided. Not acquired within the last five years.
Rx0000078 Bristol Myers Squibb 03/31/2021 00003089321 ELIQUIS 2.5 MG Tablet, Bottle of 60 Tablets 01/01/2021 28.25 499.07 02/24/2031 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003089331 ELIQUIS 2.5 MG Tablet, Bottle x 100 Tablets 01/01/2021 47.09 831.85 02/24/2031 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003089470 ELIQUIS 5 MG Tablet Bottle of 74 Tablets 01/01/2021 34.84 615.53 02/24/2031 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003376474 ELIQUIS 5 MG Tablet, 74 Tablets (1 blister pack of 42 tabs and 1 blister pack of 32 tabs) 01/01/2021 34.84 615.53 02/24/2031 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003089421 ELIQUIS 5 MG Tablet, Bottle of 60 Tablets 01/01/2021 28.25 499.07 02/24/2031 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003089431 ELIQUIS 5 MG Tablet, Hospital Unit-Dose, Blister Package of 100 01/01/2021 47.09 831.85 02/24/2031 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003218851 ORENCIA 125 MG/ML Solution, 1ML Single Dose Prefilled Auto-injector, Package of 4 Auto-Injectors 01/01/2021 208.87 4850.49 02/18/2028 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003218811 ORENCIA 125 MG/ML Solution, 1ml Single Dose Prefilled Syringe , Package of 4 Syringes 01/01/2021 208.87 4850.49 02/18/2028 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003218713 ORENCIA 250 MG Solution Vial W/ Syringe, Package contains 1 Vial 01/01/2021 52.90 1228.47 02/18/2028 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003281411 ORENCIA 50 MG/0.4ML Solution, 0.4ML Single Dose Prefilled Syringe, Package of 4 Syringes 01/01/2021 208.87 4850.49 02/18/2028 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003281811 ORENCIA 87.5 MG/0.7ML Solution, 0.7ML Single Dose Prefilled Syringe, Package of 4 Syringes 01/01/2021 208.87 4850.49 02/18/2028 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003085222 SPRYCEL 100 MG Tablet, Bottle of 30 Tablets 01/01/2021 652.86 15160.86 09/28/2026 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003085722 SPRYCEL 140 MG Tablet, Bottle of 30 Tablets 01/01/2021 652.86 15160.86 09/28/2026 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003052711 SPRYCEL 20 MG Tablet, Bottle of 60 Tablets 01/01/2021 362.23 8411.82 09/28/2026 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003052811 SPRYCEL 50 MG Tablet, Bottle of 60 Tablets 01/01/2021 724.46 16823.60 09/28/2026 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003052411 SPRYCEL 70 MG Tablet, Bottle of 60 Tablets 01/01/2021 724.46 16823.60 09/28/2026 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS
Rx0000078 Bristol Myers Squibb 03/31/2021 00003085522 SPRYCEL 80 MG Tablet, Bottle of 30 Tablets 01/01/2021 652.86 15160.86 09/28/2026 Single Source Drug None 1 We consider multiple factors when setting a list price for a medicine, including: ? The benefits the medicine brings to patients, healthcare systems and society - in terms of clinical outcomes and quality of life, longevity of life, and savings generated for other parts of the healthcare system such as reduced hospitalization and treatment costs. ? Market and business considerations, including: o Ongoing research-investment costs; BMS invests more than 35% of its annual revenues in R&D, among the highest of any large company in any industry in the world; o Medical- and patient-service costs; this includes funding growing patient assistance programs; o Inflationary and capital-investment costs associated with manufacturing, storage and supply. None None 1 None None None None None None None None None None This product was developed by BMS