Table: q1_q4_2021_prescription_drug_wac_increases , manufacturer_name like E*

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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
Rx0000079 EMD Serono, Inc. 03/31/2021 44087122501 Cetrotide Subcutaneous Kit 0.25 MG Single 01/15/2021 17.51 251.03 None Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087907001 Gonal-f Injection Solution Reconstituted 1050 UNIT Single 01/15/2021 206.52 2960.18 08/23/2019 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087903001 Gonal-f Injection Solution Reconstituted 450 UNIT Single 01/15/2021 88.51 1268.65 08/23/2019 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087111501 Gonal-f RFF Rediject Subcutaneous Solution 300 UNIT/0.5ML Single 01/15/2021 59.01 845.77 04/02/2024 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087111601 Gonal-f RFF Rediject Subcutaneous Solution 450 UNT/0.75ML Single 01/15/2021 88.51 1268.65 04/02/2024 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087111701 Gonal-f RFF Rediject Subcutaneous Solution 900 UNIT/1.5ML Single 01/15/2021 177.02 2537.30 04/02/2024 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087900501 Gonal-f RFF Subcutaneous Solution Reconstituted 75 UNIT (1) Single 01/15/2021 14.75 211.44 04/02/2024 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087900506 Gonal-f RFF Subcutaneous Solution Reconstituted 75 UNIT (10), 10 Pack 01/15/2021 147.52 2114.42 04/02/2024 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087400000 Mavenclad (10 Tabs) Oral Tablet Therapy Pack 10 MG 01/15/2021 4881.80 86244.30 10/16/2026 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087400004 Mavenclad (4 Tabs) Oral Tablet Therapy Pack 10 MG 01/15/2021 1952.72 34497.72 10/16/2026 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087400005 Mavenclad (5 Tabs) Oral Tablet Therapy Pack 10 MG 01/15/2021 2440.90 43122.15 10/16/2026 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087400006 Mavenclad (6 Tabs) Oral Tablet Therapy Pack 10 MG 01/15/2021 2929.08 51746.58 10/16/2026 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087400007 Mavenclad (7 Tabs) Oral Tablet Therapy Pack 10 MG 01/15/2021 3417.26 60371.01 10/16/2026 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087400008 Mavenclad (8 Tabs) Oral Tablet Therapy Pack 10 MG 01/15/2021 3905.44 68995.44 10/16/2026 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087400009 Mavenclad (9 Tabs) Oral Tablet Therapy Pack 10 MG 01/15/2021 4393.62 77619.87 10/16/2026 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087115001 Ovidrel Subcutaneous Injectable 250 MCG/0.5ML Prefilled Syringe 01/15/2021 13.31 190.80 03/16/2021 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087332201 Rebif Rebidose Subcutaneous Solution Auto-injector 22 MCG/0.5ML (12 single use auto injector) 01/15/2021 502.29 8873.74 02/08/2022 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087332209 Rebif Rebidose Subcutaneous Solution Auto-injector 22 MCG/0.5ML (Single) 01/15/2021 41.86 739.48 02/08/2022 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087334401 Rebif Rebidose Subcutaneous Solution Auto-injector 44 MCG/0.5ML (12 single use auto injector) 01/15/2021 502.29 8873.74 02/08/2022 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087334409 Rebif Rebidose Subcutaneous Solution Auto-injector 44 MCG/0.5ML (Single) 01/15/2021 41.86 739.48 02/08/2022 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087018801 Rebif Rebidose Titration Pack Subcutaneous Solution Auto-injector 6X8.8 & 6X22 MCG (6 single use auto injector) 01/15/2021 502.29 8873.74 02/08/2022 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087002203 Rebif Subcutaneous Solution Prefilled Syringe 22 MCG/0.5ML (12 pre-filled syringes) 01/15/2021 502.29 8873.74 02/08/2022 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087002209 Rebif Subcutaneous Solution Prefilled Syringe 22 MCG/0.5ML (Single) 01/15/2021 41.86 739.48 02/08/2022 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087004403 Rebif Subcutaneous Solution Prefilled Syringe 44 MCG/0.5ML (12 pre-filled syringes) 01/15/2021 502.29 8873.74 02/08/2022 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087004409 Rebif Subcutaneous Solution Prefilled Syringe 44 MCG/0.5ML (Single) 01/15/2021 41.86 739.48 02/08/2022 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087882201 Rebif Titration Pack Subcutaneous Solution Prefilled Syringe 6X8.8 & 6X22 MCG (6 pre-filled syringes) 01/15/2021 502.29 8873.74 02/08/2022 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087100502 Saizen Injection Solution Reconstituted 5 MG, Single 01/15/2021 39.50 697.60 04/27/2016 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087108801 Saizen Injection Solution Reconstituted 8.8 MG, Single 01/15/2021 63.19 1116.16 04/27/2016 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087001601 Saizenprep Injection Solution Reconstituted 8.8 MG, Single 01/15/2021 63.19 1116.16 04/27/2016 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087000407 Serostim Subcutaneous Solution Reconstituted 4 MG, 7 pack 01/15/2021 161.88 2857.12 04/27/2016 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087000507 Serostim Subcutaneous Solution Reconstituted 5 MG, 7 pack 01/15/2021 202.35 3571.40 04/27/2016 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000079 EMD Serono, Inc. 03/31/2021 44087000607 Serostim Subcutaneous Solution Reconstituted 6 MG, 7 pack 01/15/2021 242.82 4285.68 04/27/2016 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None None
Rx0000091 Endo Pharmaceuticals Inc. 06/30/2021 67979051143 Aveed, 750 mg/3mL (250mg/1mL) solution, single use vial 04/01/2021 65.54 1416.83 05/08/2027 Single Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 7/15/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. (3) Endo did not acquire this product from another manufacturer within the previous five years. As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 52244001002 Edex, Alprostadil For Inj Kit 10 MCG, 2 01/01/2021 8.10 143.17 None Innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 52244001006 Edex, Alprostadil For Inj Kit 10 MCG, 6 01/01/2021 24.32 429.57 None Innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 52244002002 Edex, Alprostadil For Inj Kit 20 MCG, 2 01/01/2021 10.47 184.96 None Innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 52244002006 Edex, Alprostadil For Inj Kit 20 MCG, 6 01/01/2021 31.41 554.85 None Innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 52244004002 Edex, Alprostadil For Inj Kit 40 MCG, 2 01/01/2021 14.30 252.58 None Innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 52244004006 Edex, Alprostadil For Inj Kit 40 MCG, 6 01/01/2021 42.89 757.69 None Innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 63481002509 FROVA, Frovatriptan Succinate Tab 2.5 MG (Base Equivalent), 9 01/01/2021 87.08 966.71 None Innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 63481068706 LIDODERM, Lidocaine Patch 5%, 30 01/01/2021 59.31 658.39 None Innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 63481062970 PERCOCET, Oxycodone w/ Acetaminophen Tab 10-325 MG, 100 01/01/2021 254.82 2828.74 None Non-innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 63481062770 PERCOCET, Oxycodone w/ Acetaminophen Tab 2.5-325 MG, 100 01/01/2021 128.88 1430.72 None Non-innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 63481062370 PERCOCET, Oxycodone w/ Acetaminophen Tab 5-325 MG, 100 01/01/2021 180.38 2002.40 None Non-innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 63481062385 PERCOCET, Oxycodone w/ Acetaminophen Tab 5-325 MG, 500 01/01/2021 879.21 9760.13 None Non-innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 63481062870 PERCOCET, Oxycodone w/ Acetaminophen Tab 7.5-325 MG, 100 01/01/2021 194.88 2163.33 None Non-innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 06/30/2021 67979000201 Supprelin LA, 50 mg implant, ea 04/01/2021 2011.79 43068.82 06/16/2026 Single Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 7/15/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. (3) Endo did not acquire this product from another manufacturer within the previous five years. As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 52244010010 THEO-24, Theophylline Cap ER 24HR 100 MG, 100 01/01/2021 23.89 265.23 None Non-innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 52244020010 THEO-24, Theophylline Cap ER 24HR 200 MG, 100 01/01/2021 35.51 394.19 None Non-innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 52244030010 THEO-24, Theophylline Cap ER 24HR 300 MG, 100 01/01/2021 43.64 484.49 None Non-innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 03/31/2021 52244040010 THEO-24, Theophylline Cap ER 24HR 400 MG, 100 01/01/2021 61.41 681.74 None Non-innovator Multiple Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration?s Orange Book, as of 4/19/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date. If the Orange Book database does not contain any unexpired patents for this product, Endo has left the ?Patent Expiration Date? field for this product blank. (3) Endo did not acquire this product from another manufacturer within the previous five years (i.e. 60 months). As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 06/30/2021 67979000101 Valstar, 40 mg/1ml solution, 4x5mL 04/01/2021 324.13 7007.25 None Single Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The Orange Book indicates that, as of 7/15/2021, the Orange Book database does not contain unexpired patents for this product. As a result, Endo has left the patent expiration date field for this product blank.(3) Endo did not acquire this product from another manufacturer within the previous five years. As a result, Endo has left columns N-U blank because they are not applicable to this product.
Rx0000091 Endo Pharmaceuticals Inc. 06/30/2021 66887000301 Xiaflex, 0.9mg powder for solution, single use vial 04/01/2021 196.46 5233.89 None Single Source Drug None 1 None 1 The price increase was not necessitated by a change or improvement in the drug. None None None None None None None None None None None 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 Endo believes is otherwise in the public domain or publicly available. (2) The federal Food and Drug Administration?s Purple Book does not require the listing of patents or their expiration dates for any product, including Xiaflex. The patent expiration date for any patent potentially associated with Xiaflex would also depend on pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten such an expiration date. As a result, Endo has left the patent expiration date field for this product blank. (3) For ?Year Introduced?, Endo is providing the year in which first price point is published in the pricing compendia database for the labeler code / product / product presentation.
Rx0000094 Epic Pharma 09/30/2021 42806008101 Benzphetamine Hydrochloride 50mg Oral 100 tablet 07/01/2021 740.00 950.00 None Non-innovator Multiple Source Drug None 1 Market Dynamic Change None None 1 None None None None None None None None None None Epic Pharma developed the product
Rx0000094 Epic Pharma 09/30/2021 42806008130 Benzphetamine Hydrochloride 50mg Oral 30 tablet 07/01/2021 315.00 390.00 None Non-innovator Multiple Source Drug None 1 Market Dynamic Change None None 1 None None None None None None None None None None Epic Pharma developed the product
Rx0000094 Epic Pharma 09/30/2021 42806026301 Isradipine 2.5mg Oral 100 capsule 07/07/2021 406.37 976.37 None Non-innovator Multiple Source Drug None 1 Market Dynamic Change None None 1 None None None None None None None None None None Epic Pharma developed the product
Rx0000094 Epic Pharma 09/30/2021 42806026401 Isradipine 5mg Oral 100 capsule 07/07/2021 147.53 987.53 None Non-innovator Multiple Source Drug None 1 Market Dynamic Change None None 1 None None None None None None None None None None Epic Pharma developed the product
Rx0000104 EUSA Pharma (US) LLC 12/31/2021 73090042101 SYLVANT 1 Vial of 400mg, intravenous powder for solution 10/01/2021 143.99 4943.55 None Single Source Drug None 1 None 1 None 1 12/22/2018 Janssen Biotech 115000000 None Acquisition price is for both NDCs 3640.96 3534.92 2014 3332.00 None None
Rx0000104 EUSA Pharma (US) LLC 12/31/2021 73090042001 SYLVANT 1 Vial of100mg, intravenous powder for solution 10/01/2021 36.00 1235.89 None Single Source Drug None 1 None 1 None 1 12/22/2018 Janssen Biotech 115000000 None Acquisition price is for both NDCs 910.24 883.73 2014 833.00 None None
Rx0000104 EUSA Pharma (US) LLC 06/30/2021 73090042001 SYLVANT, 100mg, intravenous POW for solution 05/01/2021 26.63 1199.89 None Single Source Drug None 1 None 1 None 1 12/22/2018 Janssen Biotech 115000000 None Acquisition price is for both NDCs 910.24 None 2014 833.00 None EUSA Pharma transitioned SYLVANT's NDC from 57894-0420-01 to 73090-0420-01 and from 57894-0421-01 to 73090-0421-01 respectively.
Rx0000104 EUSA Pharma (US) LLC 06/30/2021 73090042101 SYLVANT, 400mg, intravenous POW for solution 05/01/2021 106.53 4799.56 None Single Source Drug None 1 None 1 None 1 12/22/2018 Janssen Biotech 115000000 None Acquisition price is for both NDCs 3640.96 None 2014 3332.00 None EUSA Pharma transitioned SYLVANT's NDC from 57894-0420-01 to 73090-0420-01 and from 57894-0421-01 to 73090-0421-01 respectively.
Rx0000010 Exelixis, Inc. 03/31/2021 42388002426 CABOMETYX 20MG 30 TAB BTL EACH 01/01/2021 1511.36 21662.80 07/09/2033 Single Source Drug None 1 Exelixis’ Mission: Exelixis strives to accelerate the discovery, development and commercialization of new medicines for difficult-to-treat cancers. That mission, however, entails tremendous risk of failure and research and development costs that total in the billions of dollars. At the present time, CABOMETYX® and COMETRIQ®, both derived from the same molecule, cabozantinib, are the only products that Exelixis sells and comprise the vast majority of Exelixis’ revenue. Exelixis is committed to spending the largest portion of this revenue on drug discovery research and clinical development, and to pricing CABOMETYX consistent with its value when compared to competitive products approved for similar conditions. Drug Discovery and Development Factors: Having recently constructed new laboratory facilities, Exelixis re-launched its drug discovery activities in 2018 and is working to discover the next generation of cancer therapies. As part of these efforts, Exelixis has advanced three candidates to Phase 1 clinical trials, and anticipates filing INDs for up to two additional candidates in 2021. Exelixis considered the investments necessary to undertake and support these drug discovery and development efforts when it contemplated changes to CABOMETYX’s wholesale acquisition cost. Cabozantinib Development Factors: Since the initial commercial launch of cabozantinib, Exelixis has received extensive additional data demonstrating that cabozantinib shows activity in an extremely broad and diverse collection of additional cancers. Alone and in combination with other therapies, it is currently being studied in over 100 clinical trials for over 20 different forms of cancer. Exelixis considered the cost of this clinical development program, and the need to expand it to reach cabozantinib’s full potential for treating the largest number of cancer patients, when it contemplated changes to the wholesale acquisition cost of CABOMETYX. CABOMETYX Value Factors: CABOMETYX has been approved by the FDA to treat patients with liver and kidney cancer, including a recent approval for the treatment of 1st line kidney cancer in combination with nivolumab, and has shown impressive efficacy relative to its competitors in treating patients with these life-threatening diseases. It is the only drug of its kind to improve overall survival in a statistically significant manner in both kidney and liver cancer. When Exelixis contemplated a change to the wholesale acquisition cost for CABOMETYX, Exelixis considered the clinical value proposition of CABOMETYX relative to its competitor prescription drugs, as well as the competitive market generally and the existing price points of competitors. CABOMETYX Cost Factors: At Exelixis, we are committed to ensuring that all patients in need can access our medicines. To secure that the supply of CABOMETYX for our customers, and ultimately, patients is safe and interrupted, Exelixis has expanded its supply chain network, establishing redundancies to prevent supply disruption. In addition, Exelixis has and continues to incur increasing costs in manufacturing due to volatility in the cost of raw materials and other inputs. When Exelixis contemplated changes to the wholesale acquisition cost of CABOMETYX, Exelixis considered these investments in expanding and improving our manufacturing capabilities and supply chain, as well as rising manufacturing costs. None It is Exelixis' stated mission to develop innovative, effective, tolerable and durable treatments for patients with cancer. To accomplish this, Exelixis has and continues to increase our investments in innovative research and development activities. In pre-clinical and clinical testing, cabozantinib has shown promising activity against many forms of cancer and Exelixis is therefore engaged in a very broad clinical development program aimed at improving cabozantinib by exploring the medicine's full therapeutic potential to help patients. To fund that program, and otherwise support our other research, development and business operations, it is necessary for Exelixis to increase the wholesale acquisition cost of CABOMETYX® when market conditions permit such an increase. None None None None None None None None None None None Exelixis did not acquire this product from another manufacturer within the previous five years. As a result, Exelixis has left columns N-U blank because they are not applicable to this product. The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration’s Orange Book, as of 4/13/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date
Rx0000010 Exelixis, Inc. 03/31/2021 42388002526 CABOMETYX 40MG 30 TAB BTL EACH 01/01/2021 1511.36 21662.80 07/09/2033 Single Source Drug None 1 Exelixis’ Mission: Exelixis strives to accelerate the discovery, development and commercialization of new medicines for difficult-to-treat cancers. That mission, however, entails tremendous risk of failure and research and development costs that total in the billions of dollars. At the present time, CABOMETYX® and COMETRIQ®, both derived from the same molecule, cabozantinib, are the only products that Exelixis sells and comprise the vast majority of Exelixis’ revenue. Exelixis is committed to spending the largest portion of this revenue on drug discovery research and clinical development, and to pricing CABOMETYX consistent with its value when compared to competitive products approved for similar conditions. Drug Discovery and Development Factors: Having recently constructed new laboratory facilities, Exelixis re-launched its drug discovery activities in 2018 and is working to discover the next generation of cancer therapies. As part of these efforts, Exelixis has advanced three candidates to Phase 1 clinical trials, and anticipates filing INDs for up to two additional candidates in 2021. Exelixis considered the investments necessary to undertake and support these drug discovery and development efforts when it contemplated changes to CABOMETYX’s wholesale acquisition cost. Cabozantinib Development Factors: Since the initial commercial launch of cabozantinib, Exelixis has received extensive additional data demonstrating that cabozantinib shows activity in an extremely broad and diverse collection of additional cancers. Alone and in combination with other therapies, it is currently being studied in over 100 clinical trials for over 20 different forms of cancer. Exelixis considered the cost of this clinical development program, and the need to expand it to reach cabozantinib’s full potential for treating the largest number of cancer patients, when it contemplated changes to the wholesale acquisition cost of CABOMETYX. CABOMETYX Value Factors: CABOMETYX has been approved by the FDA to treat patients with liver and kidney cancer, including a recent approval for the treatment of 1st line kidney cancer in combination with nivolumab, and has shown impressive efficacy relative to its competitors in treating patients with these life-threatening diseases. It is the only drug of its kind to improve overall survival in a statistically significant manner in both kidney and liver cancer. When Exelixis contemplated a change to the wholesale acquisition cost for CABOMETYX, Exelixis considered the clinical value proposition of CABOMETYX relative to its competitor prescription drugs, as well as the competitive market generally and the existing price points of competitors. CABOMETYX Cost Factors: At Exelixis, we are committed to ensuring that all patients in need can access our medicines. To secure that the supply of CABOMETYX for our customers, and ultimately, patients is safe and interrupted, Exelixis has expanded its supply chain network, establishing redundancies to prevent supply disruption. In addition, Exelixis has and continues to incur increasing costs in manufacturing due to volatility in the cost of raw materials and other inputs. When Exelixis contemplated changes to the wholesale acquisition cost of CABOMETYX, Exelixis considered these investments in expanding and improving our manufacturing capabilities and supply chain, as well as rising manufacturing costs. None It is Exelixis' stated mission to develop innovative, effective, tolerable and durable treatments for patients with cancer. To accomplish this, Exelixis has and continues to increase our investments in innovative research and development activities. In pre-clinical and clinical testing, cabozantinib has shown promising activity against many forms of cancer and Exelixis is therefore engaged in a very broad clinical development program aimed at improving cabozantinib by exploring the medicine's full therapeutic potential to help patients. To fund that program, and otherwise support our other research, development and business operations, it is necessary for Exelixis to increase the wholesale acquisition cost of CABOMETYX® when market conditions permit such an increase. None None None None None None None None None None None Exelixis did not acquire this product from another manufacturer within the previous five years. As a result, Exelixis has left columns N-U blank because they are not applicable to this product. The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration’s Orange Book, as of 4/13/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date
Rx0000010 Exelixis, Inc. 03/31/2021 42388002326 CABOMETYX 60MG 30 TAB BTL EACH 01/01/2021 1511.36 21662.80 07/09/2033 Single Source Drug None 1 Exelixis’ Mission: Exelixis strives to accelerate the discovery, development and commercialization of new medicines for difficult-to-treat cancers. That mission, however, entails tremendous risk of failure and research and development costs that total in the billions of dollars. At the present time, CABOMETYX® and COMETRIQ®, both derived from the same molecule, cabozantinib, are the only products that Exelixis sells and comprise the vast majority of Exelixis’ revenue. Exelixis is committed to spending the largest portion of this revenue on drug discovery research and clinical development, and to pricing CABOMETYX consistent with its value when compared to competitive products approved for similar conditions. Drug Discovery and Development Factors: Having recently constructed new laboratory facilities, Exelixis re-launched its drug discovery activities in 2018 and is working to discover the next generation of cancer therapies. As part of these efforts, Exelixis has advanced three candidates to Phase 1 clinical trials, and anticipates filing INDs for up to two additional candidates in 2021. Exelixis considered the investments necessary to undertake and support these drug discovery and development efforts when it contemplated changes to CABOMETYX’s wholesale acquisition cost. Cabozantinib Development Factors: Since the initial commercial launch of cabozantinib, Exelixis has received extensive additional data demonstrating that cabozantinib shows activity in an extremely broad and diverse collection of additional cancers. Alone and in combination with other therapies, it is currently being studied in over 100 clinical trials for over 20 different forms of cancer. Exelixis considered the cost of this clinical development program, and the need to expand it to reach cabozantinib’s full potential for treating the largest number of cancer patients, when it contemplated changes to the wholesale acquisition cost of CABOMETYX. CABOMETYX Value Factors: CABOMETYX has been approved by the FDA to treat patients with liver and kidney cancer, including a recent approval for the treatment of 1st line kidney cancer in combination with nivolumab, and has shown impressive efficacy relative to its competitors in treating patients with these life-threatening diseases. It is the only drug of its kind to improve overall survival in a statistically significant manner in both kidney and liver cancer. When Exelixis contemplated a change to the wholesale acquisition cost for CABOMETYX, Exelixis considered the clinical value proposition of CABOMETYX relative to its competitor prescription drugs, as well as the competitive market generally and the existing price points of competitors. CABOMETYX Cost Factors: At Exelixis, we are committed to ensuring that all patients in need can access our medicines. To secure that the supply of CABOMETYX for our customers, and ultimately, patients is safe and interrupted, Exelixis has expanded its supply chain network, establishing redundancies to prevent supply disruption. In addition, Exelixis has and continues to incur increasing costs in manufacturing due to volatility in the cost of raw materials and other inputs. When Exelixis contemplated changes to the wholesale acquisition cost of CABOMETYX, Exelixis considered these investments in expanding and improving our manufacturing capabilities and supply chain, as well as rising manufacturing costs. None It is Exelixis' stated mission to develop innovative, effective, tolerable and durable treatments for patients with cancer. To accomplish this, Exelixis has and continues to increase our investments in innovative research and development activities. In pre-clinical and clinical testing, cabozantinib has shown promising activity against many forms of cancer and Exelixis is therefore engaged in a very broad clinical development program aimed at improving cabozantinib by exploring the medicine's full therapeutic potential to help patients. To fund that program, and otherwise support our other research, development and business operations, it is necessary for Exelixis to increase the wholesale acquisition cost of CABOMETYX® when market conditions permit such an increase. None None None None None None None None None None None Exelixis did not acquire this product from another manufacturer within the previous five years. As a result, Exelixis has left columns N-U blank because they are not applicable to this product. The patent expiration date contained in this report is limited to the patent information reported in the federal Food and Drug Administration’s Orange Book, as of 4/13/2021. As a result, the reported patent expiration date is limited to issued U.S. patents. Further, the reported patent expiration date does not reflect any pending patents, patent term extensions, pediatric exclusivity, or patent-related litigation, each of which is speculative and which may extend or shorten the reported expiration date
Rx0000205 Eyevance Pharmaceuticals LLC 09/30/2021 71776010005 Flarex (fluorometholone acetate ophthalmic suspension 0.1%) 5mL Bottle Liquid 08/03/2021 5.95 125.02 None Single Source Drug None 1 None 1 None 1 10/23/2018 Novartis AG None 1 None 70.01 66.05 1986 7.48 None Don't know WAC at introduction as product was purchased. Best estimate that has been provided is the original WAC under the Medicaid Drug Rebate Program which is from the 2nd quarter of 1992.
Rx0000205 Eyevance Pharmaceuticals LLC 09/30/2021 00065064515 Natacyn (natamycin ophthalmic suspension 5.0%) 15mL Bottle Liquid 08/03/2021 115.19 473.64 None Single Source Drug None 1 None 1 None 1 10/16/2019 Novartis AG None 1 None 329.17 310.54 1982 74.27 None Don't know WAC at introduction as product was purchased. Best estimate that has been provided is the original WAC under the Medicaid Drug Rebate Program which is from the 4th quarter of 1990.
Rx0000205 Eyevance Pharmaceuticals LLC 09/30/2021 71776003505 TobraDex ST (tobramycin/dexamethasone ophthalmic suspension 0.3%/0.05%) 5mL Bottle Liquid 08/03/2021 11.33 237.90 None Single Source Drug None 1 None 1 None 1 10/16/2019 Novartis AG None 1 None 207.11 199.91 2009 85.80 None Don't know WAC at introduction as product was purchased. Best estimate that has been provided is the original WAC under the Medicaid Drug Rebate Program which is from the 4th quarter of 2010