Table: q1_q4_2021_prescription_drug_wac_increases , manufacturer_name like I*

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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
Rx0000040 Ingenus Pharmaceuticals, LLC 03/31/2021 50742051530 Nitro-Dur Patch 0.3mg/hr 30 ct 02/15/2021 235.52 1177.58 None Single Source Drug 6255 None Increased overhead, expenses, and distribution costs causing need for price increase so as not to experience service disruption. None No changes made None 08/31/2017 USPharma 2000000 None The acquisition price provided was for the acquisition of the Nitro-Dur product line from USPharma and is not a SKU specific figure 316.92 157.50 2017 316.92 None Patent expiration date: as this product is pre-patent, we do not have a patent expiration date to provide Year Introduced to Market: only the 0.3mg sold in 2017, the rest of the SKUs were first sold in 2018. However, we loaded all SKUs to the Gold Standard with 2017 effective dates. Therefore, we have listed 2017 as the introduction year
Rx0000040 Ingenus Pharmaceuticals, LLC 03/31/2021 50742051830 Nitro-Dur Patch 0.8mg/hr 30 ct 02/15/2021 255.44 1277.13 None Single Source Drug 2585 None Increased overhead, expenses, and distribution costs causing need for price increase so as not to experience service disruption. None No changes made None 08/13/2017 USPharma 2000000 None The acquisition price provided was for the acquisition of the Nitro-Dur product line from USPharma and is not a SKU specific figure 343.71 170.70 2017 343.71 None Patent expiration date: as this product is pre-patent, we do not have a patent expiration date to provide Year Introduced to Market: only the 0.3mg sold in 2017, the rest of the SKUs were first sold in 2018. However, we loaded all SKUs to the Gold Standard with 2017 effective dates. Therefore, we have listed 2017 as the introduction year
Rx0000287 Insmed Incorporated 03/31/2021 71558059028 AMIKACIN LIPOSOME INHALATION SUSPENSION EQ 590MG BASE/8.4ML 01/01/2021 755.69 12381.68 05/15/2035 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None Product developed in-house
Rx0000084 Ipsen Biopharmaceuticals, Inc. 03/31/2021 15054104005 Drug product name: Increlex. Drug product strength: 10 mg/ml. Drug product dosage form: vial. Drug product package size: 4ml. 01/12/2021 221.00 5127.00 03/11/2033 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The information provided in response to 22 CCR § 96070(b)(6) is based upon patents listed in the FDA Orange Book. The product was not acquired by Ipsen within the previous five years.
Rx0000084 Ipsen Biopharmaceuticals, Inc. 03/31/2021 15054004301 Drug product name: Onivyde. Drug product strength: 43 mg/10 ml (4.3 mg/ml). Drug product dosage form: vial. Drug product package size: 10ml. 01/12/2021 106.00 2472.00 10/15/2036 Single Source Drug None 1 None 1 None 1 04/03/2017 Merrimack Pharmaceuticals None 1 For purposes of 22 CCR § 96070(b)(12)(c) (requirement to report the purchase price of the relevant drug, if the drug was acquired by the manufacturer within the previous five years), Ipsen purchased the global oncology assets of Merrimack Pharmaceuticals in April 2017, including Onivyde. The purchase price of the drug product (as Ipsen understands that data element) is not in the public domain or otherwise publicly available. However, information regarding Ipsen’s purchase of the assets from Merrimack Pharmaceuticals is available on p. 97, Note 12.1.1 of section 3.2.5, of the Registration Document located at: https://www.ipsen.com/websites/Ipsen_Online/wp-content/uploads/2018/03/15164935/IPSEN_DDR_2017_VA_complet_clean-003.pdf 1652.40 None 2015 1620.00 None The information provided in response to 22 CCR § 96070(b)(6) is based upon patents listed in the FDA Orange Book. The information provided in response to 22 CCR § 96070(b)(11) contains price increases for the drug product when the NDC for the product was 69171-0398-01
Rx0000084 Ipsen Biopharmaceuticals, Inc. 03/31/2021 15054112004 Drug product name: Somatuline Depot - New NDC. Drug product strength: 120 mg/0.5 ml. Drug product dosage form: syringe. Drug product package size: .50 ml. 01/12/2021 394.00 9150.00 03/08/2020 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None This NDC was launched on September 1, 2019 and will replace NDC 15054112003. The information provided in response to 22 CCR § 96070(b)(6) is based upon patents listed in the FDA Orange Book.
Rx0000084 Ipsen Biopharmaceuticals, Inc. 03/31/2021 15054106004 Drug product name: Somatuline Depot - New NDC. Drug product strength: 60 mg/0.2 ml. Drug product dosage form: syringe. Drug product package size: .20 ml. 01/12/2021 251.00 5826.00 03/08/2020 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None This NDC was launched on September 1, 2019 and will replace NDC 15054106003. The information provided in response to 22 CCR § 96070(b)(6) is based upon patents listed in the FDA Orange Book.
Rx0000084 Ipsen Biopharmaceuticals, Inc. 03/31/2021 15054109004 Drug product name: Somatuline Depot - New NDC. Drug product strength: 90 mg/0.3 ml. Drug product dosage form: syringe. Drug product package size: .30 ml. 01/12/2021 334.00 7759.00 03/08/2020 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None This NDC was launched on September 1, 2019 and will replace NDC 15054109003. The information provided in response to 22 CCR § 96070(b)(6) is based upon patents listed in the FDA Orange Book.
Rx0000084 Ipsen Biopharmaceuticals, Inc. 03/31/2021 15054112003 Drug product name: Somatuline Depot - Old NDC. Drug product strength: 120 mg/0.5 ml. Drug product dosage form: syringe. Drug product package size: .50 ml. 01/12/2021 394.00 9150.00 03/08/2020 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The information provided in response to 22 CCR § 96070(b)(6) is based upon patents listed in the FDA Orange Book. The product was not acquired by Ipsen within the previous five years.
Rx0000084 Ipsen Biopharmaceuticals, Inc. 03/31/2021 15054109003 Drug product name: Somatuline Depot - Old NDC. Drug product strength: 90 mg/0.3 ml. Drug product dosage form: syringe. Drug product package size: .30 ml. 01/12/2021 334.00 7759.00 03/08/2020 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The information provided in response to 22 CCR § 96070(b)(6) is based upon patents listed in the FDA Orange Book. The product was not acquired by Ipsen within the previous five years.
Rx0000084 Ipsen Biopharmaceuticals, Inc. 03/31/2021 15054106003 Drug product name: Somatuline Depot - Old NDC. Drug product strength: 60 mg/0.2 ml. Drug product dosage form: syringe. Drug product package size: .20 ml. 01/12/2021 251.00 5826.00 03/08/2020 Single Source Drug None 1 None 1 None 1 None None None None None None None None None None The information provided in response to 22 CCR § 96070(b)(6) is based upon patents listed in the FDA Orange Book. The product was not acquired by Ipsen within the previous five years.