Rx0000090 |
UCB, Inc |
03/31/2021 |
50474070062 |
CIMZIA LYOPHOLIZED POWDER FOR INJECTION, 2 X 200 MG VIALS |
01/01/2021 |
185.21 |
4815.56 |
02/13/2024 |
Single Source Drug |
1338360000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Consistent with the relevant statutes and regulations, the information provided in this report is limited to that which UCB believes is in the public domain or otherwise publicly available. UCB has not provided a response to the drug acquisition related data fields for this drug product because UCB did not acquire this drug product within the previous five years. |
Rx0000090 |
UCB, Inc |
03/31/2021 |
50474071079 |
CIMZIA PRE-FILLED SYRINGE KIT, 2 X 200 MG/ML PRE-FILLED SYRINGES |
01/01/2021 |
185.21 |
4815.56 |
02/13/2024 |
Single Source Drug |
1338360000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Consistent with the relevant statutes and regulations, the information provided in this report is limited to that which UCB believes is in the public domain or otherwise publicly available. UCB has not provided a response to the drug acquisition related data fields for this drug product because UCB did not acquire this drug product within the previous five years. |
Rx0000090 |
UCB, Inc |
03/31/2021 |
50474071081 |
CIMZIA PRE-FILLED SYRINGE STARTER KIT, 6 X 200 MG/ML PRE-FILLED SYRINGES |
01/01/2021 |
555.64 |
14446.68 |
02/13/2024 |
Single Source Drug |
1338360000 |
None |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Consistent with the relevant statutes and regulations, the information provided in this report is limited to that which UCB believes is in the public domain or otherwise publicly available. UCB has not provided a response to the drug acquisition related data fields for this drug product because UCB did not acquire this drug product within the previous five years. |
Rx0000036 |
United Therapeutics |
12/31/2021 |
66302020604 |
Tyvaso (treprostinil) inhalation solution, Tyvaso Institutional Starter Kit (ISK) 1 BOX in 1 KIT > 4 AMPULE in 1 BOX > 2.9 mL in 1 AMPULE |
10/01/2021 |
229.33 |
4909.49 |
05/14/2027 |
Single Source Drug |
None |
1 |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Price decision was arrived at by taking into account confidential and proprietary information that is not publicly available or within the public domain. |
Rx0000036 |
United Therapeutics |
12/31/2021 |
66302020602 |
Tyvaso (treprostinil) inhalation solution, Tyvaso Patient Resupply Kit (RSK) 1 BOX in 1 KIT > 28 AMPULE in 1 BOX > 2.9 mL in 1 AMPULE |
10/01/2021 |
887.45 |
18998.67 |
05/14/2027 |
Single Source Drug |
None |
1 |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Price decision was arrived at by taking into account confidential and proprietary information that is not publicly available or within the public domain. |
Rx0000036 |
United Therapeutics |
12/31/2021 |
66302020601 |
Tyvaso (treprostinil) inhalation solution, Tyvaso Patient Starter Kit (PSK) 1 BOX in 1 KIT > 28 AMPULE in 1 BOX > 2.9 mL in 1 AMPULE |
10/01/2021 |
990.00 |
21194.08 |
05/14/2027 |
Single Source Drug |
None |
1 |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Price decision was arrived at by taking into account confidential and proprietary information that is not publicly available or within the public domain. |
Rx0000036 |
United Therapeutics |
12/31/2021 |
66302020603 |
Tyvaso (treprostinil) inhalation solution,Tyvaso Supplemental Refill 4 ct 4 AMPULE in 1 BOX > 2.9 mL in 1 AMPULE |
10/01/2021 |
126.78 |
2714.09 |
05/14/2027 |
Single Source Drug |
None |
1 |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Price decision was arrived at by taking into account confidential and proprietary information that is not publicly available or within the public domain. |
Rx0000036 |
United Therapeutics |
03/31/2021 |
66302001401 |
Unituxin Dinutuximab; 17.5mg/5mL; Injection/vial; 5mL vial |
01/13/2021 |
1176.20 |
13056.96 |
03/01/2027 |
Single Source Drug |
None |
1 |
None |
1 |
None |
1 |
None |
None |
None |
None |
None |
None |
None |
None |
None |
None |
Unit sales data- This information is confidential and proprietary, and not publicly available or within the public domain.
Cost increase factors- This information was arrived at by taking into account confidential and proprietary information that is not publicly available or within the public domain.
Change/Improvement description- This information was arrived at by taking into account confidential and proprietary information that is not publicly available or within the public domain.
Acquisition fields have not been completed because the product was not acquired from another manufacturer within the last 5 years |