Rx0000065 |
West Therapeutic Development, LLC |
12/31/2021 |
71500011001 |
Lazanda® 100 mcg (fentanyl nasal spray) CII, 1 bottle (contains 8 metered dose sprays) |
12/01/2021 |
84.12 |
1018.82 |
01/26/2032 |
Single Source Drug |
None |
1 |
Market Conditions and increase in REM fees |
None |
NA |
None |
11/01/2018 |
Assertio Therapeutics |
None |
1 |
No comment. |
752.57 |
665.74 |
2013 |
302.48 |
None |
None |
Rx0000065 |
West Therapeutic Development, LLC |
12/31/2021 |
71500014001 |
Lazanda® 400 mcg (fentanyl nasal spray) CII, 1 bottle (contains 8 metered dose sprays) |
12/01/2021 |
134.15 |
1624.65 |
01/26/2032 |
Single Source Drug |
None |
1 |
Market Conditions and increase in REM fees |
None |
NA |
None |
11/01/2018 |
Assertio Therapeutics |
None |
1 |
No comment. |
1100.08 |
1061.60 |
2013 |
432.48 |
None |
None |
Rx0000065 |
West Therapeutic Development, LLC |
12/31/2021 |
71500000110 |
Subsys®™ 100 mcg (fentanyl sublingual spray) CII, 10 units / carton |
12/01/2021 |
63.26 |
766.31 |
04/27/2030 |
Single Source Drug |
None |
1 |
Market Conditions and increase in REM fees |
None |
NA |
None |
09/26/2019 |
Insys Therapeutics |
None |
1 |
No comment. |
644.99 |
589.00 |
2014 |
309.99 |
None |
None |
Rx0000065 |
West Therapeutic Development, LLC |
12/31/2021 |
71500001215 |
Subsys®™ 1200 mcg (fentanyl sublingual spray) CII – 2 x 600 mcg, 30 units / carton |
12/01/2021 |
504.92 |
6115.91 |
04/27/2030 |
Single Source Drug |
None |
1 |
Market Conditions and increase in REM fees |
None |
NA |
None |
09/26/2019 |
Insys Therapeutics |
None |
1 |
No comment. |
5147.64 |
4701.00 |
2014 |
2213.70 |
None |
None |
Rx0000065 |
West Therapeutic Development, LLC |
12/31/2021 |
71500001615 |
Subsys®™ 1600 mcg (fentanyl sublingual spray) CII – 2 x 800 mcg, 30 units / carton |
12/01/2021 |
631.01 |
7642.22 |
04/27/2030 |
Single Source Drug |
None |
1 |
Market Conditions and increase in REM fees |
None |
NA |
None |
09/26/2019 |
Insys Therapeutics |
None |
1 |
No comment. |
6432.30 |
5874.30 |
2014 |
2727.00 |
None |
None |
Rx0000065 |
West Therapeutic Development, LLC |
12/31/2021 |
71500000230 |
Subsys®™ 200 mcg (fentanyl sublingual spray) CII, 30 units / carton |
12/01/2021 |
250.64 |
3034.39 |
04/27/2030 |
Single Source Drug |
None |
1 |
Market Conditions and increase in REM fees |
None |
NA |
None |
09/26/2019 |
Insys Therapeutics |
None |
1 |
No comment. |
2553.98 |
2332.50 |
2014 |
1174.50 |
None |
None |
Rx0000065 |
West Therapeutic Development, LLC |
12/31/2021 |
71500000430 |
Subsys®™ 400 mcg (fentanyl sublingual spray) CII, 30 units / carton |
12/01/2021 |
379.91 |
4600.17 |
04/27/2030 |
Single Source Drug |
None |
1 |
Market Conditions and increase in REM fees |
None |
NA |
None |
09/26/2019 |
Insys Therapeutics |
None |
1 |
No comment. |
3871.87 |
3536.10 |
2014 |
1704.90 |
None |
None |
Rx0000065 |
West Therapeutic Development, LLC |
12/31/2021 |
71500000630 |
Subsys®™ 600 mcg (fentanyl sublingual spray) CII, 30 units / carton |
12/01/2021 |
504.92 |
6115.91 |
04/27/2030 |
Single Source Drug |
None |
1 |
Market Conditions and increase in REM fees |
None |
NA |
None |
09/26/2019 |
Insys Therapeutics |
None |
1 |
No comment. |
5147.64 |
4701.00 |
2014 |
2213.70 |
None |
None |
Rx0000065 |
West Therapeutic Development, LLC |
12/31/2021 |
20482000830 |
Subsys®™ 800 mcg (fentanyl sublingual spray) CII, 30 units / carton |
12/01/2021 |
631.01 |
7642.22 |
04/27/2030 |
Single Source Drug |
None |
1 |
Market Conditions and increase in REM fees |
None |
NA |
None |
09/26/2019 |
Insys Therapeutics |
None |
1 |
No comment. |
6432.30 |
5874.30 |
2014 |
2904.39 |
None |
None |