Table: q1_q4_2022_prescription_drug_wac_increases , manufacturer_name like G*

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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
Rx0000437 Genus Lifesciences Inc. 03/31/2022 64950034245 Hydrocodone with Homatropine solution, 5mL UD, pack of 40 03/01/2022 84.85 390.00 None Innovator Multiple Source Drug 600 None Increase in materials, labor and overhead costs None Continual evaluation of process improvements None None None None None None None None None None None None
Rx0000406 Glaukos Corporation 03/31/2022 25357002503 Riboflavin 5’-phosphate in 20% dextran ophthalmic solution and riboflavin 5’-phosphate ophthalmic solution, 1.56 mg/mL Photrexa Viscous and 1.46 mg/mL Photrexa, single-use foil pouch, for topical administration 01/01/2022 305.00 3435.00 None Single Source Drug None 1 In making the decision to increase the price of Photrexa, Glaukos considered the value in cost savings when it comes to direct medical costs as well as the improved quality of life for keratoconus patients, as compared to corneal transplantation. According to a study published in the Journal of Medical Economics in 2020, corneal cross-linking with Photrexa was found to be cost-effective within 2 years and cost-saving within 4.5 years. We also considered the value it provides to patients in terms of its durability and safety profile, and our significant investment in ongoing research and development, reimbursement and patient support programs, noting that approximately 30-35% of our revenue goes to R&D costs. None No change or improvement in the drug product necessitated the price increase. None 11/21/2019 Avedro, Inc. 437751000 None Glaukos Corporation acquired all of the outstanding stock of Avedro, Inc. in a merger transaction. At the closing of the Merger each share of common stock of Avedro, Inc. issued and outstanding immediately prior to the closing was automatically cancelled and converted into the right to receive 0.365 of a share of common stock of Glaukos Corporation. No cash was exchanged. The Acquisition Cost provided in this submission is the fair value of the Glaukos stock issued in the merger transaction. 2850.00 2850.00 2016 595.00 None None
Rx0000029 GlaxoSmithKline 09/30/2022 49401008801 BENLYSTA; 200 mg/mL; 1 mL in 1 PREFILLED AUTO-INJECTOR (49401-0088-01) 07/01/2022 20.99 1070.54 None Single Source Drug None 1 None 1 The price increase listed is not related to any identified or claimed change or improvement None None None None None None None None None None None Note on Acquisition Fields: This drug was developed by GSK, therefore the following fields related to drug acquisition have been left blank: ACQUISITION_DATE, ACQUIRED_FROM_COMPANY, ACQUISITION_PRICE, ACQUISITION_PRICE_NONPUBLIC, ACQUISITION_PRICE_COMMENT, WAC_AT_ACQUISITION, YEAR_INTRODUCED, WAC_AT_INTRODUCTION.
Rx0000029 GlaxoSmithKline 09/30/2022 49401008842 BENLYSTA; 200 mg/mL; 1 mL in 1 PREFILLED GLASS SYRINGE (49401-0088-42) 07/01/2022 20.99 1070.54 None Single Source Drug None 1 None 1 The price increase listed is not related to any identified or claimed change or improvement None None None None None None None None None None None Note on Acquisition Fields: This drug was developed by GSK, therefore the following fields related to drug acquisition have been left blank: ACQUISITION_DATE, ACQUIRED_FROM_COMPANY, ACQUISITION_PRICE, ACQUISITION_PRICE_NONPUBLIC, ACQUISITION_PRICE_COMMENT, WAC_AT_ACQUISITION, YEAR_INTRODUCED, WAC_AT_INTRODUCTION.
Rx0000029 GlaxoSmithKline 09/30/2022 49401008835 BENLYSTA; 200 mg/mL; 4 PREFILLED AUTO-INJECTOR in 1 CARTON (49401-0088-35) > 1 mL in 1 PREFILLED AUTO-INJECTOR (49401-0088-01) 07/01/2022 83.96 4282.17 None Single Source Drug None 1 None 1 The price increase listed is not related to any identified or claimed change or improvement None None None None None None None None None None None Note on Acquisition Fields: This drug was developed by GSK, therefore the following fields related to drug acquisition have been left blank: ACQUISITION_DATE, ACQUIRED_FROM_COMPANY, ACQUISITION_PRICE, ACQUISITION_PRICE_NONPUBLIC, ACQUISITION_PRICE_COMMENT, WAC_AT_ACQUISITION, YEAR_INTRODUCED, WAC_AT_INTRODUCTION.
Rx0000029 GlaxoSmithKline 09/30/2022 49401008847 BENLYSTA; 200 mg/mL; 4 PREFILLED GLASS SYRINGE in 1 CARTON (49401-0088-47) > 1 mL in 1 PREFILLED GLASS SYRINGE (49401-0088-42) 07/01/2022 83.96 4282.17 None Single Source Drug None 1 None 1 The price increase listed is not related to any identified or claimed change or improvement None None None None None None None None None None None Note on Acquisition Fields: This drug was developed by GSK, therefore the following fields related to drug acquisition have been left blank: ACQUISITION_DATE, ACQUIRED_FROM_COMPANY, ACQUISITION_PRICE, ACQUISITION_PRICE_NONPUBLIC, ACQUISITION_PRICE_COMMENT, WAC_AT_ACQUISITION, YEAR_INTRODUCED, WAC_AT_INTRODUCTION.
Rx0000029 GlaxoSmithKline 03/31/2022 58160097602 BEXSERO 0.5ML Pre-filled Syringe; Dosage form: Injection; 1 Pack 01/01/2022 9.55 200.55 None Single Source Drug None 1 None 1 The price increase listed is not related to any identified or claimed change or improvement None None None None None None None None None None None Note on Acquisition Fields: This product was acquired by GSK in 2015 which is outside of the 5 year reporting period. Therefore, the following fields related to drug acquisition have been left blank: ACQUISITION_DATE, ACQUIRED_FROM_COMPANY, ACQUISITION_PRICE, ACQUISITION_PRICE_NONPUBLIC, ACQUISITION_PRICE_COMMENT, WAC_AT_ACQUISITION, YEAR_INTRODUCED, WAC_AT_INTRODUCTION.
Rx0000029 GlaxoSmithKline 03/31/2022 58160097620 BEXSERO 0.5ML Pre-filled Syringe; Dosage form: Injection; 10 Pack 01/01/2022 95.50 2005.45 None Single Source Drug None 1 None 1 The price increase listed is not related to any identified or claimed change or improvement None None None None None None None None None None None Note on Acquisition Fields: This product was acquired by GSK in 2015 which is outside of the 5 year reporting period. Therefore, the following fields related to drug acquisition have been left blank: ACQUISITION_DATE, ACQUIRED_FROM_COMPANY, ACQUISITION_PRICE, ACQUISITION_PRICE_NONPUBLIC, ACQUISITION_PRICE_COMMENT, WAC_AT_ACQUISITION, YEAR_INTRODUCED, WAC_AT_INTRODUCTION.
Rx0000029 GlaxoSmithKline 03/31/2022 58160081912 SHINGRIX 0.5mL Vial; Dosage form: Injection; 1 Pack 01/01/2022 9.56 171.57 None Single Source Drug None 1 None 1 The price increase listed is not related to any identified or claimed change or improvement None None None None None None None None None None None Note on Acquisition Fields: This drug was developed by GSK, therefore the following fields related to drug acquisition have been left blank: ACQUISITION_DATE, ACQUIRED_FROM_COMPANY, ACQUISITION_PRICE, ACQUISITION_PRICE_NONPUBLIC, ACQUISITION_PRICE_COMMENT, WAC_AT_ACQUISITION, YEAR_INTRODUCED, WAC_AT_INTRODUCTION.
Rx0000029 GlaxoSmithKline 03/31/2022 58160082311 SHINGRIX 0.5mL Vial; Dosage form: Injection; 10 Pack 01/01/2022 95.59 1715.68 None Single Source Drug None 1 None 1 The price increase listed is not related to any identified or claimed change or improvement None None None None None None None None None None None Note on Acquisition Fields: This drug was developed by GSK, therefore the following fields related to drug acquisition have been left blank: ACQUISITION_DATE, ACQUIRED_FROM_COMPANY, ACQUISITION_PRICE, ACQUISITION_PRICE_NONPUBLIC, ACQUISITION_PRICE_COMMENT, WAC_AT_ACQUISITION, YEAR_INTRODUCED, WAC_AT_INTRODUCTION.
Rx0000029 GlaxoSmithKline 03/31/2022 69656010330 ZEJULA 100 mg 30 CAPSULE in 1 BOTTLE 01/01/2022 533.53 8155.33 None Single Source Drug None 1 None 1 The price increase listed is not related to any identified or claimed change or improvement None 01/22/2019 TESARO, INC None 1 None 6584.00 None 2018 6584.00 None Note on Acquisition Fields ACQUIRED_FROM_COMPANY: GSK acquired Zejula as a part of its overall acquisition of TESARO Inc, the company that developed Zejula, and there was no specific acquisition of Zejula itself ACQUISITION_PRICE: GSK acquired Zejula as a part of its overall acquisition of TESARO Inc, the company that developed Zejula, and there was no specific acquisition of Zejula itself WAC_YEAR_PRIOR_TO_ACQ: Zejula did not have a WAC one year prior to acquisition as it was not yet approved at that time
Rx0000123 Greenwich Biosciences 03/31/2022 70127010010 Epidiolex 100mg/mL bottle 01/10/2022 120.00 1540.00 03/01/2041 Single Source Drug None 1 "Greenwich Biosciences, Inc. manufactures Specialty Pharmacy drugs for rare diseases that require a higher level of administration and effort to support patients. Product prices are determined by conducting extensive market research with Healthcare Providers (HCPs) to assess their perceptions of the clinical value delivered by our products. Greenwich also evaluates relevant market analogues to support a price increase. Greenwich engages its Pricing Committee to make price increase decisions. In doing so, the Pricing Committee balances capturing the product’s value with the priority of ensuring patient access. Specifically, the Pricing Committee considers the following factors in determining whether a price increase is warranted: • Clinical value; • HCP and Payer perceptions of a product’s clinical value; • Patient access and affordability, in order to ensure our products are broadly available to HCPs and patients; • Research and Development costs associated with production of the drug; • Historic WAC price; • Greenwich's fiduciary responsibility to its shareholders." None None 1 None None None None None None None None None None "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 April 26, 2022. 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. Unit Sales Volume and Change Improvement: Per CA Health & Safety Code Section 127681(c) Greenwich Biosciences, Inc. respectfully declines to submit this information, as it is not otherwise in the public domain or publicly available. The drug was not was acquired from another manufacturer within the last five years."