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    NDC 00003-0894-21 ELIQUIS 5 mg/1 Details

    ELIQUIS 5 mg/1

    ELIQUIS is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by E.R. Squibb & Sons, L.L.C.. The primary component is APIXABAN.

    Product Information

    NDC 00003-0894
    Product ID 0003-0894_a260aeff-75b6-4468-bc8a-c2f8d6ac66e3
    Associated GPIs 83370010000330
    GCN Sequence Number 070414
    GCN Sequence Number Description apixaban TABLET 5 MG ORAL
    HIC3 M9V
    HIC3 Description DIRECT FACTOR XA INHIBITORS
    GCN 33935
    HICL Sequence Number 037792
    HICL Sequence Number Description APIXABAN
    Brand/Generic Brand
    Proprietary Name ELIQUIS
    Proprietary Name Suffix n/a
    Non-Proprietary Name apixaban
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 5
    Active Ingredient Units mg/1
    Substance Name APIXABAN
    Labeler Name E.R. Squibb & Sons, L.L.C.
    Pharmaceutical Class Factor Xa Inhibitor [EPC], Factor Xa Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA202155
    Listing Certified Through 2024-12-31

    Package

    NDC 00003-0894-21 (00003089421)

    NDC Package Code 0003-0894-21
    Billing NDC 00003089421
    Package 60 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0003-0894-21)
    Marketing Start Date 2012-12-28
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 8.46451
    Pricing Unit EA
    Effective Date 2022-01-01
    NDC Description ELIQUIS 5 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 2
    Classification for Rate Setting B
    As of Date 2022-11-23
    This pricing file, entitled the NADAC (National Average Drug Acquisition Cost) files, provide state Medicaid agencies with covered outpatient drug prices by averaging survey invoice prices from retail community pharmacies across the United States. These pharmacies include independent retail community pharmacies and chain pharmacies. The prices are updated on a weekly and monthly basis