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    NDC 00003-3764-74 ELIQUIS Details

    ELIQUIS

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

    Product Information

    NDC 00003-3764
    Product ID 0003-3764_a260aeff-75b6-4468-bc8a-c2f8d6ac66e3
    Associated GPIs 8337001000B720
    GCN Sequence Number 078093
    GCN Sequence Number Description apixaban TAB DS PK 5 MG (74) ORAL
    HIC3 M9V
    HIC3 Description DIRECT FACTOR XA INHIBITORS
    GCN 44357
    HICL Sequence Number 037792
    HICL Sequence Number Description APIXABAN
    Brand/Generic Brand
    Proprietary Name ELIQUIS
    Proprietary Name Suffix 30-Day Starter Pack
    Non-Proprietary Name apixaban
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form KIT
    Route n/a
    Active Ingredient Strength n/a
    Active Ingredient Units n/a
    Substance Name n/a
    Labeler Name E.R. Squibb & Sons, L.L.C.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA202155
    Listing Certified Through 2024-12-31

    Package

    NDC 00003-3764-74 (00003376474)

    NDC Package Code 0003-3764-74
    Billing NDC 00003376474
    Package 1 KIT in 1 CARTON (0003-3764-74) * 32 TABLET, COATED in 1 BLISTER PACK * 42 TABLET, COATED in 1 BLISTER PACK
    Marketing Start Date 2017-11-30
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 9.49126
    Pricing Unit EA
    Effective Date 2024-01-01
    NDC Description ELIQUIS DVT-PE TREATMENT 30-DAY STARTER 5 MG PACK
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    Classification for Rate Setting B
    As of Date 2024-02-21
    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