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    NDC 00069-5317-20 Paxlovid Details

    Paxlovid

    Paxlovid is a KIT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Pfizer Laboratories Div Pfizer Inc. The primary component is .

    Product Information

    NDC 00069-5317
    Product ID 0069-5317_5d665f18-f17c-4fad-a42c-af817bb5373a
    Associated GPIs
    GCN Sequence Number 083290
    GCN Sequence Number Description nirmatrelvir/ritonavir TAB DS PK 150-100 MG ORAL
    HIC3 W0M
    HIC3 Description ANTIVIRAL - MAIN PROTEASE (MPRO) INHIBITOR
    GCN 52199
    HICL Sequence Number 047738
    HICL Sequence Number Description NIRMATRELVIR/RITONAVIR
    Brand/Generic Brand
    Proprietary Name Paxlovid
    Proprietary Name Suffix n/a
    Non-Proprietary Name nirmatrelvir and ritonavir
    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 Pfizer Laboratories Div Pfizer Inc
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA217188
    Listing Certified Through 2024-12-31

    Package

    NDC 00069-5317-20 (00069531720)

    NDC Package Code 0069-5317-20
    Billing NDC 00069531720
    Package 10 BLISTER PACK in 1 CARTON (0069-5317-20) / 1 KIT in 1 BLISTER PACK (0069-5317-02) * 1 TABLET, FILM COATED in 1 BLISTER PACK (0069-2085-11) * 1 TABLET, FILM COATED in 1 BLISTER PACK (0069-1735-11)
    Marketing Start Date 2023-10-18
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 67.1941
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description PAXLOVID 150-100 MG DOSE PACK (RENAL DOSE)
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    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