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    NDC 00074-0124-02 Humira Details

    Humira

    Humira is a KIT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by AbbVie Inc.. The primary component is .

    Product Information

    NDC 00074-0124
    Product ID 0074-0124_17d70a36-5bb6-43f0-add4-490aafac7ce3
    Associated GPIs 6627001500F440
    GCN Sequence Number 077870
    GCN Sequence Number Description adalimumab PEN IJ KIT 80MG/0.8ML SUBCUT
    HIC3 S2J
    HIC3 Description ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR
    GCN 44014
    HICL Sequence Number 024800
    HICL Sequence Number Description ADALIMUMAB
    Brand/Generic Brand
    Proprietary Name Humira
    Proprietary Name Suffix n/a
    Non-Proprietary Name Adalimumab
    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 AbbVie Inc.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category BLA
    Application Number BLA125057
    Listing Certified Through 2024-12-31

    Package

    NDC 00074-0124-02 (00074012402)

    NDC Package Code 0074-0124-02
    Billing NDC 00074012402
    Package 2 KIT in 1 CARTON (0074-0124-02) / 1 KIT in 1 KIT * 1 SYRINGE in 1 TRAY / .8 mL in 1 SYRINGE * 1 mL in 1 PACKET
    Marketing Start Date 2020-12-16
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 6721.88
    Pricing Unit EA
    Effective Date 2023-06-21
    NDC Description HUMIRA(CF) PEN 80 MG/0.8 ML
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 5
    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