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    NDC 00074-0243-02 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 00074-0243
    Product ID 0074-0243_17d70a36-5bb6-43f0-add4-490aafac7ce3
    Associated GPIs 6627001500F830
    GCN Sequence Number 077469
    GCN Sequence Number Description adalimumab SYRINGEKIT 40MG/0.4ML SUBCUT
    HIC3 S2J
    HIC3 Description ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR
    GCN 43505
    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 00074-0243-02 (00074024302)

    NDC Package Code 0074-0243-02
    Billing NDC 00074024302
    Package 2 KIT in 1 CARTON (0074-0243-02) / 1 KIT in 1 KIT * 1 SYRINGE in 1 TRAY / .4 mL in 1 SYRINGE * 1 mL in 1 PACKET
    Marketing Start Date 2015-11-23
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 3372.01
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description HUMIRA(CF) 40 MG/0.4 ML SYRINGE
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 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