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NDC 00074-1017-56 Oriahnn Details
Oriahnn
Oriahnn is a KIT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by AbbVie Inc.. The primary component is .
Product Information
| NDC | 00074-1017 |
|---|---|
| Product ID | 0074-1017_cc29473d-8559-4b6d-ab31-64c818e5d9df |
| Associated GPIs | 2499350340B220 |
| GCN Sequence Number | 081122 |
| GCN Sequence Number Description | elagolix/estradiol/norethindrn CAP SEQ 300-1-0.5 ORAL |
| HIC3 | P1R |
| HIC3 Description | LHRH (GNRH) ANTAGONIST,ESTROGEN AND PROGESTIN COMB |
| GCN | 48158 |
| HICL Sequence Number | 046577 |
| HICL Sequence Number Description | ELAGOLIX SODIUM/ESTRADIOL/NORETHINDRONE ACETATE |
| Brand/Generic | Brand |
| Proprietary Name | Oriahnn |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Elagolix and Estradiol and Norethisterone |
| 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 | NDA |
| Application Number | NDA213388 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00074-1017-56 (00074101756)
| NDC Package Code | 0074-1017-56 |
|---|---|
| Billing NDC | 00074101756 |
| Package | 4 BLISTER PACK in 1 CARTON (0074-1017-56) / 1 KIT in 1 BLISTER PACK * 7 CAPSULE in 1 BLISTER PACK * 7 CAPSULE in 1 BLISTER PACK |
| Marketing Start Date | 2020-05-29 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 19.6502 |
| Pricing Unit | EA |
| Effective Date | 2024-01-02 |
| NDC Description | ORIAHNN 300-1-0.5 MG/300 MG CAPS |
| 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