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    NDC 00074-3663-03 Lupron Depot Details

    Lupron Depot

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

    Product Information

    NDC 00074-3663
    Product ID 0074-3663_b945574e-0130-44f2-b578-3815ce357939
    Associated GPIs 21405010156420
    GCN Sequence Number 044980
    GCN Sequence Number Description leuprolide acetate SYRINGEKIT 11.25 MG INTRAMUSC
    HIC3 P1M
    HIC3 Description LHRH (GNRH) AGONIST ANALOG PITUITARY SUPPRESSANTS
    GCN 84350
    HICL Sequence Number 021102
    HICL Sequence Number Description LEUPROLIDE ACETATE
    Brand/Generic Brand
    Proprietary Name Lupron Depot
    Proprietary Name Suffix n/a
    Non-Proprietary Name leuprolide acetate
    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 NDA020708
    Listing Certified Through 2024-12-31

    Package

    NDC 00074-3663-03 (00074366303)

    NDC Package Code 0074-3663-03
    Billing NDC 00074366303
    Package 1 KIT in 1 CARTON (0074-3663-03) * 1.5 mL in 1 SYRINGE * 1 mL in 1 PACKET
    Marketing Start Date 2010-11-08
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 5012.79
    Pricing Unit EA
    Effective Date 2024-01-02
    NDC Description LUPRON DEPOT 11.25 MG 3MO KIT
    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