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    NDC 00169-3004-15 Novolin 100 [iU]/mL Details

    Novolin 100 [iU]/mL

    Novolin is a SUBCUTANEOUS INJECTION, SUSPENSION in the HUMAN OTC DRUG category. It is labeled and distributed by Novo Nordisk. The primary component is INSULIN HUMAN.

    Product Information

    NDC 00169-3004
    Product ID 0169-3004_652d3fd6-809f-476e-9159-a1beffb9ea01
    Associated GPIs 2710402000D320
    GCN Sequence Number 051292
    GCN Sequence Number Description insulin NPH human isophane INSULN PEN 100/ML (3) SUBCUT
    HIC3 C4G
    HIC3 Description INSULINS
    GCN 18488
    HICL Sequence Number 000780
    HICL Sequence Number Description INSULIN NPH HUMAN ISOPHANE
    Brand/Generic Brand
    Proprietary Name Novolin
    Proprietary Name Suffix N
    Non-Proprietary Name Human Insulin
    Product Type HUMAN OTC DRUG
    Dosage Form INJECTION, SUSPENSION
    Route SUBCUTANEOUS
    Active Ingredient Strength 100
    Active Ingredient Units [iU]/mL
    Substance Name INSULIN HUMAN
    Labeler Name Novo Nordisk
    Pharmaceutical Class Insulin [CS], Insulin [EPC]
    DEA Schedule n/a
    Marketing Category BLA
    Application Number BLA019959
    Listing Certified Through 2024-12-31

    Package

    NDC 00169-3004-15 (00169300415)

    NDC Package Code 0169-3004-15
    Billing NDC 00169300415
    Package 5 SYRINGE, PLASTIC in 1 CARTON (0169-3004-15) / 3 mL in 1 SYRINGE, PLASTIC (0169-3004-01)
    Marketing Start Date 2019-09-06
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 5.82016
    Pricing Unit ML
    Effective Date 2024-01-01
    NDC Description NOVOLIN N 100 UNIT/ML FLEXPEN
    Pharmacy Type Indicator C/I
    OTC Y
    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