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    NDC 00169-3687-12 Levemir 100 [iU]/mL Details

    Levemir 100 [iU]/mL

    Levemir is a SUBCUTANEOUS INJECTION, SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Novo Nordisk. The primary component is INSULIN DETEMIR.

    Product Information

    NDC 00169-3687
    Product ID 0169-3687_40c85e9f-5e3e-4f53-a642-1ee982273108
    Associated GPIs 27104006002020
    GCN Sequence Number 059586
    GCN Sequence Number Description insulin detemir VIAL 100/ML SUBCUT
    HIC3 C4G
    HIC3 Description INSULINS
    GCN 25305
    HICL Sequence Number 026407
    HICL Sequence Number Description INSULIN DETEMIR
    Brand/Generic Brand
    Proprietary Name Levemir
    Proprietary Name Suffix n/a
    Non-Proprietary Name insulin detemir
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form INJECTION, SOLUTION
    Route SUBCUTANEOUS
    Active Ingredient Strength 100
    Active Ingredient Units [iU]/mL
    Substance Name INSULIN DETEMIR
    Labeler Name Novo Nordisk
    Pharmaceutical Class Insulin Analog [EPC], Insulin [Chemical/Ingredient]
    DEA Schedule n/a
    Marketing Category BLA
    Application Number BLA021536
    Listing Certified Through 2024-12-31

    Package

    NDC 00169-3687-12 (00169368712)

    NDC Package Code 0169-3687-12
    Billing NDC 00169368712
    Package 1 VIAL, GLASS in 1 CARTON (0169-3687-12) / 10 mL in 1 VIAL, GLASS
    Marketing Start Date 2006-03-27
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 10.3286
    Pricing Unit ML
    Effective Date 2024-01-01
    NDC Description LEVEMIR 100 UNIT/ML VIAL
    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