Search by Drug Name or NDC

    NDC 00169-4060-12 Victoza 6 mg/mL Details

    Victoza 6 mg/mL

    Victoza is a SUBCUTANEOUS INJECTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Novo Nordisk. The primary component is LIRAGLUTIDE.

    Product Information

    NDC 00169-4060
    Product ID 0169-4060_fbacd7b4-2565-4292-b1f6-2aff4e467d47
    Associated GPIs 2717005000D220
    GCN Sequence Number 065344
    GCN Sequence Number Description liraglutide PEN INJCTR 0.6 MG/0.1 SUBCUT
    HIC3 C4I
    HIC3 Description ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST)
    GCN 26189
    HICL Sequence Number 036436
    HICL Sequence Number Description LIRAGLUTIDE
    Brand/Generic Brand
    Proprietary Name Victoza
    Proprietary Name Suffix n/a
    Non-Proprietary Name liraglutide
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form INJECTION
    Route SUBCUTANEOUS
    Active Ingredient Strength 6
    Active Ingredient Units mg/mL
    Substance Name LIRAGLUTIDE
    Labeler Name Novo Nordisk
    Pharmaceutical Class GLP-1 Receptor Agonist [EPC], Glucagon-Like Peptide 1 [CS], Glucagon-like Peptide-1 (GLP-1) Agonists [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA022341
    Listing Certified Through 2024-12-31

    Package

    NDC 00169-4060-12 (00169406012)

    NDC Package Code 0169-4060-12
    Billing NDC 00169406012
    Package 2 SYRINGE, PLASTIC in 1 CARTON (0169-4060-12) / 3 mL in 1 SYRINGE, PLASTIC
    Marketing Start Date 2010-01-25
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 113.587
    Pricing Unit ML
    Effective Date 2022-01-06
    NDC Description VICTOZA 2-PAK 18 MG/3 ML PEN
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 2, 5
    Classification for Rate Setting B
    As of Date 2022-11-23
    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