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    NDC 00169-4136-02 Ozempic 1.34 mg/mL Details

    Ozempic 1.34 mg/mL

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

    Product Information

    NDC 00169-4136
    Product ID 0169-4136_89435b5f-007a-4880-954e-a870b8922b42
    Associated GPIs 2717007000D220
    GCN Sequence Number 077986
    GCN Sequence Number Description semaglutide PEN INJCTR 1MG/0.75ML SUBCUT
    HIC3 C4I
    HIC3 Description ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST)
    GCN 44164
    HICL Sequence Number 044675
    HICL Sequence Number Description SEMAGLUTIDE
    Brand/Generic Brand
    Proprietary Name Ozempic
    Proprietary Name Suffix n/a
    Non-Proprietary Name semaglutide
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form INJECTION, SOLUTION
    Route SUBCUTANEOUS
    Active Ingredient Strength 1.34
    Active Ingredient Units mg/mL
    Substance Name SEMAGLUTIDE
    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 NDA209637
    Listing Certified Through 2023-12-31

    Package

    NDC 00169-4136-02 (00169413602)

    NDC Package Code 0169-4136-02
    Billing NDC 00169413602
    Package 2 SYRINGE, PLASTIC in 1 CARTON (0169-4136-02) / 1.5 mL in 1 SYRINGE, PLASTIC (0169-4136-11)
    Marketing Start Date 2017-12-06
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 285.234
    Pricing Unit ML
    Effective Date 2022-01-06
    NDC Description OZEMPIC 1 MG/DOSE (2 MG/1.5 ML) PEN
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 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

    Standard Product Labeling (SPL)/Prescribing Information SPL adec4fd2-6858-4c99-91d4-531f5f2a2d79 Details

    Revised: 10/2022