Search by Drug Name or NDC

    NDC 00169-4524-14 WEGOVY 2.4 mg/.75mL Details

    WEGOVY 2.4 mg/.75mL

    WEGOVY 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 00169-4524
    Product ID 0169-4524_3a4f9f29-6860-4f16-9310-bea0726b2b0f
    Associated GPIs 6125207000D540
    GCN Sequence Number 082359
    GCN Sequence Number Description semaglutide PEN INJCTR 2.4MG/0.75 SUBCUT
    HIC3 J8E
    HIC3 Description ANTI-OBESITY GLUCAGON-LIKE PEPTIDE-1 RECEP AGONIST
    GCN 49754
    HICL Sequence Number 044675
    HICL Sequence Number Description SEMAGLUTIDE
    Brand/Generic Brand
    Proprietary Name WEGOVY
    Proprietary Name Suffix n/a
    Non-Proprietary Name semaglutide
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form INJECTION, SOLUTION
    Route SUBCUTANEOUS
    Active Ingredient Strength 2.4
    Active Ingredient Units mg/.75mL
    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 NDA215256
    Listing Certified Through 2024-12-31

    Package

    NDC 00169-4524-14 (00169452414)

    NDC Package Code 0169-4524-14
    Billing NDC 00169452414
    Package 4 SYRINGE, PLASTIC in 1 CARTON (0169-4524-14) / .5 mL in 1 SYRINGE, PLASTIC (0169-4524-01)
    Marketing Start Date 2021-06-05
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 431.797
    Pricing Unit ML
    Effective Date 2022-07-20
    NDC Description WEGOVY 2.4 MG/0.75 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