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    NDC 00310-4616-12 BREZTRI 160; 4.8; 9 ug/1; ug/1; ug/1 Details

    BREZTRI 160; 4.8; 9 ug/1; ug/1; ug/1

    BREZTRI is a RESPIRATORY (INHALATION) AEROSOL, METERED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by AstraZeneca Pharmaceuticals LP. The primary component is BUDESONIDE; FORMOTEROL; GLYCOPYRROLATE.

    Product Information

    NDC 00310-4616
    Product ID 0310-4616_650ce9da-73d0-4335-b8f4-dabb12672108
    Associated GPIs 44209903303220
    GCN Sequence Number 081351
    GCN Sequence Number Description budesonide/glycopyr/formoterol HFA AER AD 160-9-4.8 INHALATION
    HIC3 B64
    HIC3 Description BETA-ADRENERGIC-ANTICHOLINERGIC-GLUCOCORT, INHALED
    GCN 48435
    HICL Sequence Number 046753
    HICL Sequence Number Description BUDESONIDE/GLYCOPYRROLATE/FORMOTEROL FUMARATE
    Brand/Generic Brand
    Proprietary Name BREZTRI
    Proprietary Name Suffix n/a
    Non-Proprietary Name budesonide, glycopyrrolate, and formoterol fumarate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form AEROSOL, METERED
    Route RESPIRATORY (INHALATION)
    Active Ingredient Strength 160; 4.8; 9
    Active Ingredient Units ug/1; ug/1; ug/1
    Substance Name BUDESONIDE; FORMOTEROL; GLYCOPYRROLATE
    Labeler Name AstraZeneca Pharmaceuticals LP
    Pharmaceutical Class Adrenergic beta2-Agonists [MoA], Anticholinergic [EPC], Cholinergic Antagonists [MoA], Corticosteroid Hormone Receptor Agonists [MoA], Corticosteroid [EPC], beta2-Adrenergic Agonist [EPC]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA212122
    Listing Certified Through 2024-12-31

    Package

    NDC 00310-4616-12 (00310461612)

    NDC Package Code 0310-4616-12
    Billing NDC 00310461612
    Package 120 AEROSOL, METERED in 1 INHALER (0310-4616-12)
    Marketing Start Date 2020-07-23
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 57.8184
    Pricing Unit GM
    Effective Date 2024-01-01
    NDC Description BREZTRI AEROSPHERE INHALER
    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