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    NDC 00310-6512-01 Byetta 250 ug/mL Details

    Byetta 250 ug/mL

    Byetta is a SUBCUTANEOUS INJECTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by AstraZeneca Pharmaceuticals LP. The primary component is EXENATIDE.

    Product Information

    NDC 00310-6512
    Product ID 0310-6512_7d116557-6fe2-4179-af97-7e2fc5935d38
    Associated GPIs 2717002000D220
    GCN Sequence Number 059072
    GCN Sequence Number Description exenatide PEN INJCTR 5MCG/0.02 SUBCUT
    HIC3 C4I
    HIC3 Description ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST)
    GCN 24613
    HICL Sequence Number 032893
    HICL Sequence Number Description EXENATIDE
    Brand/Generic Brand
    Proprietary Name Byetta
    Proprietary Name Suffix n/a
    Non-Proprietary Name exenatide
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form INJECTION
    Route SUBCUTANEOUS
    Active Ingredient Strength 250
    Active Ingredient Units ug/mL
    Substance Name EXENATIDE
    Labeler Name AstraZeneca Pharmaceuticals LP
    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 NDA021773
    Listing Certified Through 2024-12-31

    Package

    NDC 00310-6512-01 (00310651201)

    NDC Package Code 0310-6512-01
    Billing NDC 00310651201
    Package 1 CARTRIDGE in 1 CARTON (0310-6512-01) / 1.2 mL in 1 CARTRIDGE
    Marketing Start Date 2014-12-10
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 681.675
    Pricing Unit ML
    Effective Date 2024-01-01
    NDC Description BYETTA 5 MCG DOSE PEN INJ
    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