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    NDC 00378-6961-12 Glatiramer Acetate 40 mg/mL Details

    Glatiramer Acetate 40 mg/mL

    Glatiramer Acetate is a SUBCUTANEOUS INJECTION, SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Mylan Pharmaceuticals Inc.. The primary component is GLATIRAMER ACETATE.

    Product Information

    NDC 00378-6961
    Product ID 0378-6961_8ec038d7-e115-4532-b2f1-0c6fe8608ab9
    Associated GPIs 6240003010E540
    GCN Sequence Number 071942
    GCN Sequence Number Description glatiramer acetate SYRINGE 40 MG/ML SUBCUT
    HIC3 H0E
    HIC3 Description AGENTS TO TREAT MULTIPLE SCLEROSIS
    GCN 35983
    HICL Sequence Number 012810
    HICL Sequence Number Description GLATIRAMER ACETATE
    Brand/Generic Generic
    Proprietary Name Glatiramer Acetate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Glatiramer
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form INJECTION, SOLUTION
    Route SUBCUTANEOUS
    Active Ingredient Strength 40
    Active Ingredient Units mg/mL
    Substance Name GLATIRAMER ACETATE
    Labeler Name Mylan Pharmaceuticals Inc.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA206936
    Listing Certified Through 2024-12-31

    Package

    NDC 00378-6961-12 (00378696112)

    NDC Package Code 0378-6961-12
    Billing NDC 00378696112
    Package 12 BLISTER PACK in 1 CARTON (0378-6961-12) / 1 SYRINGE in 1 BLISTER PACK (0378-6961-32) / 1 mL in 1 SYRINGE
    Marketing Start Date 2017-10-04
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 130.152
    Pricing Unit ML
    Effective Date 2023-12-20
    NDC Description GLATIRAMER 40 MG/ML SYRINGE
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 5
    Classification for Rate Setting G
    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