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    NDC 12496-0120-01 PERSERIS Details

    PERSERIS

    PERSERIS is a SUBCUTANEOUS KIT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Indivior Inc.. The primary component is .

    Product Information

    NDC 12496-0120
    Product ID 12496-0120_47e1df06-f128-4504-bea9-df41a58840b0
    Associated GPIs 5907007000E430
    GCN Sequence Number 078741
    GCN Sequence Number Description risperidone SUSER SYR 120 MG SUBCUT
    HIC3 H7T
    HIC3 Description ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST
    GCN 45128
    HICL Sequence Number 008721
    HICL Sequence Number Description RISPERIDONE
    Brand/Generic Brand
    Proprietary Name PERSERIS
    Proprietary Name Suffix n/a
    Non-Proprietary Name Risperidone
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form KIT
    Route SUBCUTANEOUS
    Active Ingredient Strength n/a
    Active Ingredient Units n/a
    Substance Name n/a
    Labeler Name Indivior Inc.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA210655
    Listing Certified Through 2024-12-31

    Package

    NDC 12496-0120-01 (12496012001)

    NDC Package Code 12496-0120-1
    Billing NDC 12496012001
    Package 1 KIT in 1 CARTON (12496-0120-1) * 1 SYRINGE in 1 POUCH (12496-0120-2) / 1.2 mL in 1 SYRINGE (12496-0120-5) * 1 SYRINGE in 1 POUCH (12496-0776-2) / 1 mL in 1 SYRINGE (12496-0776-5)
    Marketing Start Date 2018-11-09
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 2771.29
    Pricing Unit EA
    Effective Date 2024-01-01
    NDC Description PERSERIS ER 120 MG SYRINGE KIT
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    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