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Tirofiban Hydrochloride 50 ug/mL Injection, 250 mL — NDC 14789-102-02 (Billing 14789-0102-02)

by Nexus Pharmaceuticals LLC · 1 BAG in 1 CARTON / 250 mL in 1 BAG

This is a package of 250 mL of Tirofiban Hydrochloride 50 ug/mL Injection from Nexus Pharmaceuticals LLC, marketed since Sep 2023 and currently FDA-listed. It is the main listing for this product, which comes in 2 package sizes.

NDC 14789-0102-02
🏷️ FDA NDC (as labeled) 14789-102-02 billing pads the product segment with a zero
This package
Contains250 mL Pack sizes2 compare ↓
Main listing for product 14789-102 · Also comes in: 250 ml 14789-102-10
Rx only Generic On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

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Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 14789-102-02
Product NDC 14789-102
11-digit billing NDC 14789010202
NCPDP billing unit ML — per mL (volume)
RxCUI 1737466, 1737471
UNII 6H925F8O5J
Application # ANDA213947
SPL Set ID 7731e46a-2121-441b-b090-12dcefe240f0
Established class (EPC) Platelet Aggregation Inhibitor
Physiologic effect Decreased Platelet Aggregation
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2023-09-25
Route INTRAVENOUS
Dosage form INJECTION
Substance TIROFIBAN HYDROCHLORIDE
TE code (Orange Book) AP · RLD · RS

Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification

GPI-14 85153060112015
GCN Seq No 064719
GCN 16186
HICL code 018384
Ingredient (HICL) Tirofiban-0.9% Sodium Chloride
HIC1 code M
Therapeutic class — broad (HIC1) Blood
HIC2 code M9
Therapeutic class — intermediate (HIC2) Drugs Given To Alter Blood Coagulation
HIC3 code M9P
Therapeutic class — specific (HIC3) Platelet Aggregation Inhibitors
AHFS code 20:12.18.00
AHFS class Platelet-Aggregation Inhibitors
FDB label name TIROFIBAN 12.5 MG/250 ML BAG
FDB brand name Tirofiban Hcl
Legend status F — Federal legend — prescription drug or device
Quick answers
  • GSN (GCN sequence number): 064719
  • GCN: 16186
  • GPI-14 (Medi-Span): 85153060112015
  • HICL (First Databank): 018384
  • AHFS class code: 20:12.18.00
  • RxCUI (RxNorm): 1737466
Why two NDCs? The FDA registers this code as 14789-102-02 — a 5-3-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the product segment → 14789-0102-02. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

RxNorm drug class

This medicine belongs to the Platelet Aggregation Inhibitor class.

Pharmacologic class Platelet Aggregation Inhibitor
Drug family (ATC) Platelet aggregation inhibitors excl. heparin
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

Clinical

Label name TIROFIBAN 12.5 MG/250 ML BAG Ingredient Tirofiban-0.9% Sodium Chloride
📗 Our plain-language guide HelloPharmacist
  • It lowers the chance of death, heart attack, or repeat heart problems in people with non-ST elevation acute coronary syndrome. It does this by keeping platelets from clumping into...
  • Only through an IV in a hospital setting. You get a quick starting dose and then a steady infusion for up to 18 hours. If your kidneys work less well, your team uses a lower rate.
  • Bleeding, often at the site where the catheter went in. Some people also have swelling, dizziness, leg or pelvic pain, sweating, or a slow heartbeat. Tell your nurse about anything...
  • Bleeding that won't stop, blood in urine or vomit, unusual bruising, or signs of a serious allergy like trouble breathing or swelling. Your team also checks your platelet counts wi...
📖 Read our full Tirofiban guide →

Supplement & herbal interactions

🌿 Drug–supplement interaction checker →
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer eachPer package
Retail pharmacies payNADAC · weekly Not in the retail survey — common for institutional, discontinued, or low-volume packs.
Medicaid paysCMS SDUD · 12 mo No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data.
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
ℹ️
No price is published for this exact package yet. CMS surveys NADAC per package size, so a different pack of the same drug often has one.
Try another pack size: 250 ml
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

Packaging — all sizes for this product

Package NDCDescription Marketing startMarketing endStatus
14789-0102-02 You're viewing this Main listing 1 BAG in 1 CARTON / 250 mL in 1 BAG 2023-09-25 — Active
14789-0102-10 14789-102-10 2 BAG in 1 CARTON / 250 mL in 1 BAG 2024-02-10 — Active

Pack size FAQ

What quantity is in this package?
This package contains 250 mL — 1 bag in 1 carton / 250 ml in 1 bag.
What NDC number is used to bill for this package of Tirofiban Hydrochloride 50 ug/mL Injection?
Use the 11-digit billing form listed in the identifiers section of this page. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Tirofiban Hydrochloride 50 ug/mLthis 14789-0102-02 Nexus 250 ml — AP FDA listed —
Tirofiban Hydrochloride 50 ug/mL 25021-0417-84 Sagent 250 ml — AP FDA listed —
Aggrastat 5 mg/100mL 25208-0002-01 Medicure 100 ml — AP FDA listed —
Aggrastat 5 mg/100mL 25208-0902-01 Medicure 100 ml — AP FDA listed —
Tirofiban 12.5 mg/250mL 55150-0430-01 Eugia 1 pouch — AP FDA listed —
Tirofiban hydrochloride 12.5 mg/250mL 68083-0145-01 Gland 250 ml — AP FDA listed —
Tirofiban Hydrochloride 50 ug/mL 14789-0101-01 Nexus 100 ml — AP FDA listed —
About this product: this is a generic version of the medicine. FDA equivalence ratings are shown when available, and other versions are listed above, least expensive first.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2023
On the market since
Sep 2023
📍
2026
Currently FDA-listed
3 years listed
🔓
·
Generic on the market
this product is a generic
✅This is a generic drug

This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

Loading inactive ingredients from the official FDA label in the background. No external source is being called by this page request.
Where does this data come from?
Source: official FDA Structured Product Labeling (SPL) via DailyMed and the openFDA label index. Structured IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

Manufacturer & labeler

LabelerNexus Pharmaceuticals LLC
Application holderNEXUS PHARMACEUTICALS LLC
FDA applicationANDA213947 (ANDA)
Labeler code14789
First marketedSep 2023
Product typeHuman Prescription Drug
Portfolio14 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

Full prescribing information FDA SPL

The complete FDA label for this product — the official prescribing information, verbatim, section by section. Very long sections are excerpted here and marked; the full text is on DailyMed (linked in the sources below). Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage ⏱️ Dosage and Administration 💊 Dosage Forms and Strengths ⛔ Contraindications ⚠️ Warnings and Cautions 🤒 Adverse Reactions 🔄 Drug Interactions 👥 Use in Specific Populations 🤰 Pregnancy 🧒 Pediatric Use 🧓 Geriatric Use 🆘 Overdosage 🧬 Clinical Pharmacology 🧬 Mechanism of Action 📦 How Supplied / Storage and Handling 📋 Description 💬 Information for Patients 🧬 Pharmacokinetics 🧬 Pharmacodynamics 🔬 Clinical Studies 🧪 Nonclinical Toxicology 📄 Carcinogenesis, Mutagenesis, Impairment of Fertility 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 77 words ▾

1 INDICATIONS AND USAGE Tirofiban Hydrochloride Injection is indicated to reduce the rate of thrombotic cardiovascular events (combined endpoint of death, myocardial infarction, or refractory ischemia/repeat cardiac procedure) in patients with non-ST elevation acute coronary syndrome (NSTE-ACS). Tirofiban Hydrochloride Injection is a platelet aggregation inhibitor indicated to reduce the rate of thrombotic cardiovascular events (combined endpoint of death, myocardial infarction, or refractory ischemia/repeat cardiac procedure) in patients with non-ST elevation acute coronary syndrome (NSTE-ACS).

( 1 )

⏱️ Dosage and Administration ~2 min read ▾

2 DOSAGE AND ADMINISTRATION Administer intravenously 25 mcg/kg within 5 minutes and then 0.15 mcg/kg/min for up to 18 hours. In patients with creatinine clearance ≤ 60 mL/min, give 25 mcg/kg within 5 minutes and then 0.075 mcg/kg/min. ( 2 )

2.1Recommended Dosage The recommended dosage is 25 mcg/kg administered intravenously within 5 minutes and then 0.15 mcg/kg/min for up to 18 hours.

2.2Administration For intravenous use only. Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration whenever solution and container permit. To open the 100 mL or the 250 mL premixed bag, first tear off its foil overpouch and remove inner overwrap.

The plastic may be somewhat opaque because of moisture absorption during sterilization; the opacity will diminish gradually. Check for leaks by squeezing the inner bag firmly; if any leaks are found or sterility is suspect then the solution should be discarded. Do not use unless the solution is clear and the seal is intact.

Administration Instructions Withdraw the bolus dose of Tirofiban Hydrochloride Injection from the 100 mL or 250 mL premixed bag into a syringe. Do not dilute. Administer the bolus dose within 5 minutes via a syringe or IV pump.

Immediately following the bolus dose administration, administer the maintenance infusion from the 100 mL or 250 mL premixed bag via an IV pump. Discard any unused portion left in the bag. The recommended bolus volume using the 100 mL or 250 mL premixed bag can be calculated using the following equation: The recommended infusion rate for patients with CrCl (Creatinine Clearance) > 60 mL/min using the 100 mL or 250 mL premixed bag can be calculated using the following equation: Example calculation of infusion rate for 60 kg patient with CrCl > 60 mL/min using the 100 mL or 250 mL premixed bag: Bolus Volume Equation Infusion Rate Equation Example Calculation Drug Compatibilities Tirofiban Hydrochloride Injection can be administered in the same intravenous line as heparin, atropine sulfate, dobutamine, dopamine, epinephrine hydrochloride (HCl), famotidine injection, furosemide, lidocaine, midazolam HCl, morphine sulfate, nitroglycerin, potassium chloride, and propranolol HCl.

Do not administer Tirofiban Hydrochloride Injection through the same IV line as diazepam. Do not add other drugs or remove solution directly from the bag with a syringe.

2.3Dose Adjustment for Renal Impairment The recommended dosage in patients with CrCl ≤ 60 mL/min (calculated using the Cockcroft-Gault equation with actual body weight) is 25 mcg/kg intravenously within 5 minutes and then 0.075 mcg/kg/min, for up to 18 hours. The recommended infusion rate for patients with CrCl ≤ 60 mL/min using the 100 mL or 250 mL premixed bag can be calculated using the following equation: Recommended Infusion Rate

💊 Dosage Forms and Strengths 76 words ▾

3 DOSAGE FORMS AND STRENGTHS Tirofiban Hydrochloride Injection is a clear, non-preserved, colorless, isosmotic, sterile premixed injection with sodium chloride for tonicity adjustment available in the following presentations: Table 1 Tirofiban Hydrochloride Injection Strength and Packaging Strength Volume – Packaging 50 mcg/mL 250 mL – bag 50 mcg/mL 100 mL – bag Injection: 12.5 mg/250mL (50 mcg/mL) in 250 mL bag. ( 3 ) Injection: 5 mg/100mL (50 mcg/mL) in 100 mL bag. ( 3 )

⛔ Contraindications 119 words ▾

4 CONTRAINDICATIONS Tirofiban Hydrochloride Injection is contraindicated in patients with: Severe hypersensitivity reaction to Tirofiban Hydrochloride Injection (i.e., anaphylactic reactions) [see Adverse Reactions ( 6.2 )] . A history of thrombocytopenia following prior exposure to Tirofiban Hydrochloride Injection [see Adverse Reactions ( 6.1 )] . Active internal bleeding or a history of bleeding diathesis, major surgical procedure or severe physical trauma within the previous month [see Adverse Reactions ( 6.1 )] .

Known hypersensitivity to any component of Tirofiban Hydrochloride Injection. ( 4 ) History of thrombocytopenia with prior exposure to Tirofiban Hydrochloride Injection. ( 4 ) Active internal bleeding, or history of bleeding diathesis, major surgical procedure or severe physical trauma within the previous month.

( 4 )

⚠️ Warnings and Cautions 173 words ▾

5 WARNINGS AND PRECAUTIONS Tirofiban Hydrochloride Injection can cause serious bleeding. If bleeding cannot be controlled discontinue Tirofiban Hydrochloride Injection. ( 5.1 ) Thrombocytopenia: Discontinue Tirofiban Hydrochloride Injection and heparin. ( 5.2 )

5.1General Risk of Bleeding Bleeding is the most common complication encountered during therapy with Tirofiban Hydrochloride Injection. Most bleeding associated with Tirofiban Hydrochloride Injection occurs at the arterial access site for cardiac catheterization. Minimize the use of traumatic or potentially traumatic procedures such as arterial and venous punctures, intramuscular injections, nasotracheal intubation, etc.

Concomitant use of fibrinolytics, anticoagulants and antiplatelet drugs increases the risk of bleeding.

5.2Thrombocytopenia Profound thrombocytopenia has been reported with Tirofiban Hydrochloride Injection. Monitor platelet counts beginning about 6 hours after treatment initiation and daily thereafter. If the platelet count decreases to < 90,000/mm 3 , monitor platelet counts to exclude pseudothrombocytopenia.

If thrombocytopenia is confirmed, discontinue Tirofiban Hydrochloride Injection and heparin. Previous exposure to a glycoprotein (GP) IIb/IIIa receptor antagonist may increase the risk of developing thrombocytopenia [see Adverse Reactions ( 6.1 )] .

🤒 Adverse Reactions ~3 min read ▾

6 ADVERSE REACTIONS Bleeding is the most commonly reported adverse reaction. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Lambda Therapeutics Limited at 1-855-642-2594 or the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch

6.1Clinical Trial Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice. In the PRISM (Platelet Receptor Inhibition for Ischemic Syndrome Management), PRISM-PLUS (Platelet Receptor Inhibition for Ischemic Syndrome Management — Patients Limited by Unstable Signs and Symptoms) and RESTORE (Randomized Efficacy Study of Tirofiban for Outcomes and Restenosis) trials, 1946 patients received Tirofiban Hydrochloride Injection in combination with heparin and 2002 patients received Tirofiban Hydrochloride Injection alone for about 3 days.

Forty-three percent of the population was > 65 years of age and approximately 30% of patients were female. In clinical studies with the recommended regimen (25 mcg/kg bolus followed by a 0.15 mcg/kg/min maintenance infusion), Tirofiban Hydrochloride Injection was administered in combination with aspirin, clopidogrel and heparin or bivalirudin to over 8000 patients for typically ≤ 24 hours. Approximately 30% of the population was > 65 years of age and approximately 25% were female.

Bleeding PRISM-PLUS Regimen The incidences of major and minor bleeding using the TIMI criteria in the PRISM-PLUS study are shown below. Table 2 TIMI Major and Minor Bleeding in PRISM-PLUS * 0.4 mcg/kg/min initial infusion; 0.10 mcg/kg/min maintenance infusion. ‡ Major = Hemoglobin drop of > 5.0 g/dL with or without an identified site, intracranial hemorrhage, or cardiac tamponade. § Minor = Hemoglobin drop of > 3.0 g/dL with bleeding from a known site, spontaneous gross hematuria, hematemesis or hemoptysis. The incidence rates of TIMI major bleeding in patients undergoing percutaneous procedures in PRISM-PLUS are shown below.

PRISM-PLUS (NSTE-ACS) Bleeding (TIMI Criteria)‡ § Tirofiban Hydrochloride * + Heparin (N=773) Heparin alone (N=797) Major Bleeding 1.4% 0.8% Minor Bleeding 10.5% 8.0% Transfusions 4.0% 2.8% Table 3 TIMI Major Bleeding Associated with Percutaneous Procedures in PRISM-PLUS Tirofiban Hydrochloride + Heparin Heparin alone N % N % Prior to Procedures 773 0.3 797

0.1Following Angiography 697 1.3 708

0.7Following PTCA 239 2.5 236

2.2The incidence rates of TIMI major bleeding in patients undergoing coronary artery bypass graft surgery (CABG) in PRISM-PLUS within one day of discontinuation of Tirofiban Hydrochloride Injection were 17% on Tirofiban Hydrochloride Injection plus heparin (N=29) and 35% on heparin alone (N=31). Recommended (“High-Dose Bolus”) Regimen Rates of major bleeds (including any intracranial, intraocular or retroperitoneal hemorrhage, clinically overt signs of hemorrhage associated with a drop in hemoglobin of > 3 g/dL or any drop in hemoglobin by 4 g/dL, bleeding requiring transfusion of ≥ 2 U blood products, bleeding directly resulting in death within 7 days or hemodynamic compromise requiring intervention) were consistent with the rates observed in subjects administered the PRISM-PLUS regimen of Tirofiban Hydrochloride Injection.

There was a trend toward greater bleeding in ST segment elevation myocardial infarction (STEMI) patients treated with fibrinolytics prior to administration of Tirofiban Hydrochloride Injection using the recommended regimen during rescue PCI. Non-Bleeding The incidences of non-bleeding adverse events that occurred at an incidence of > 1% and numerically higher than control, regardless of drug relationship, are shown below: Table 4 Non-bleeding Adverse Reactions in PRISM-PLUS Tirofiban Hydrochloride + H eparin (N=1953) % Heparin alone (N=1887) % Body as a Whole Edema/swelling 2 1 Pain, pelvic 6 5 Reaction, vasov… [Excerpted — this section continues on DailyMed.]

🔄 Drug Interactions 31 words ▾

7 DRUG INTERACTIONS Concomitant use of fibrinolytics, anticoagulants and antiplatelet drugs increases the risk of bleeding. Coadministration of fibrinolytics, anticoagulants and antiplatelet agents, increases the risk of bleeding. ( 7 )

👥 Use in Specific Populations ~3 min read ▾

8 USE IN SPECIFIC POPULATIONS Renal Insufficiency: Reduce the dose in patients with severe renal insufficiency. ( 8.6 )

8.1Pregnancy Risk Summary While published data cannot definitively establish the absence of risk, available published case reports have not established an association with tirofiban use during pregnancy and major birth defects, miscarriage, or adverse maternal or fetal outcomes. Untreated myocardial infarction can be fatal to the pregnant woman and fetus (see Clinical Considerations ). Studies with tirofiban HCl at intravenous doses up to 5 mg/kg/day (about 5 and 13 times the maximum recommended daily human dose for rat and rabbit, respectively, when compared on a body surface area basis) have revealed no harm to the fetus.

The estimated background risk of major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2–4% and 15–20%, respectively.

Clinical Considerations Disease-associated maternal and/or embryo/fetal risk Myocardial infarction is a medical emergency in pregnancy which can be fatal to the pregnant woman and fetus if left untreated. Data Animal Data There was no evidence of maternal or developmental toxicity in any of the studies in Table 5 . Table 5 Developmental Toxicity Studies *5 mg/kg/day is ~5 and 13 times the maximum recommended daily human dose for rat and rabbit, respectively, when compared on a body surface area basis.

Type of Study Species Dose/Exposure* Duration/Timing Exposure (1) Range-finding Rat (N=30) 1, 2, 5 mg/kg/day IV (N=10 per group) Once daily from GD 6 through LD 20 (2) Developmental Toxicity Rat (N=66) 1, 2, 5 mg/kg/day IV (N=22 per group) Once daily from GD 6 through GD 20 (3) Developmental Toxicity with Postweaning Evaluation Rat (N=66) 1, 2, 5 mg/kg/day IV (N=22 per group) Once daily from GD 6 through LD 20 (4) Range-finding (non-pregnant) Rabbit (N=21) 1, 2, 5 mg/kg/day IV (N=7 per group) Once daily for 14 days (5) Range-finding (pregnant) Rabbit (N=30) 1, 2, 5 mg/kg/day IV (N=10 per group) Once daily from GD 7 through GD 20 (6) Developmental Toxicity Rabbit (N=60) 1, 2, 5 mg/kg/day (N=20 per group) IV Once daily from GD 7 through GD 20

8.2Lactation Risk Summary There is no data on the presence of tirofiban in human milk, the effects of the drug on the breastfed infant, or the effects of the drug on human milk production. However, tirofiban is present in rat milk. The developmental and health benefits of breastfeeding should be considered along with the mother's clinical need for Tirofiban Hydrochloride Injection and any potential adverse effects on the breastfed child from Tirofiban Hydrochloride Injection or from the underlying maternal condition.

8.4Pediatric Use Safety and effectiveness in pediatric patients have not been established.

8.5Geriatric Use Of the total number of patients in controlled clinical studies of Tirofiban Hydrochloride Injection, 43% were 65 years and over, while 12% were 75 years and over. With respect to efficacy, the effect of Tirofiban Hydrochloride Injection in the elderly (≥ 65 years) appeared similar to that seen in younger patients (< 65 years). Elderly patients receiving Tirofiban Hydrochloride Injection with heparin or heparin alone had a higher incidence of bleeding complications than did younger patients, but the incremental risk of bleeding in patients treated with Tirofiban Hydrochloride Injection in combination with heparin compared to the risk in patients treated with heparin alone was similar regardless of age.

No dose adjustment is recommended for the elderly population [see Dosage and Administration ( 2 )] .

8.6Renal Insufficiency Patients with moderate to severe renal insufficiency have decreased plasma clearance of Tirofiban Hydrochloride. Reduce the dosage of Tirofiban Hydr… [Excerpted — this section continues on DailyMed.]

🤰 Pregnancy ~2 min read ▾

8.1Pregnancy Risk Summary While published data cannot definitively establish the absence of risk, available published case reports have not established an association with tirofiban use during pregnancy and major birth defects, miscarriage, or adverse maternal or fetal outcomes. Untreated myocardial infarction can be fatal to the pregnant woman and fetus (see Clinical Considerations ). Studies with tirofiban HCl at intravenous doses up to 5 mg/kg/day (about 5 and 13 times the maximum recommended daily human dose for rat and rabbit, respectively, when compared on a body surface area basis) have revealed no harm to the fetus.

The estimated background risk of major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2–4% and 15–20%, respectively.

Clinical Considerations Disease-associated maternal and/or embryo/fetal risk Myocardial infarction is a medical emergency in pregnancy which can be fatal to the pregnant woman and fetus if left untreated. Data Animal Data There was no evidence of maternal or developmental toxicity in any of the studies in Table 5 . Table 5 Developmental Toxicity Studies *5 mg/kg/day is ~5 and 13 times the maximum recommended daily human dose for rat and rabbit, respectively, when compared on a body surface area basis.

Type of Study Species Dose/Exposure* Duration/Timing Exposure (1) Range-finding Rat (N=30) 1, 2, 5 mg/kg/day IV (N=10 per group) Once daily from GD 6 through LD 20 (2) Developmental Toxicity Rat (N=66) 1, 2, 5 mg/kg/day IV (N=22 per group) Once daily from GD 6 through GD 20 (3) Developmental Toxicity with Postweaning Evaluation Rat (N=66) 1, 2, 5 mg/kg/day IV (N=22 per group) Once daily from GD 6 through LD 20 (4) Range-finding (non-pregnant) Rabbit (N=21) 1, 2, 5 mg/kg/day IV (N=7 per group) Once daily for 14 days (5) Range-finding (pregnant) Rabbit (N=30) 1, 2, 5 mg/kg/day IV (N=10 per group) Once daily from GD 7 through GD 20 (6) Developmental Toxicity Rabbit (N=60) 1, 2, 5 mg/kg/day (N=20 per group) IV Once daily from GD 7 through GD 20

🧒 Pediatric Use 13 words ▾

8.4Pediatric Use Safety and effectiveness in pediatric patients have not been established.

🧓 Geriatric Use 128 words ▾

8.5Geriatric Use Of the total number of patients in controlled clinical studies of Tirofiban Hydrochloride Injection, 43% were 65 years and over, while 12% were 75 years and over. With respect to efficacy, the effect of Tirofiban Hydrochloride Injection in the elderly (≥ 65 years) appeared similar to that seen in younger patients (< 65 years). Elderly patients receiving Tirofiban Hydrochloride Injection with heparin or heparin alone had a higher incidence of bleeding complications than did younger patients, but the incremental risk of bleeding in patients treated with Tirofiban Hydrochloride Injection in combination with heparin compared to the risk in patients treated with heparin alone was similar regardless of age.

No dose adjustment is recommended for the elderly population [see Dosage and Administration ( 2 )] .

🆘 Overdosage 102 words ▾

10 OVERDOSAGE In clinical trials, inadvertent overdosage with Tirofiban Hydrochloride Injection occurred in doses up to 2 times the recommended dose for initial infusion doses. Inadvertent overdosage occurred in doses up to 9.8 times the 0.15 mcg/kg/min maintenance infusion rate. The most frequently reported manifestation of overdosage was bleeding, primarily minor mucocutaneous bleeding events and minor bleeding at the sites of cardiac catheterization [see Warnings and Precautions ( 5.1 )].

Overdosage of Tirofiban Hydrochloride Injection should be treated by assessment of the patient's clinical condition and cessation or adjustment of the drug infusion as appropriate. Tirofiban Hydrochloride can be removed by hemodialysis.

🧬 Clinical Pharmacology ~2 min read ▾

12 CLINICAL PHARMACOLOGY

12.1Mechanism of Action Tirofiban Hydrochloride is a reversible antagonist of fibrinogen binding to the GP IIb/IIIa receptor, the major platelet surface receptor involved in platelet aggregation. When administered intravenously, Tirofiban Hydrochloride inhibits ex vivo platelet aggregation in a dose- and concentration-dependent manner. When given according to the PRISM-PLUS regimen of 0.4 mcg/kg/min over 30 minutes followed by a 0.1 mcg/kg/min maintenance infusion, > 90% inhibition of platelet aggregation is attained by the end of the 30-minute infusion.

When given according to the recommended regimen of 25 mcg/kg followed by a 0.15 mcg/kg/min maintenance infusion, > 90% inhibition of platelet aggregation is attained within 10 minutes. Platelet aggregation inhibition is reversible following cessation of the infusion of Tirofiban Hydrochloride.

12.2Pharmacodynamics Tirofiban Hydrochloride inhibits platelet function, as demonstrated by its ability to inhibit ex vivo adenosine phosphate (ADP)-induced platelet aggregation and prolong bleeding time in healthy subjects and patients with coronary artery disease. The time course of inhibition parallels the plasma concentration profile of the drug. Following discontinuation of an infusion of Tirofiban Hydrochloride 0.10 mcg/kg/min, ex vivo platelet aggregation returns to near baseline in 4 to 8 hours in approximately 90% of patients with coronary artery disease.

The addition of heparin to this regimen does not significantly alter the percentage of subjects with > 70% inhibition of platelet aggregation (IPA), but does increase the average bleeding time, as well as the number of patients with bleeding times prolonged to > 30 minutes. Similar platelet aggregation recovery rates are observed following discontinuation of a 0.15 mcg/kg/min infusion.

12.3Pharmacokinetics Tirofiban hydrochloride has a half-life of approximately 2 hours. It is cleared from the plasma largely by renal excretion, with about 65% of an administered dose appearing in urine and about 25% in feces, both largely as unchanged tirofiban. Metabolism appears to be limited.

Tirofiban hydrochloride is not highly bound to plasma proteins and protein binding is concentration independent over the range of 0.01 to 25 mcg/mL. The unbound fraction in human plasma is 35%. The steady state volume of distribution of tirofiban ranges from 22 to 42 liters.

In healthy subjects, the plasma clearance of tirofiban hydrochloride ranges from 213 to 314 mL/min. Renal clearance accounts for 39 to 69% of plasma clearance. Specific Populations There is no effect on clearance of tirofiban by sex, race, age, or hepatic impairment.

Renal Insufficiency Plasma clearance of tirofiban hydrochloride is decreased about 40% in subjects with creatinine clearance < 60 mL/min and > 50% in patients with creatinine clearance <30 mL/min, including patients requiring hemodialysis [see Dosage and Administration ( 2.3 )]. Tirofiban is removed by hemodialysis.

🧬 Mechanism of Action 119 words ▾

12.1Mechanism of Action Tirofiban Hydrochloride is a reversible antagonist of fibrinogen binding to the GP IIb/IIIa receptor, the major platelet surface receptor involved in platelet aggregation. When administered intravenously, Tirofiban Hydrochloride inhibits ex vivo platelet aggregation in a dose- and concentration-dependent manner. When given according to the PRISM-PLUS regimen of 0.4 mcg/kg/min over 30 minutes followed by a 0.1 mcg/kg/min maintenance infusion, > 90% inhibition of platelet aggregation is attained by the end of the 30-minute infusion.

When given according to the recommended regimen of 25 mcg/kg followed by a 0.15 mcg/kg/min maintenance infusion, > 90% inhibition of platelet aggregation is attained within 10 minutes. Platelet aggregation inhibition is reversible following cessation of the infusion of Tirofiban Hydrochloride.

📦 How Supplied / Storage and Handling 102 words ▾

16 HOW SUPPLIED/STORAGE AND HANDLING Tirofiban Hydrochloride Injection is supplied as a clear, non-preserved, colorless, isosmotic, sterile premixed solution with sodium chloride for tonicity adjustment. Table 8 Tirofiban Hydrochloride Injection Product Details Strength Total Amount Packaging NDC # 50 mcg/mL 12.5 mg/250 mL bag, single pack 14789-102-05 50 mcg/mL 12.5 mg/250 mL bag, two pack 14789-102-10 50 mcg/mL 5 mg/100 mL bag, single pack 14789-101-01 FOR INTRAVENOUS USE ONLY Store Tirofiban Hydrochloride Injection at controlled room temperature, 25 °C (77 °F) with excursions permitted between 15–30 °C (59–86 °F) [see USP Controlled Room Temperature].

Do not freeze. Protect from light during storage.

📋 Description 198 words ▾

11 DESCRIPTION Tirofiban Hydrochloride Injection contains tirofiban hydrochloride, a non-peptide antagonist of the platelet GP IIb/IIIa receptor, which inhibits platelet aggregation. Tirofiban hydrochloride monohydrate is chemically described as N- (butylsulfonyl)- O -[4-(4-piperidinyl)butyl]-L-tyrosine monohydrochloride monohydrate. Its molecular formula is C 22 H 36 N 2 O 5 S•HCl•H 2 O and its structural formula is: Tirofiban hydrochloride monohydrate is a white to off-white, non-hygroscopic, free-flowing powder, with a molecular weight of 495.08.

It is very slightly soluble in water. Tirofiban Hydrochloride Injection Premixed is supplied as a sterile solution in water for injection, for intravenous use. The pH of the solution ranges from 5.5 to 6.5 adjusted with hydrochloric acid and/or sodium hydroxide.

Each 100 mL of the premixed, isosmotic intravenous injection contains 5.618 mg tirofiban hydrochloride monohydrate equivalent to 5 mg tirofiban (50 mcg/mL) and the following inactive ingredients: 0.9 g sodium chloride, 54 mg sodium citrate dihydrate, and 3.5 mg citric acid monohydrate. Each 250 mL of the premixed, isosmotic intravenous injection contains 14.045 mg tirofiban hydrochloride monohydrate equivalent to 12.5 mg tirofiban (50 mcg/mL) and the following inactive ingredients: 2.25 g sodium chloride, 135 mg sodium citrate dihydrate, and 8.75 mg citric acid monohydrate.

Structural Formula

💬 Information for Patients 72 words ▾

17 PATIENT COUNSELING INFORMATION Advise patients to watch closely for any signs of bleeding or bruising and to report these to their health care provider when they occur. Advise patients to discuss with their health care provider their use of any other medications, including over-the-counter or herbal products prior to Tirofiban Hydrochloride Injection use. Tirofiban Hydrochloride Injection is manufactured in the UK for Nexus Pharmaceuticals, LLC Lincolnshire, IL 60069 TFBPI02GBR02 NEXUS PHARMACEUTICALS

🧬 Pharmacokinetics 178 words ▾

12.3Pharmacokinetics Tirofiban hydrochloride has a half-life of approximately 2 hours. It is cleared from the plasma largely by renal excretion, with about 65% of an administered dose appearing in urine and about 25% in feces, both largely as unchanged tirofiban. Metabolism appears to be limited.

Tirofiban hydrochloride is not highly bound to plasma proteins and protein binding is concentration independent over the range of 0.01 to 25 mcg/mL. The unbound fraction in human plasma is 35%. The steady state volume of distribution of tirofiban ranges from 22 to 42 liters.

In healthy subjects, the plasma clearance of tirofiban hydrochloride ranges from 213 to 314 mL/min. Renal clearance accounts for 39 to 69% of plasma clearance. Specific Populations There is no effect on clearance of tirofiban by sex, race, age, or hepatic impairment.

Renal Insufficiency Plasma clearance of tirofiban hydrochloride is decreased about 40% in subjects with creatinine clearance < 60 mL/min and > 50% in patients with creatinine clearance <30 mL/min, including patients requiring hemodialysis [see Dosage and Administration ( 2.3 )]. Tirofiban is removed by hemodialysis.

🧬 Pharmacodynamics 138 words ▾

12.2Pharmacodynamics Tirofiban Hydrochloride inhibits platelet function, as demonstrated by its ability to inhibit ex vivo adenosine phosphate (ADP)-induced platelet aggregation and prolong bleeding time in healthy subjects and patients with coronary artery disease. The time course of inhibition parallels the plasma concentration profile of the drug. Following discontinuation of an infusion of Tirofiban Hydrochloride 0.10 mcg/kg/min, ex vivo platelet aggregation returns to near baseline in 4 to 8 hours in approximately 90% of patients with coronary artery disease.

The addition of heparin to this regimen does not significantly alter the percentage of subjects with > 70% inhibition of platelet aggregation (IPA), but does increase the average bleeding time, as well as the number of patients with bleeding times prolonged to > 30 minutes. Similar platelet aggregation recovery rates are observed following discontinuation of a 0.15 mcg/kg/min infusion.

🔬 Clinical Studies ~3 min read ▾

14 CLINICAL STUDIES Two large-scale clinical studies established the efficacy of Tirofiban Hydrochloride in the treatment of patients with NSTE-ACS (unstable angina/non-ST elevation MI). The two studies examined Tirofiban Hydrochloride alone and added to heparin, prior to and after percutaneous coronary revascularization (if indicated) (PRISM-PLUS) and in comparison to heparin in a similar population (PRISM). These trials are discussed in detail below.

PRISM-PLUS (Platelet Receptor Inhibition for Ischemic Syndrome Management — Patients Limited by Unstable Signs and Symptoms) In the double-blind PRISM-PLUS trial, 1570 patients with documented NSTE-ACS within 12 hours of entry into the study were randomized to Tirofiban Hydrochloride (30 minute initial infusion of 0.4 mcg/kg/min followed by a maintenance infusion of 0.10 mcg/kg/min) in combination with heparin (bolus of 5,000 U followed by an infusion of 1,000 U/h titrated to maintain an activated partial thromboplastin time (APTT) of approximately 2 times control) or to heparin alone.

All patients received concomitant aspirin unless contraindicated. Patients who were medically managed or who underwent revascularization procedures were studied. Patients underwent 48 hours of medical stabilization on study drug therapy, and they were to undergo angiography before 96 hours (and, if indicated, angioplasty/atherectomy, while continuing on Tirofiban Hydrochloride and heparin for 12–24 hours after the procedure).

Tirofiban Hydrochloride Injection and heparin could be continued for up to 108 hours. Exclusions included contraindications to anticoagulation , decompensated heart failure, platelet count < 150,000/mm 3 , and serum creatinine > 2.5 mg/dL. The mean age of the population was 63 years; 32% of patients were female and approximately half of the population presented with non-ST elevation myocardial infarction.

On average, patients received Tirofiban Hydrochloride for 71 hours. A third group of patients was initially randomized to Tirofiban Hydrochloride alone (no heparin). This arm was stopped when the group was found, at an interim look, to have greater mortality than the other two groups.

The primary endpoint of the study was a composite of refractory ischemia, new MI and death within 7 days. There was a 32% risk reduction in the overall composite primary endpoint. The components of the composite were examined separately and the results are shown in Table 6 .

Note that the sum of the individual components may be greater than the composite (if a patient experiences multiple component events only one event counts towards the composite). Table 6 Primary Outcomes at 7 days in PRISM-PLUS Endpoint Tirofiban Hydrochloride + Heparin (N=773) Heparin (N=797) Risk Reduction p-value Death, new MI, and refractory ischemia at 7 days 12.9% 17.9% 32% 0.004 Death 1.9% 1.9% --- --- MI 3.9% 7.0% 47% 0.006 Refractory Ischemia 9.3% 12.7% 30% 0.023 The benefit seen at 7 days was maintained over time.

The risk reduction in the composite endpoint at 30 days and 6 months is shown in the Kaplan-Meier curve below. An analysis of the results by sex suggests that women who are medically managed or who undergo subsequent percutaneous transluminal coronary angioplasty (PTCA)/atherectomy may receive less benefit from Tirofiban Hydrochloride Injection (95% confidence limits for relative risk of 0.61–1.74) than do men (0.43–0.89) (p=0.11). This difference may be a true treatment difference, the effect of other differences in these subgroups, or a chance occurrence.

Approximately 90% of patients in the PRISM-PLUS study underwent coronary angiography and 30% underwent angioplasty/atherectomy during the first 30 days of the study. The majority of these patients continued on study drug throughout these procedures. Tirofiban Hydrochloride was continued for 12–24 hours (average 15 hours) after angioplasty/atherectomy.

The effects of Tirofiban Hydrochloride Injection at Day 30 did not appear to differ among sub-populat… [Excerpted — this section continues on DailyMed.]

🧪 Nonclinical Toxicology 140 words ▾

13 NONCLINICAL TOXICOLOGY

13.1Carcinogenesis, Mutagenesis, Impairment of Fertility The carcinogenic potential of Tirofiban Hydrochloride Injection has not been evaluated. Tirofiban HCl was negative in the in vitro microbial mutagenesis and V-79 mammalian cell mutagenesis assays. In addition, there was no evidence of direct genotoxicity in the in vitro alkaline elution and in vitro chromosomal aberration assays.

There was no induction of chromosomal aberrations in bone marrow cells of male mice after the administration of intravenous doses up to 5 mg tirofiban/kg (about 3 times the maximum recommended daily human dose when compared on a body surface area basis). Fertility and reproductive performance were not affected in studies with male and female rats given intravenous doses of tirofiban hydrochloride up to 5 mg/kg/day (about 5 times the maximum recommended daily human dose when compared on a body surface area basis).

📄 Carcinogenesis, Mutagenesis, Impairment of Fertility 137 words ▾

13.1Carcinogenesis, Mutagenesis, Impairment of Fertility The carcinogenic potential of Tirofiban Hydrochloride Injection has not been evaluated. Tirofiban HCl was negative in the in vitro microbial mutagenesis and V-79 mammalian cell mutagenesis assays. In addition, there was no evidence of direct genotoxicity in the in vitro alkaline elution and in vitro chromosomal aberration assays.

There was no induction of chromosomal aberrations in bone marrow cells of male mice after the administration of intravenous doses up to 5 mg tirofiban/kg (about 3 times the maximum recommended daily human dose when compared on a body surface area basis). Fertility and reproductive performance were not affected in studies with male and female rats given intravenous doses of tirofiban hydrochloride up to 5 mg/kg/day (about 5 times the maximum recommended daily human dose when compared on a body surface area basis).

📄 Package Label / Principal Display Panel ~3 min read ▾

Principal Display Panel – 100 mL Carton Label NDC 14789-101-02 PROTECT FROM LIGHT DURING STORAGE RECOMMENDED FOR USE WITH CALIBRATED INFUSION DEVICE PREMIXED INJECTION Tirofiban Hydrochloride Injection 5 mg per 100 mL (50 mcg per mL) 100 mL Single-dose Container Rx Only Iso-osmotic Sterile Nonpyrogenic Each 100mL contains: Tirofiban hydrochloride equivalent to 5 mg tirofiban, 0.9 g sodium chloride, 54 mg sodium citrate dihydrate, 3.5 mg citric acid monohydrate, Water for Injection. pH may have been adjusted with hydrochloric acid and/or sodium hydroxide.

Usual Dosage: Intravenously as directed by a physican. See package insert. Cautions: Do not add supplementary medication.

Check for minute leaks by squeezing bag firmly. If leaks are found discard bag as sterility may be impaired. Do not use in series connections.

Do not use unless solution is clear. Recommended Storage: Store at 25°C (77°F) with excursions permitted between 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Do not freeze.

Protect from light during storage. TFB0.05-100CTNR001 Manufactured in the UK for: Nexus Pharmaceuticals, Inc. 400 Knightsbridge Parkway Lincolnshire, IL 60069 NEXUS PHARMACEUTICALS Principal Display Panel – 100 mL Carton Label

Principal Display Panel – 100 mL Bag Label RECOMMENDED FOR USE WITH CALIBRATED INFUSION DEVICE 100 mL Single-dose Container Rx ONLY NDC 14789-101-01 Tirofiban Hydrochloride Injection 5 mg/100 mL (50 mcg/mL) Pre-mixed Iso-osmotic Sterile; Non-pyrogenic Each 100 mL contains: Tirofiban hydrochloride equivalent to 5 mg tirofiban, 0.9 g sodium chloride, 54 mg sodium citrate dihydrate, 3.5 mg citric acid monohydrate, Water for Injection. pH may be adjusted with hydrochloric acid and/or sodium hydroxide. Usual Dosage: Intravenously as directed by a physician.

See package insert. Cautions: Do not add supplementary medication. Check for minute leaks by squeezing bag firmly.

If leaks are found discard bag as sterility may be impaired. Do not use in series connections. Do not use unless solution is clear.

Recommended storage: Store at 25°C (77°F) with excursions permitted between 15°C to 30°C (59°F to 86°F). [See USP Controlled Room Temperature]. Do not freeze. Protect from light during storage.

Manufactured in the UK for: Nexus Pharmaceutical, Inc. Lincolnshire, IL 60069 USA TFB0.05-100LBL-BR001 NE083v1 Lot: Exp: Principal Display Panel – 100 mL Bag Label

Principal Display Panel – 250 mL Carton Label NDC 14789-102-05 PROTECT FROM LIGHT DURING STORAGE RECOMMENDED FOR USE WITH CALIBRATED INFUSION DEVICE PREMIXED INJECTION Tirofiban Hydrochloride Injection 12.5 mg per 250 mL (50 mcg per mL) 250 mL Single-dose Container Rx Only Iso-osmotic Sterile Nonpyrogenic Each 250mL contains: Tirofiban hydrochloride equivalent to 12.5 mg Tirofiban, 2.25 g sodium chloride, 135 mg sodium citrate dihydrate, 8.75 mg citric acid monohydrate , Water for Injection. pH may have been adjusted with hydrochloric acid and/or sodium hydroxide.

Usual Dosage: Intravenously as directed by a physican. See package insert. Cautions: Do not add supplementary medication.

Check for minute leaks by squeezing bag firmly. If leaks are found discard bag as sterility may be impaired. Do not use in series connections.

Do not use unless solution is clear. Recommended Storage: Store at 25°C (77°F) with excursions permitted between 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Do not freeze.

Protect from light during storage. Manufactured in the UK for: Nexus Pharmaceuticals, Inc. 400 Knightsbridge Parkway Lincolnshire, IL 60069 TFBCT01GBR02 NEXUS PHARMACEUTICALS Principal Display Panel – 250 mL Carton Label

Principal Display Panel – 250 mL Bag Label RECOMMENDED FOR USE WITH CALIBRATED INFUSION DEVICE 250 mL Single-dose Container Rx ONLY NDC 14789-102-02 Tirofiban Hydrochloride Injection 12.5 mg/250 mL (50 mcg/mL) Pre-mixed Iso-osmotic Sterile; Non-pyrogenic Each 250 mL contains: Tirofiban hydrochloride equivalent to 12.5 mg Tirofiban,… [Excerpted — this section continues on DailyMed.]

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

Reported adverse events (FAERS)

Read carefully: FAERS reports are voluntary and unverified. Counts are not incidence, do not establish causation, are subject to reporting bias, and cannot be used to compare one drug to another. Shown for signal context only. Reports for Tirofiban Hydrochloride — the ingredient across all brands.

Top reported reactions

Thrombocytopenia17
Cerebral Haemorrhage15
Nausea8
Platelet Count Decreased8
Brain Herniation6
Gingival Bleeding6
Haematemesis6

Age at onset

Adult19
Elderly21

Reporter sex

132 reports
Male · 70%
Female · 28%
Unknown · 2%

Serious outcomes

Hospitalization54
Life-threatening28
Reports over time (by year) — tap or hover for the count & year
2019 2021 2023 2026 16 5
Most recent year is provisional (FAERS lags ~3 months).
Where does this data come from?
Adverse-event reports from the FDA Adverse Event Reporting System (FAERS) via openFDA. FAERS reports are voluntary and unverified — counts are not incidence and don’t establish causation.

About this NDC listing & data coverage

Finished prescription product
What data is (and isn’t) available for this NDC — tap to expand
NDC identity (package / product / labeler codes) ✓ Available
Labeler ✓ Available
Product & package description ✓ Available
Marketing category & status ✓ Available
Active ingredient / dosage form / route ✓ Available
FDA label (SPL via DailyMed) ✓ Available
Package photos — Not published for this NDC No photo available yet for this listing.
Inactive ingredients (structured) — Not published for this NDC The labeler did not submit a structured excipient list, or no SPL is available.
NADAC pharmacy acquisition price (CMS) — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey.
Orange Book / therapeutic-equivalence data ✓ Available
HCPCS J-code billing crosswalk — Not published for this NDC Most self-administered / retail products have no J-code — that is normal.
Medicaid utilization (CMS SDUD) — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold.
“Not published” reflects what the public FDA / CMS / NLM sources provide for this exact package code — it is a property of the data feeds, not a judgment about the product.

Questions about this listing

Why is there no price listed?
The pricing shown on our NDC pages comes from CMS NADAC, a voluntary survey of retail community pharmacy invoices. CMS does not publish a NADAC for every NDC — packages outside the retail survey (institutional and hospital products, bulk packages, discontinued items, and many OTC items) may never receive one. A missing price reflects the survey's scope, not this product's actual cost, and does not mean the product is free or unavailable.
Is the NDC printed on the package the same as the 11-digit billing NDC?
Yes, they identify this exact package in different formats. The form printed on the packaging and shown on DailyMed is the one the FDA registered. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero and the dashes are dropped. The Identity section at the top of this page lists each form of this code.
Is this package still being marketed?
Yes, per the latest FDA NDC Directory data on this page: this package is listed as actively marketed, with no marketing end date reported by Nexus Pharmaceuticals LLC. Listing status can change — the directory data on this page refreshes weekly.
Does this product come in other package sizes?
Yes — the FDA directory lists 1 other package presentation of this same product, including 250 ml (14789-0102-10). Each has its own NDC and its own page — see the package list near the top of this page.
Who lists this product with the FDA?
Nexus Pharmaceuticals LLC is the labeler of record for this NDC — the company under whose FDA-assigned code the package is listed. The labeler may be the manufacturer itself or a distributor marketing the product under its own code.
Do I need a prescription for this product?
This NDC is listed with FDA as a prescription product, so it is dispensed under a prescriber's order. Your pharmacist can tell you whether any over-the-counter forms of the same medication exist.
This page identifies an FDA-listed package (the NDC) and reports public regulatory and pricing data about the listing. It is reference information, not a medical recommendation — talk to your pharmacist or prescriber about your own medication.
Where does this data come from?
Listing facts (marketing category, packager status, marketing dates) from the FDA openFDA NDC Directory; label availability from DailyMed; pricing coverage from CMS NADAC; equivalence scope from the FDA Orange Book.
← 14789-0101-01 · Nexus 14789-0107-05 · Nexus →
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.