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    NDC 44087-0022-03 REBIF 22 ug/.5mL Details

    REBIF 22 ug/.5mL

    REBIF is a SUBCUTANEOUS INJECTION, SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by EMD Serono, Inc.. The primary component is INTERFERON BETA-1A.

    Product Information

    NDC 44087-0022
    Product ID 44087-0022_348c7db6-5713-4329-83ca-14925b9b1d69
    Associated GPIs 6240306045E520
    GCN Sequence Number 050035
    GCN Sequence Number Description interferon beta-1a/albumin SYRINGE 22MCG/.5ML SUBCUT
    HIC3 H0E
    HIC3 Description AGENTS TO TREAT MULTIPLE SCLEROSIS
    GCN 15914
    HICL Sequence Number 023353
    HICL Sequence Number Description INTERFERON BETA-1A/ALBUMIN HUMAN
    Brand/Generic Brand
    Proprietary Name REBIF
    Proprietary Name Suffix n/a
    Non-Proprietary Name INTERFERON BETA-1A
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form INJECTION, SOLUTION
    Route SUBCUTANEOUS
    Active Ingredient Strength 22
    Active Ingredient Units ug/.5mL
    Substance Name INTERFERON BETA-1A
    Labeler Name EMD Serono, Inc.
    Pharmaceutical Class Interferon beta [EPC], Interferon-beta [CS]
    DEA Schedule n/a
    Marketing Category BLA
    Application Number BLA103780
    Listing Certified Through 2024-12-31

    Package

    NDC 44087-0022-03 (44087002203)

    NDC Package Code 44087-0022-3
    Billing NDC 44087002203
    Package 12 SYRINGE, GLASS in 1 CARTON (44087-0022-3) / .5 mL in 1 SYRINGE, GLASS (44087-0022-9)
    Marketing Start Date 2002-03-07
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 1400.93
    Pricing Unit ML
    Effective Date 2021-01-15
    NDC Description REBIF 22 MCG/0.5 ML SYRINGE
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 5
    Classification for Rate Setting B
    As of Date 2022-01-12
    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