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    NDC 53436-0084-04 VELTASSA 8.4 g/1 Details

    VELTASSA 8.4 g/1

    VELTASSA is a ORAL POWDER, FOR SUSPENSION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Vifor Pharma, Inc.. The primary component is PATIROMER.

    Product Information

    NDC 53436-0084
    Product ID 53436-084_2be9a0fe-27cd-453c-98c3-162c98f66784
    Associated GPIs 99450060203020
    GCN Sequence Number 075097
    GCN Sequence Number Description patiromer calcium sorbitex POWD PACK 8.4 GRAM ORAL
    HIC3 C1A
    HIC3 Description ELECTROLYTE DEPLETERS
    GCN 40065
    HICL Sequence Number 042767
    HICL Sequence Number Description PATIROMER CALCIUM SORBITEX
    Brand/Generic Brand
    Proprietary Name VELTASSA
    Proprietary Name Suffix n/a
    Non-Proprietary Name patiromer
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form POWDER, FOR SUSPENSION
    Route ORAL
    Active Ingredient Strength 8.4
    Active Ingredient Units g/1
    Substance Name PATIROMER
    Labeler Name Vifor Pharma, Inc.
    Pharmaceutical Class Potassium Binder [EPC], Potassium Ion Binding Activity [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA205739
    Listing Certified Through 2024-12-31

    Package

    NDC 53436-0084-04 (53436008404)

    NDC Package Code 53436-084-04
    Billing NDC 53436008404
    Package 4 PACKET in 1 CARTON (53436-084-04) / 1 POWDER, FOR SUSPENSION in 1 PACKET (53436-084-01)
    Marketing Start Date 2015-10-23
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 43.8499
    Pricing Unit EA
    Effective Date 2024-01-01
    NDC Description VELTASSA 8.4 GM POWDER PACKET
    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