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NDC 54436-0250-04 XYOSTED 50 mg/.5mL Details
XYOSTED 50 mg/.5mL
XYOSTED is a SUBCUTANEOUS INJECTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Antares Pharma, Inc.. The primary component is TESTOSTERONE ENANTHATE.
Product Information
| NDC | 54436-0250 |
|---|---|
| Product ID | 54436-250_cb6917b9-70b7-45be-9f4e-b1c55938bf9b |
| Associated GPIs | 2310003020D520 |
| GCN Sequence Number | 079083 |
| GCN Sequence Number Description | testosterone enanthate AUTO INJCT 50MG/0.5ML SUBCUT |
| HIC3 | F1A |
| HIC3 Description | ANDROGENIC AGENTS |
| GCN | 45515 |
| HICL Sequence Number | 001401 |
| HICL Sequence Number Description | TESTOSTERONE ENANTHATE |
| Brand/Generic | Brand |
| Proprietary Name | XYOSTED |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | testosterone enanthate |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | INJECTION |
| Route | SUBCUTANEOUS |
| Active Ingredient Strength | 50 |
| Active Ingredient Units | mg/.5mL |
| Substance Name | TESTOSTERONE ENANTHATE |
| Labeler Name | Antares Pharma, Inc. |
| Pharmaceutical Class | Androgen Receptor Agonists [MoA], Androgen [EPC], Androstanes [CS] |
| DEA Schedule | CIII |
| Marketing Category | NDA |
| Application Number | NDA209863 |
| Listing Certified Through | 2025-12-31 |
Package
NDC 54436-0250-04 (54436025004)
| NDC Package Code | 54436-250-04 |
|---|---|
| Billing NDC | 54436025004 |
| Package | 4 SYRINGE in 1 CARTON (54436-250-04) / .5 mL in 1 SYRINGE (54436-250-02) |
| Marketing Start Date | 2018-11-15 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 298.907 |
| Pricing Unit | ML |
| Effective Date | 2024-01-04 |
| NDC Description | XYOSTED 50 MG/0.5 ML AUTO-INJ |
| 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