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    NDC 55513-0710-01 Prolia 60 mg/mL Details

    Prolia 60 mg/mL

    Prolia is a SUBCUTANEOUS INJECTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Amgen Inc. The primary component is DENOSUMAB.

    Product Information

    NDC 55513-0710
    Product ID 55513-710_1cebc74b-6c5c-4fa7-9f16-59f4695e29ee
    Associated GPIs 3004453000E520
    GCN Sequence Number 066396
    GCN Sequence Number Description denosumab SYRINGE 60 MG/ML SUBCUT
    HIC3 P4L
    HIC3 Description BONE RESORPTION INHIBITORS
    GCN 28656
    HICL Sequence Number 037012
    HICL Sequence Number Description DENOSUMAB
    Brand/Generic Brand
    Proprietary Name Prolia
    Proprietary Name Suffix n/a
    Non-Proprietary Name denosumab
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form INJECTION
    Route SUBCUTANEOUS
    Active Ingredient Strength 60
    Active Ingredient Units mg/mL
    Substance Name DENOSUMAB
    Labeler Name Amgen Inc
    Pharmaceutical Class RANK Ligand Blocking Activity [MoA], RANK Ligand Inhibitor [EPC]
    DEA Schedule n/a
    Marketing Category BLA
    Application Number BLA125320
    Listing Certified Through 2024-12-31

    Package

    NDC 55513-0710-01 (55513071001)

    NDC Package Code 55513-710-01
    Billing NDC 55513071001
    Package 1 SYRINGE in 1 CARTON (55513-710-01) / 1 mL in 1 SYRINGE
    Marketing Start Date 2010-06-05
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 1679.33
    Pricing Unit ML
    Effective Date 2024-01-05
    NDC Description PROLIA 60 MG/ML SYRINGE
    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