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    NDC 58406-0010-04 ENBREL 25 mg/.5mL Details

    ENBREL 25 mg/.5mL

    ENBREL is a SUBCUTANEOUS SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Immunex Corporation. The primary component is ETANERCEPT.

    Product Information

    NDC 58406-0010
    Product ID 58406-010_29187b7c-d166-45e4-bc8c-4cbf71a67702
    Associated GPIs 6629003000E525
    GCN Sequence Number 062624
    GCN Sequence Number Description etanercept SYRINGE 25MG/0.5ML SUBCUT
    HIC3 S2J
    HIC3 Description ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR
    GCN 98398
    HICL Sequence Number 018830
    HICL Sequence Number Description ETANERCEPT
    Brand/Generic Brand
    Proprietary Name ENBREL
    Proprietary Name Suffix n/a
    Non-Proprietary Name etanercept
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SOLUTION
    Route SUBCUTANEOUS
    Active Ingredient Strength 25
    Active Ingredient Units mg/.5mL
    Substance Name ETANERCEPT
    Labeler Name Immunex Corporation
    Pharmaceutical Class Tumor Necrosis Factor Blocker [EPC], Tumor Necrosis Factor Receptor Blocking Activity [MoA]
    DEA Schedule n/a
    Marketing Category BLA
    Application Number BLA103795
    Listing Certified Through 2024-12-31

    Package

    NDC 58406-0010-04 (58406001004)

    NDC Package Code 58406-010-04
    Billing NDC 58406001004
    Package 4 SYRINGE in 1 CARTON (58406-010-04) / .5 mL in 1 SYRINGE (58406-010-01)
    Marketing Start Date 2019-06-07
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 1597.43
    Pricing Unit ML
    Effective Date 2022-07-01
    NDC Description ENBREL 25 MG/0.5 ML SYRINGE
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 5
    Classification for Rate Setting B
    As of Date 2022-11-23
    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