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    NDC 58406-0425-34 ENBREL Details

    ENBREL

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

    Product Information

    NDC 58406-0425
    Product ID 58406-425_29187b7c-d166-45e4-bc8c-4cbf71a67702
    Associated GPIs 66290030002120
    GCN Sequence Number 040869
    GCN Sequence Number Description etanercept VIAL 25 MG SUBCUT
    HIC3 S2J
    HIC3 Description ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR
    GCN 52651
    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 KIT
    Route n/a
    Active Ingredient Strength n/a
    Active Ingredient Units n/a
    Substance Name n/a
    Labeler Name Immunex Corporation
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category BLA
    Application Number BLA103795
    Listing Certified Through 2024-12-31

    Package

    NDC 58406-0425-34 (58406042534)

    NDC Package Code 58406-425-34
    Billing NDC 58406042534
    Package 4 KIT in 1 CARTON (58406-425-34) / 1 KIT in 1 KIT (58406-425-41) * 1 mL in 1 VIAL (58406-424-01) * 1 mL in 1 SYRINGE (58406-910-01)
    Marketing Start Date 2003-01-02
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 726.847
    Pricing Unit EA
    Effective Date 2021-01-22
    NDC Description ENBREL 25 MG KIT
    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