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    NDC 59627-0222-05 AVONEX Details

    AVONEX

    AVONEX is a INTRAMUSCULAR KIT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Biogen Inc.. The primary component is .

    Product Information

    NDC 59627-0222
    Product ID 59627-222_3ff19956-a793-4256-bff4-7f7443d7238a
    Associated GPIs 6240306045F830
    GCN Sequence Number 052882
    GCN Sequence Number Description interferon beta-1a SYRINGEKIT 30MCG/.5ML INTRAMUSC
    HIC3 H0E
    HIC3 Description AGENTS TO TREAT MULTIPLE SCLEROSIS
    GCN 20147
    HICL Sequence Number 011253
    HICL Sequence Number Description INTERFERON BETA-1A
    Brand/Generic Brand
    Proprietary Name AVONEX
    Proprietary Name Suffix n/a
    Non-Proprietary Name interferon beta-1a
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form KIT
    Route INTRAMUSCULAR
    Active Ingredient Strength n/a
    Active Ingredient Units n/a
    Substance Name n/a
    Labeler Name Biogen Inc.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category BLA
    Application Number BLA103628
    Listing Certified Through 2024-12-31

    Package

    NDC 59627-0222-05 (59627022205)

    NDC Package Code 59627-222-05
    Billing NDC 59627022205
    Package 1 KIT in 1 CARTON (59627-222-05) * 1 SYRINGE in 1 TRAY / .5 mL in 1 SYRINGE * 4 POUCH in 1 POUCH / .4 mL in 1 POUCH
    Marketing Start Date 2014-08-29
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 8059.23
    Pricing Unit EA
    Effective Date 2024-01-01
    NDC Description AVONEX PREFILLED SYR 30 MCG KIT
    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