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    NDC 65757-0403-03 ARISTADA 882 mg/3.2mL Details

    ARISTADA 882 mg/3.2mL

    ARISTADA is a INTRAMUSCULAR INJECTION, SUSPENSION, EXTENDED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Alkermes, Inc.. The primary component is ARIPIPRAZOLE LAUROXIL.

    Product Information

    NDC 65757-0403
    Product ID 65757-403_d7e63a3f-06f0-41fd-a4db-8c0646fda89a
    Associated GPIs 5925001520E440
    GCN Sequence Number 074889
    GCN Sequence Number Description aripiprazole lauroxil SUSER SYR 882 MG/3.2 INTRAMUSC
    HIC3 H7X
    HIC3 Description ANTIPSYCHOTICS, ATYP, D2 PARTIAL AGONIST/5HT MIXED
    GCN 39728
    HICL Sequence Number 042595
    HICL Sequence Number Description ARIPIPRAZOLE LAUROXIL
    Brand/Generic Brand
    Proprietary Name ARISTADA
    Proprietary Name Suffix n/a
    Non-Proprietary Name aripiprazole lauroxil
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form INJECTION, SUSPENSION, EXTENDED RELEASE
    Route INTRAMUSCULAR
    Active Ingredient Strength 882
    Active Ingredient Units mg/3.2mL
    Substance Name ARIPIPRAZOLE LAUROXIL
    Labeler Name Alkermes, Inc.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA207533
    Listing Certified Through 2024-12-31

    Package

    NDC 65757-0403-03 (65757040303)

    NDC Package Code 65757-403-03
    Billing NDC 65757040303
    Package 1 SYRINGE in 1 CARTON (65757-403-03) / 3.2 mL in 1 SYRINGE
    Marketing Start Date 2015-10-05
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 924.068
    Pricing Unit ML
    Effective Date 2024-01-05
    NDC Description ARISTADA ER 882 MG/3.2 ML SYRN
    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