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NDC 78206-0150-01 Pregnyl Details
Pregnyl
Pregnyl is a KIT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Organon LLC. The primary component is .
Product Information
| NDC | 78206-0150 |
|---|---|
| Product ID | 78206-150_6bb1d695-fd2a-491e-bb06-c9356eb60a12 |
| Associated GPIs | |
| GCN Sequence Number | 003173 |
| GCN Sequence Number Description | chorionic gonadotropin, human VIAL 10000 UNIT INTRAMUSC |
| HIC3 | P0D |
| HIC3 Description | HUMAN CHORIONIC GONADOTROPIN (HCG) |
| GCN | 10490 |
| HICL Sequence Number | 001408 |
| HICL Sequence Number Description | CHORIONIC GONADOTROPIN, HUMAN |
| Brand/Generic | Brand |
| Proprietary Name | Pregnyl |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | CHORIOGONADOTROPIN ALFA |
| 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 | Organon LLC |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | BLA |
| Application Number | BLA017692 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 78206-0150-01 (78206015001)
| NDC Package Code | 78206-150-01 |
|---|---|
| Billing NDC | 78206015001 |
| Package | 1 KIT in 1 CARTON (78206-150-01) * 10 mL in 1 VIAL, MULTI-DOSE (78206-150-99) * 10 mL in 1 VIAL (78206-151-89) |
| Marketing Start Date | 2023-06-02 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 163.328 |
| Pricing Unit | EA |
| Effective Date | 2023-12-20 |
| NDC Description | PREGNYL 10,000 UNIT VIAL |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 2, 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