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Effective January 1, 2019, VIEKIRA XR and TECHNIVIE will no longer be available in the U.S.A. Until January 1, 2019, supply of these medications will be available for all patients who begin therapy prior to July 1, 2018, to ensure that they are able to obtain product necessary to complete their course of prescribed therapy. Accordingly, AbbVie advises that physicians should cease writing any new prescriptions for VIEKIRA XR and TECHNIVIE effective July 1, 2018.

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ImageNDC NumberProduct DescriptionList PriceWAC PriceOthers
00051848888 ANDROGEL 1% PUMP, 2 PUMP TWINPACK $674.09 $640.39

00051842530 ANDROGEL 1%, 2.5 G UNIT DOSE, 30'S $655.86 $623.07

00051845030 ANDROGEL 1%, 5.0 G UNIT DOSE, 30'S $674.09 $640.39

00051846231 ANDROGEL 1.62% 1.25GM UNIT DOSE $655.84 $623.05

00051846230 ANDROGEL 1.62% 2.5GM UNIT DOSE $674.07 $640.37

00051846233 ANDROGEL 1.62% PUMP $653.75 $621.06

00032121201 CREON 12000USP DELAYED-RELEASE 100CAP $327.37 $311.00

00032121207 CREON 12000USP DELAYED-RELEASE 250CAP $818.42 $777.50

00032122401 CREON 24000USP DELAYED-RELEASE 100CAP $648.91 $616.46

00032122407 CREON 24000USP DELAYED-RELEASE 250CAP $1,596.15 $1,516.34

00032120370 CREON 3000USP DELAYED-RELEASE 70CAP $96.83 $91.99

00032301613 CREON 36000USP DELAYED-RELEASE 100CAP $985.29 $936.03

00032301628 CREON 36000USP DELAYED-RELEASE 250CAP $2,462.94 $2,339.79

00032120601 CREON 6000USP DELAYED-RELEASE 100CAP $163.78 $155.59

00032120607 CREON 6000USP DELAYED-RELEASE 250CAP $409.49 $389.02

00074156410 DEPACON 500MG (100MG/1ML) 10X5ML SDV $317.17 $317.17

00074621213 DEPAKOTE 125MG 100TAB $186.95 $177.60

00074621413 DEPAKOTE 250MG 100TAB $367.22 $348.86

00074621453 DEPAKOTE 250MG 500TAB $1,836.11 $1,744.30

00074621513 DEPAKOTE 500MG 100TAB $677.17 $643.31

00074621553 DEPAKOTE 500MG 500TAB $3,385.84 $3,216.55

00074382613 DEPAKOTE ER 250MG 100TAB $333.94 $317.24

00074382611 DEPAKOTE ER 250MG 10X10TAB $335.44 $335.44

00074712613 DEPAKOTE ER 500MG 100TAB $587.40 $558.03

00074712611 DEPAKOTE ER 500MG 10X10TAB $588.90 $588.90

00074712653 DEPAKOTE ER 500MG 500TAB $2,937.02 $2,790.17

00074611413 DEPAKOTE SPRINKLE CAPSULE, 125MG, 100 $178.23 $169.32

00074301207 DUOPA FILLED CASSETTE, 4.63/20 MG/ML $1,412.88 $1,412.88

00074726950 GENGRAF OS 100MG/ML, 50ML $416.13 $395.32

00074310932 GENGRAF, CAPSULES, 100MG, 30'S $220.94 $209.89

00074310832 GENGRAF, CAPSULES, 25MG, 30'S $55.31 $52.54

00074081702 HUMIRA 10MG/0.1ML PFS 2-PACK $5,446.41 $5,174.09

00074006702 HUMIRA 1X80MG,0.8ML, 1X40MG,0.4ML PFS2PK $8,169.64 $7,761.16

00074061602 HUMIRA 20MG/0.2ML PFS 2-PACK $5,446.41 $5,174.09

00074937402 HUMIRA 20MG/0.4ML (2 SYRINGES) $5,446.41 $5,174.09

00074433902 HUMIRA 40MG/0.8 ML (2 PENS) $5,446.41 $5,174.09

00074379902 HUMIRA 40MG/0.8ML (2 SYRINGES) $5,446.41 $5,174.09

00074254003 HUMIRA 80MG, 0.8ML PFS 3-PACK $16,339.28 $15,522.32

00074012403 HUMIRA CROHN'S 80MG/0.8ML, 3 PENS $16,339.28 $15,522.32

00074379906 HUMIRA PED CROHNS STARTER PACK, 40 MG $16,339.28 $15,522.32

00074379903 HUMIRA PED CROHNS STARTER PACK, 40 MG $8,169.64 $7,761.16

00074055402 HUMIRA PEN, 40MG/0.4ML, 2 PENS $5,446.41 $5,174.09

00074024302 HUMIRA PFS, 40MG/0.4ML, 2 SYRINGES $5,446.41 $5,174.09

00074153903 HUMIRA PSORIASIS; 1X80MG, 2X40MG (3PENS) $10,892.84 $10,348.20

00074433906 HUMIRA, CROHN'S, 40MG/0.8 ML (6 PENS) $16,339.28 $15,522.32

00074433907 HUMIRA, PSORIASIS, 40MG/0.8ML (4 PENS) $10,892.84 $10,348.20

00074634702 HUMIRA, SINGLE DOSE SYRINGE, 10 MG/0.2ML $5,446.41 $5,174.09

00074780413 K-TAB 10MEQ, 750MG, 100 FILMTAB TABLETS $88.25 $83.84

00074327813 K-TAB 10MEQ, 750MG, 100 FILMTAB TABLETS $88.25 $83.84

00074780419 K-TAB 10MEQ, 750MG, 1000 FILMTAB TABLETS $838.39 $796.47

00074302313 K-TAB 20MEQ, 1500MG, 100 FILMTAB TABLETS $87.23 $82.87

00074302353 K-TAB 20MEQ, 1500MG, 500 FILMTAB TABLETS $436.17 $414.36

00074327819 K-TAB, 10MEQ, 750, 1000 FILMTAB TABLETS $838.39 $796.47

00074305846 K-TAB, FILMTABS, 8MEQ, 600MG, 1000CT $575.02 $546.27

00074305841 K-TAB, FILMTABS, 8MEQ, 600MG, 100CT $57.50 $54.63

00074052260 KALETRA (100MG/25MG) 60 FILMCOATED TAB $269.50 $256.03

00074679922 KALETRA (200MG/50MG) 120 FILMCOATED TAB $1,078.04 $1,024.14

00074395646 KALETRA OS 80MG/20MG/ML 160ML $539.02 $512.07

00074105305 LUPANETA 11.25 MG (3 MONTH) KIT $3,901.15 $3,901.15

00074105205 LUPANETA, 3.75 MG (1 MONTH) KIT $1,300.37 $1,300.37

00074347303 LUPRON 45MG 6MTH $9,297.70 $9,297.70

00074244003 LUPRON DEPOT PED, 15 MG PDS KIT $3,128.04 $3,128.04

00074377903 LUPRON DEPOT PED, 3MONTH, 11.25MG $8,520.20 $8,520.20

00074969403 LUPRON DEPOT PED, 3MONTH, 30MG $9,384.13 $9,384.13

00074210803 LUPRON DEPOT PED, 7.5 MG PDS KIT $1,564.35 $1,564.35

00074366303 LUPRON DEPOT, 3 MONTH 11.25 MG PDS KIT $3,901.15 $3,901.15

00074334603 LUPRON DEPOT, 3 MONTH 22.5 MG PDS KIT $4,648.78 $4,648.78

00074364103 LUPRON DEPOT, 3.75 MG PDS KIT $1,300.37 $1,300.37

00074368303 LUPRON DEPOT, 4 MONTH 30 MG PDS KIT $6,198.38 $6,198.38

00074364203 LUPRON DEPOT, 7.5 MG PDS KIT $1,549.60 $1,549.60

00074228203 LUPRON DEPOT-PED 11.25 MG PDS KIT $2,840.06 $2,840.06

00051002321 MARINOL 10 MG CAPSULES, 60'S $2,635.60 $2,503.82

00051002121 MARINOL 2.5 MG CAPSULES, 60'S $689.60 $655.12

00051002221 MARINOL 5 MG CAPSULES, 60'S $1,435.23 $1,363.47

00074262580 MAVYRET 100MG/40MG 84 TAB BOTTLE $13,200.00 $13,200.00

00074262528 MAVYRET 100MG/40MG, 84 TABS $13,200.00 $13,200.00

00074308090 NIASPAN, TABLETS, 1000 MG, 90'S $865.96 $822.66

00074327590 NIASPAN, TABLETS, 1000MG 90'S $865.96 $822.66

00074307490 NIASPAN, TABLETS, 500 MG, 90'S $489.62 $465.14

00074326590 NIASPAN, TABLETS, 500MG, 90'S $489.62 $465.14

00074327490 NIASPAN, TABLETS, 750MG 90'S $698.39 $663.47

00074438291 NIMBEX INJ PREMIER 10MG/ML 20ML 1X10 SDV $3,126.28 $2,969.97

00074438079 NIMBEX INJ PREMIER 2MG/ML 10ML 1X10 MDV $289.52 $275.04

00074437824 NIMBEX INJ PREMIER 2MG/ML 5ML 1X10 SDV $165.03 $156.78

00074438220 NIMBEX INJECTION 10MG/ML 20ML 1X10 SDV $3,126.28 $2,969.97

00074437805 NIMBEX INJECTION 2MG/ML 5ML 1X10 SDV $165.03 $156.78

00074438010 NIMBEX INJECTION 2MG/ML 10ML 1X10 MDV $289.52 $275.04

00074333330 NORVIR 100MG, 30 FILMCOATED TAB $270.71 $257.17

00074663330 NORVIR 100MG, 30 SOFT GELATIN CAP $270.71 $257.17

00074194063 NORVIR 80MG/ML OS, 240ML $1,516.00 $1,440.20

00074339930 NORVIR ORAL POWDER 100MG 30 PACKETS $270.71 $257.17

00074003828 ORILISSA 150MG TABS, 4X7 PACK $887.11 $844.87

00074003956 ORILISSA 200MG TABS, 4X14 PACK $887.11 $844.87

00074230630 RINVOQ 15MG 30 DAY BOTTLE $4,916.67 $4,916.67

00074204202 SKYRIZI 75MG/0.83ML PFS X2 US/PR $14,750.00 $14,750.00

00074104004 SURVANTA INTRATRACHEAL SUS 25MG/ML 4ML $383.00 $383.00

00074104008 SURVANTA INTRATRACHEAL SUS 25MG/ML 8ML $677.88 $677.88

00074662411 SYNTHROID, TABLETS, 100 MCG, 10 X 10'S $123.76 $123.76

00074662419 SYNTHROID, TABLETS, 100 MCG, 1000'S $1,303.03 $1,237.88

00074662490 SYNTHROID, TABLETS, 100 MCG, 90'S $117.26 $111.40

00074929619 SYNTHROID, TABLETS, 112 MCG, 1000'S $1,302.80 $1,237.66

00074929690 SYNTHROID, TABLETS, 112 MCG, 90'S $117.27 $111.41

00074706811 SYNTHROID, TABLETS, 125 MCG, 10 X 10'S $123.76 $123.76

00074706819 SYNTHROID, TABLETS, 125 MCG, 1000'S $1,303.55 $1,238.37

00074706890 SYNTHROID, TABLETS, 125 MCG, 90'S $117.34 $111.47

00074372719 SYNTHROID, TABLETS, 137 MCG, 1000'S $1,303.48 $1,238.31

00074372790 SYNTHROID, TABLETS, 137 MCG, 90'S $117.32 $111.45

00074706911 SYNTHROID, TABLETS, 150 MCG, 10 X 10'S $123.76 $123.76

00074706919 SYNTHROID, TABLETS, 150 MCG, 1000'S $1,303.60 $1,238.42

00074706990 SYNTHROID, TABLETS, 150 MCG, 90'S $117.34 $111.47

00074707019 SYNTHROID, TABLETS, 175 MCG, 1000'S $1,301.83 $1,236.74

00074707090 SYNTHROID, TABLETS, 175 MCG, 90'S $117.17 $111.31

00074714811 SYNTHROID, TABLETS, 200 MCG, 10 X 10'S $123.75 $123.75

00074714819 SYNTHROID, TABLETS, 200 MCG, 1000'S $1,303.38 $1,238.21

00074714890 SYNTHROID, TABLETS, 200 MCG, 90'S $117.32 $111.45

00074434119 SYNTHROID, TABLETS, 25 MCG, 1000'S $1,303.55 $1,238.37

00074434190 SYNTHROID, TABLETS, 25 MCG, 90'S $117.32 $111.45

00074714919 SYNTHROID, TABLETS, 300 MCG, 1000'S $1,302.66 $1,237.53

00074714990 SYNTHROID, TABLETS, 300 MCG, 90'S $117.24 $111.38

00074455211 SYNTHROID, TABLETS, 50 MCG, 10 X 10 $123.75 $123.75

00074455219 SYNTHROID, TABLETS, 50 MCG, 1000'S $1,303.00 $1,237.85

00074455290 SYNTHROID, TABLETS, 50 MCG, 90'S $117.27 $111.41

00074518211 SYNTHROID, TABLETS, 75 MCG, 10 X 10 $123.75 $123.75

00074518219 SYNTHROID, TABLETS, 75 MCG, 1000'S $1,303.57 $1,238.39

00074518290 SYNTHROID, TABLETS, 75 MCG, 90'S $117.31 $111.44

00074659419 SYNTHROID, TABLETS, 88 MCG, 1000'S $1,303.36 $1,238.19

00074659490 SYNTHROID, TABLETS, 88 MCG, 90'S $117.31 $111.44

00074328713 TARKA ER 2MG/180MG, 100TAB $629.89 $598.40

00074328913 TARKA ER 2MG/240MG, 100TAB $629.89 $598.40

00074329013 TARKA ER 4MG/240MG, 100TAB $629.89 $598.40

00074318990 TRICOR, TABLETS, 145MG, 90CT BTL $97.96 $93.06

00074317390 TRICOR, TABLETS, 48MG, 90CT BTL $53.64 $50.96

00074316290 TRILIPIX DR CAP, 135MG 90'S $854.79 $812.05

00074316190 TRILIPIX, DR CAP, 45MG 90'S $284.92 $270.67

00074445651 ULTANE LIQ 250ML (VIZIENT NOVAPLUS), 6'S $197.89 $188.00

00074445604 ULTANE LIQUID, 250ML, 6'S $197.89 $188.00

00074057622 VENCLEXTA 100MG 1X120 TAB US $11,708.07 $11,708.07

00074057634 VENCLEXTA 100MG BOTTLE 180 TABLETS $17,562.10 $17,562.10

00074057611 VENCLEXTA 100MG UNIT DOSE, 1 TABLET $97.56 $97.56

00074056111 VENCLEXTA 10MG UNIT DOSE, 2 TABLETS $19.51 $19.51

00074056114 VENCLEXTA 10MG WALLET, 2 TABLETS X 7 $136.59 $136.59

00074056611 VENCLEXTA 50MG UNIT DOSE, 1 TABLET $48.78 $48.78

00074056607 VENCLEXTA 50MG WALLET, 1 TABLET X 7 $341.49 $341.49

00074057928 VENCLEXTA START PACK, 4X7 DAY WALLET $2,526.99 $2,526.99

00074304353 VICODIN ES 7.5MG/300MG, 500TAB $949.26 $901.80

00074305413 VICODIN HP 10MG/300MG, 100TAB $244.94 $232.69

00074309328 VIEKIRA PAK 12.5/75/50/250MG TABS, 28DAY $27,773.00 $27,773.00

00074165805 ZEMPLAR INJECTION 10MCG/2ML MDV $3,030.00 $3,030.00

00074463701 ZEMPLAR INJECTION 2 MCG/ML, 1ML FLIP TOP $606.00 $606.00

00074165801 ZEMPLAR INJECTION 5 MCG/ML, 1ML FLIP TOP $1,515.00 $1,515.00

00074903630 ZEMPLAR, 1MCG 30 CAPSULES $410.86 $390.32

00074903730 ZEMPLAR, 2MCG 30 CAPSULES $821.71 $780.62

00074431430 ZEMPLAR, CAPSULES, 2 MCG. 30S $821.71 $780.62

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