Red Book(TM) for Windows®
Release: APRIL, 2006
Product Information
Product
Manuf/Dist
Identifier
Form
Strength
Size
UD
AWP
WAC
GLEEVEC
Novartis Pharm
00078-0438-15
TAB
400 MG
30s ea
3170.28
2641.90
GLEEVEC
Novartis Pharm
00078-0401-05
TAB
100 MG
100s ea
2641.90
2201.58
GLEEVEC
Phys Total Care
54868-5427-00
TAB
400 MG
30s ea
3166.61
GLEEVEC
Phys Total Care
54868-5289-02
TAB
100 MG
90s ea
2375.73
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
Detailed Product Information
PRODUCT:
GLEEVEC
MANUFACTURER:
Novartis Pharm
FORM:
TABLET
STRENGTH:
400 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
ADD'L DESC:
(FILM-COATED)
GENERIC NAME:
IMATINIB MESYLATE
NDC:
00078-0438-15
SIZE:
30s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
3170.28
105.6760
1/3/2006
DIR
HCFA
PRODUCT:
GLEEVEC
MANUFACTURER:
Novartis Pharm
FORM:
TABLET
STRENGTH:
100 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
ADD'L DESC:
(FILM COATED)
GENERIC NAME:
IMATINIB MESYLATE
NDC:
00078-0401-05
SIZE:
100s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
2641.90
26.4190
1/3/2006
DIR
HCFA
PRODUCT:
GLEEVEC
MANUFACTURER:
Phys Total Care
FORM:
TABLET
STRENGTH:
400 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
ADD'L DESC:
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
GENERIC NAME:IMATINIB MESYLATE
NDC:
54868-5427-00
SIZE:
30s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
Y
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
3166.61
105.5537
11/9/2005
DIR
HCFA
PRODUCT:
GLEEVEC
MANUFACTURER:
Phys Total Care
FORM:
TABLET
STRENGTH:
100 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
ADD'L DESC:
GENERIC NAME:
IMATINIB MESYLATE
NDC:
54868-5289-02
SIZE:
90s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
Y
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
2375.73
26.3970
11/21/2005
DIR
HCFA
Copyright © 2006, Thomson PDR.
Page 2
