Red Book(TM) for Windows®
Release: APRIL, 2006
Product Information
Product
Manuf/Dist
Identifier
Form
Strength
Size
UD
AWP
WAC
OCTREOTIDE ACETATE
Sicor Pharm., Inc.
00703-3321-04
SOL
500 MCG/ML
1 ml 25s
2612.81
2090.25
OCTREOTIDE ACETATE
Sicor Pharm., Inc.
00703-3301-04
SOL
50 MCG/ML
1 ml 25s
279.38
223.50
OCTREOTIDE ACETATE
Sicor Pharm., Inc.
00703-3311-04
SOL
100 MCG/ML
1 ml 25s
541.56
433.25
OCTREOTIDE ACETATE
Sicor Pharm., Inc.
00703-3343-01
SOL
1000 MCG/ML
5 ml
1099.19
879.35
OCTREOTIDE ACETATE
Sicor Pharm., Inc.
00703-3333-01
SOL
200 MCG/ML
5 ml
223.39
178.71
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
Detailed Product Information
PRODUCT:
OCTREOTIDE ACETATE
MANUFACTURER:
Sicor Pharm., Inc.
FORM:
SOLUTION
STRENGTH:
500 MCG/ML
ROUTE OF ADMIN:
INJECTION
ORANGE BOOK CODE:
AP
ADD'L DESC:
(1MLX25 VIALS)
GENERIC NAME:
OCTREOTIDE ACETATE
NDC:
00703-3321-04
SIZE:
1 ml 25s
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
2612.81
104.5124
11/14/2005
DIR
HCFA
PRODUCT:
OCTREOTIDE ACETATE
MANUFACTURER:
Sicor Pharm., Inc.
FORM:
SOLUTION
STRENGTH:
50 MCG/ML
ROUTE OF ADMIN:
INJECTION
ORANGE BOOK CODE:
AP
ADD'L DESC:
(1MLX25 VIALS)
GENERIC NAME:
OCTREOTIDE ACETATE
NDC:
00703-3301-04
SIZE:
1 ml 25s
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
279.38
11.1752
11/14/2005
DIR
HCFA
PRODUCT:
OCTREOTIDE ACETATE
MANUFACTURER:
Sicor Pharm., Inc.
FORM:
SOLUTION
STRENGTH:
100 MCG/ML
ROUTE OF ADMIN:
INJECTION
ORANGE BOOK CODE:
AP
ADD'L DESC:
(1MLX25 VIALS)
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
GENERIC NAME:OCTREOTIDE ACETATE
NDC:
00703-3311-04
SIZE:
1 ml 25s
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
541.56
21.6624
11/14/2005
DIR
HCFA
PRODUCT:
OCTREOTIDE ACETATE
MANUFACTURER:
Sicor Pharm., Inc.
FORM:
SOLUTION
STRENGTH:
1000 MCG/ML
ROUTE OF ADMIN:
INJECTION
ORANGE BOOK CODE:
AP
ADD'L DESC:
GENERIC NAME:
OCTREOTIDE ACETATE
NDC:
00703-3343-01
SIZE:
5 ml
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
1099.19
219.8380
11/23/2005
DIR
HCFA
PRODUCT:
OCTREOTIDE ACETATE
MANUFACTURER:
Sicor Pharm., Inc.
FORM:
SOLUTION
STRENGTH:
200 MCG/ML
ROUTE OF ADMIN:
INJECTION
ORANGE BOOK CODE:
AP
ADD'L DESC:
GENERIC NAME:
OCTREOTIDE ACETATE
NDC:
00703-3333-01
SIZE:
5 ml
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
Y
Copyright © 2006, Thomson PDR.
Page 2
Red Book(TM) for Windows®
Release: APRIL, 2006
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
223.39
44.6780
11/23/2005
DIR
HCFA
Copyright © 2006, Thomson PDR.
Page 3