NDC 0093-8035OTC monographFDA DRUG FOR FURTHER PROCESSING

Generic formulation

Active substance: Glyburide

FDA labeler: Teva Pharmaceuticals USA, Inc.

50 formulations • 178 package configurations

All 228 registered NDCs — click to copy

In one line

Generic formulation (Glyburide) NDC 0093-8035 converts to 00093-8035-99 for billing. It is dispensed by a pharmacy and billed directly on the NDC — no HCPCS J-code is required.

openFDA Live Registry SyncHIPAA 5-4-2 StandardCMS Level II Crosswalk

Listing: 0093-8035

Billing & reimbursement crosswalk

NDC • HCPCS Level II • CPT administration

Reimbursement channel

NDC direct

Oral / Topical formulation billed directly via 11-Digit NDC (No HCPCS J-Code required).

Standard pharmacy claim — no J-Code required

11-digit HIPAA NDC

00093-8035-99

Zero-padded 5-4-2 format

Standard conversion

CPT administration code

Self-Administered (Oral)

Dispensed via retail/mail pharmacy. No clinical administration procedure (CPT) required.

UB-04 revenue code

Rev 0250

0250 (General Pharmacy)

Qualifier: UN

Every registered strength and package for Generic formulation, with 10-digit and 11-digit NDC formats
Formulation / role	Package NDC	Product NDC	11-digit HIPAA	Packaging detail
5 mg/1	68071-5030-0	68071-5030	68071-5030-00	100 TABLET in 1 BOTTLE (68071-5030-0)
5 mg/1, 500 mg/1	71335-0967-1	71335-0967	71335-0967-01	30 TABLET, FILM COATED in 1 BOTTLE (71335-0967-1)
5 mg/1, 500 mg/1	71335-0967-3	71335-0967	71335-0967-03	60 TABLET, FILM COATED in 1 BOTTLE (71335-0967-3)
5 mg/1, 500 mg/1	71335-0967-4	71335-0967	71335-0967-04	90 TABLET, FILM COATED in 1 BOTTLE (71335-0967-4)
5 mg/1, 500 mg/1	71335-0967-5	71335-0967	71335-0967-05	120 TABLET, FILM COATED in 1 BOTTLE (71335-0967-5)
5 mg/1, 500 mg/1	71335-0967-6	71335-0967	71335-0967-06	100 TABLET, FILM COATED in 1 BOTTLE (71335-0967-6)
5 mg/1, 500 mg/1	71335-0967-7	71335-0967	71335-0967-07	180 TABLET, FILM COATED in 1 BOTTLE (71335-0967-7)
5 mg/1, 500 mg/1	71335-0967-8	71335-0967	71335-0967-08	25 TABLET, FILM COATED in 1 BOTTLE (71335-0967-8)
5 mg/1	50090-6607-0	50090-6607	50090-6607-00	90 TABLET in 1 BOTTLE (50090-6607-0)
5 mg/1, 500 mg/1	71335-0360-1	71335-0360	71335-0360-01	30 TABLET, FILM COATED in 1 BOTTLE (71335-0360-1)
5 mg/1, 500 mg/1	71335-0360-3	71335-0360	71335-0360-03	60 TABLET, FILM COATED in 1 BOTTLE (71335-0360-3)
5 mg/1, 500 mg/1	71335-0360-4	71335-0360	71335-0360-04	90 TABLET, FILM COATED in 1 BOTTLE (71335-0360-4)
5 mg/1, 500 mg/1	71335-0360-5	71335-0360	71335-0360-05	120 TABLET, FILM COATED in 1 BOTTLE (71335-0360-5)
5 mg/1, 500 mg/1	71335-0360-6	71335-0360	71335-0360-06	100 TABLET, FILM COATED in 1 BOTTLE (71335-0360-6)
5 mg/1, 500 mg/1	71335-0360-7	71335-0360	71335-0360-07	180 TABLET, FILM COATED in 1 BOTTLE (71335-0360-7)
5 mg/1, 500 mg/1	71335-0360-8	71335-0360	71335-0360-08	25 TABLET, FILM COATED in 1 BOTTLE (71335-0360-8)
2.5 mg/1, 500 mg/1	50090-7814-0	50090-7814	50090-7814-00	60 TABLET in 1 BOTTLE (50090-7814-0)
2.5 mg/1, 500 mg/1	50090-7814-2	50090-7814	50090-7814-02	180 TABLET in 1 BOTTLE (50090-7814-2)
5 mg/1, 500 mg/1	51655-942-26	51655-942	51655-0942-26	90 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (51655-942-26)
2.5 mg/1	50090-5776-0	50090-5776	50090-5776-00	30 TABLET in 1 BOTTLE (50090-5776-0)
2.5 mg/1	50090-5776-2	50090-5776	50090-5776-02	200 TABLET in 1 BOTTLE (50090-5776-2)
2.5 mg/1	63187-659-30	63187-659	63187-0659-30	30 TABLET in 1 BOTTLE (63187-659-30)
2.5 mg/1	63187-659-60	63187-659	63187-0659-60	60 TABLET in 1 BOTTLE (63187-659-60)
2.5 mg/1	63187-659-90	63187-659	63187-0659-90	90 TABLET in 1 BOTTLE (63187-659-90)
5 mg/1	63187-667-30	63187-667	63187-0667-30	30 TABLET in 1 BOTTLE (63187-667-30)
5 mg/1	63187-667-60	63187-667	63187-0667-60	60 TABLET in 1 BOTTLE (63187-667-60)
5 mg/1	63187-667-90	63187-667	63187-0667-90	90 TABLET in 1 BOTTLE (63187-667-90)
5 mg/1, 500 mg/1	68788-8791-1	68788-8791	68788-8791-01	100 TABLET in 1 BOTTLE (68788-8791-1)
5 mg/1, 500 mg/1	68788-8791-3	68788-8791	68788-8791-03	30 TABLET in 1 BOTTLE (68788-8791-3)
5 mg/1, 500 mg/1	68788-8791-6	68788-8791	68788-8791-06	60 TABLET in 1 BOTTLE (68788-8791-6)
5 mg/1, 500 mg/1	68788-8791-8	68788-8791	68788-8791-08	120 TABLET in 1 BOTTLE (68788-8791-8)
5 mg/1, 500 mg/1	68788-8791-9	68788-8791	68788-8791-09	90 TABLET in 1 BOTTLE (68788-8791-9)
5 mg/1	50090-7859-0	50090-7859	50090-7859-00	90 TABLET in 1 BOTTLE (50090-7859-0)
5 mg/1	51655-492-25	51655-492	51655-0492-25	60 TABLET in 1 BOTTLE, PLASTIC (51655-492-25)
5 mg/1	51655-492-26	51655-492	51655-0492-26	90 TABLET in 1 BOTTLE, PLASTIC (51655-492-26)
5 mg/1	51655-492-52	51655-492	51655-0492-52	30 TABLET in 1 BOTTLE, PLASTIC (51655-492-52)
2.5 mg/1, 500 mg/1	71335-2694-1	71335-2694	71335-2694-01	100 TABLET in 1 BOTTLE (71335-2694-1)
2.5 mg/1, 500 mg/1	71335-2694-2	71335-2694	71335-2694-02	30 TABLET in 1 BOTTLE (71335-2694-2)
2.5 mg/1, 500 mg/1	71335-2694-3	71335-2694	71335-2694-03	60 TABLET in 1 BOTTLE (71335-2694-3)
2.5 mg/1, 500 mg/1	71335-2694-4	71335-2694	71335-2694-04	90 TABLET in 1 BOTTLE (71335-2694-4)
2.5 mg/1, 500 mg/1	71335-2694-5	71335-2694	71335-2694-05	180 TABLET in 1 BOTTLE (71335-2694-5)
2.5 mg/1, 500 mg/1	68788-7180-1	68788-7180	68788-7180-01	100 TABLET, FILM COATED in 1 BOTTLE (68788-7180-1)
2.5 mg/1, 500 mg/1	68788-7180-3	68788-7180	68788-7180-03	30 TABLET, FILM COATED in 1 BOTTLE (68788-7180-3)
2.5 mg/1, 500 mg/1	68788-7180-6	68788-7180	68788-7180-06	60 TABLET, FILM COATED in 1 BOTTLE (68788-7180-6)
2.5 mg/1, 500 mg/1	68788-7180-9	68788-7180	68788-7180-09	90 TABLET, FILM COATED in 1 BOTTLE (68788-7180-9)
5 mg/1, 500 mg/1	68382-655-01	68382-655	68382-0655-01	100 TABLET in 1 BOTTLE (68382-655-01)
5 mg/1, 500 mg/1	68382-655-05	68382-655	68382-0655-05	500 TABLET in 1 BOTTLE (68382-655-05)
5 mg/1, 500 mg/1	68382-655-06	68382-655	68382-0655-06	30 TABLET in 1 BOTTLE (68382-655-06)
5 mg/1, 500 mg/1	68382-655-10	68382-655	68382-0655-10	1000 TABLET in 1 BOTTLE (68382-655-10)
5 mg/1, 500 mg/1	68382-655-16	68382-655	68382-0655-16	90 TABLET in 1 BOTTLE (68382-655-16)
5 mg/1, 500 mg/1	68382-655-77	68382-655	68382-0655-77	10 BLISTER PACK in 1 CARTON (68382-655-77) / 10 TABLET in 1 BLISTER PACK (68382-655-30)
Inner component	68382-655-30	68382-655	68382-0655-30	Inner component of kit (68382-655-77)
2.5 mg/1	23155-057-01	23155-057	23155-0057-01	100 TABLET in 1 BOTTLE (23155-057-01)
2.5 mg/1	23155-057-10	23155-057	23155-0057-10	1000 TABLET in 1 BOTTLE (23155-057-10)
1.25 mg/1, 250 mg/1	68382-653-01	68382-653	68382-0653-01	100 TABLET in 1 BOTTLE (68382-653-01)
1.25 mg/1, 250 mg/1	68382-653-05	68382-653	68382-0653-05	500 TABLET in 1 BOTTLE (68382-653-05)
1.25 mg/1, 250 mg/1	68382-653-06	68382-653	68382-0653-06	30 TABLET in 1 BOTTLE (68382-653-06)
1.25 mg/1, 250 mg/1	68382-653-10	68382-653	68382-0653-10	1000 TABLET in 1 BOTTLE (68382-653-10)
1.25 mg/1, 250 mg/1	68382-653-16	68382-653	68382-0653-16	90 TABLET in 1 BOTTLE (68382-653-16)
1.25 mg/1, 250 mg/1	68382-653-77	68382-653	68382-0653-77	10 BLISTER PACK in 1 CARTON (68382-653-77) / 10 TABLET in 1 BLISTER PACK (68382-653-30)
Inner component	68382-653-30	68382-653	68382-0653-30	Inner component of kit (68382-653-77)
2.5 mg/1, 500 mg/1	68382-654-01	68382-654	68382-0654-01	100 TABLET in 1 BOTTLE (68382-654-01)
2.5 mg/1, 500 mg/1	68382-654-05	68382-654	68382-0654-05	500 TABLET in 1 BOTTLE (68382-654-05)
2.5 mg/1, 500 mg/1	68382-654-06	68382-654	68382-0654-06	30 TABLET in 1 BOTTLE (68382-654-06)
2.5 mg/1, 500 mg/1	68382-654-10	68382-654	68382-0654-10	1000 TABLET in 1 BOTTLE (68382-654-10)
2.5 mg/1, 500 mg/1	68382-654-16	68382-654	68382-0654-16	90 TABLET in 1 BOTTLE (68382-654-16)
2.5 mg/1, 500 mg/1	68382-654-77	68382-654	68382-0654-77	10 BLISTER PACK in 1 CARTON (68382-654-77) / 10 TABLET in 1 BLISTER PACK (68382-654-30)
Inner component	68382-654-30	68382-654	68382-0654-30	Inner component of kit (68382-654-77)
1.25 mg/1	23155-056-01	23155-056	23155-0056-01	100 TABLET in 1 BOTTLE (23155-056-01)
1.25 mg/1	23155-056-10	23155-056	23155-0056-10	1000 TABLET in 1 BOTTLE (23155-056-10)
1.25 mg/1	68382-656-01	68382-656	68382-0656-01	100 TABLET in 1 BOTTLE (68382-656-01)
1.25 mg/1	68382-656-05	68382-656	68382-0656-05	500 TABLET in 1 BOTTLE (68382-656-05)
1.25 mg/1	68382-656-06	68382-656	68382-0656-06	30 TABLET in 1 BOTTLE (68382-656-06)
1.25 mg/1	68382-656-10	68382-656	68382-0656-10	1000 TABLET in 1 BOTTLE (68382-656-10)
1.25 mg/1	68382-656-16	68382-656	68382-0656-16	90 TABLET in 1 BOTTLE (68382-656-16)
1.25 mg/1	68382-656-77	68382-656	68382-0656-77	10 BLISTER PACK in 1 CARTON (68382-656-77) / 10 TABLET in 1 BLISTER PACK (68382-656-30)
Inner component	68382-656-30	68382-656	68382-0656-30	Inner component of kit (68382-656-77)
5 mg/1	23155-058-01	23155-058	23155-0058-01	100 TABLET in 1 BOTTLE (23155-058-01)
5 mg/1	23155-058-10	23155-058	23155-0058-10	1000 TABLET in 1 BOTTLE (23155-058-10)
2.5 mg/1	68382-657-01	68382-657	68382-0657-01	100 TABLET in 1 BOTTLE (68382-657-01)
2.5 mg/1	68382-657-05	68382-657	68382-0657-05	500 TABLET in 1 BOTTLE (68382-657-05)
2.5 mg/1	68382-657-06	68382-657	68382-0657-06	30 TABLET in 1 BOTTLE (68382-657-06)
2.5 mg/1	68382-657-10	68382-657	68382-0657-10	1000 TABLET in 1 BOTTLE (68382-657-10)
2.5 mg/1	68382-657-16	68382-657	68382-0657-16	90 TABLET in 1 BOTTLE (68382-657-16)
2.5 mg/1	68382-657-77	68382-657	68382-0657-77	10 BLISTER PACK in 1 CARTON (68382-657-77) / 10 TABLET in 1 BLISTER PACK (68382-657-30)
Inner component	68382-657-30	68382-657	68382-0657-30	Inner component of kit (68382-657-77)
5 mg/1	68382-658-01	68382-658	68382-0658-01	100 TABLET in 1 BOTTLE (68382-658-01)
5 mg/1	68382-658-05	68382-658	68382-0658-05	500 TABLET in 1 BOTTLE (68382-658-05)
5 mg/1	68382-658-06	68382-658	68382-0658-06	30 TABLET in 1 BOTTLE (68382-658-06)
5 mg/1	68382-658-10	68382-658	68382-0658-10	1000 TABLET in 1 BOTTLE (68382-658-10)
5 mg/1	68382-658-16	68382-658	68382-0658-16	90 TABLET in 1 BOTTLE (68382-658-16)
5 mg/1	68382-658-77	68382-658	68382-0658-77	10 BLISTER PACK in 1 CARTON (68382-658-77) / 10 TABLET in 1 BLISTER PACK (68382-658-30)
Inner component	68382-658-30	68382-658	68382-0658-30	Inner component of kit (68382-658-77)
3 mg/1	0093-8035-01	0093-8035	00093-8035-01	100 TABLET in 1 BOTTLE (0093-8035-01)
3 mg/1	0093-8035-05	0093-8035	00093-8035-05	500 TABLET in 1 BOTTLE (0093-8035-05)
5 mg/1	50090-0495-0	50090-0495	50090-0495-00	30 TABLET in 1 BOTTLE (50090-0495-0)
5 mg/1	50090-0495-1	50090-0495	50090-0495-01	100 TABLET in 1 BOTTLE (50090-0495-1)
5 mg/1	50090-0495-2	50090-0495	50090-0495-02	60 TABLET in 1 BOTTLE (50090-0495-2)
5 mg/1	50090-0495-8	50090-0495	50090-0495-08	200 TABLET in 1 BOTTLE (50090-0495-8)
5 mg/1	50090-0495-9	50090-0495	50090-0495-09	90 TABLET in 1 BOTTLE (50090-0495-9)
5 mg/1, 500 mg/1	65841-826-01	65841-826	65841-0826-01	100 TABLET in 1 BOTTLE (65841-826-01)
5 mg/1, 500 mg/1	65841-826-05	65841-826	65841-0826-05	500 TABLET in 1 BOTTLE (65841-826-05)
5 mg/1, 500 mg/1	65841-826-06	65841-826	65841-0826-06	30 TABLET in 1 BOTTLE (65841-826-06)
5 mg/1, 500 mg/1	65841-826-10	65841-826	65841-0826-10	1000 TABLET in 1 BOTTLE (65841-826-10)
5 mg/1, 500 mg/1	65841-826-16	65841-826	65841-0826-16	90 TABLET in 1 BOTTLE (65841-826-16)
5 mg/1, 500 mg/1	65841-826-77	65841-826	65841-0826-77	10 BLISTER PACK in 1 CARTON (65841-826-77) / 10 TABLET in 1 BLISTER PACK (65841-826-30)
Inner component	65841-826-30	65841-826	65841-0826-30	Inner component of kit (65841-826-77)
2.5 mg/1	71209-010-05	71209-010	71209-0010-05	100 TABLET in 1 BOTTLE (71209-010-05)
2.5 mg/1	71209-010-10	71209-010	71209-0010-10	500 TABLET in 1 BOTTLE (71209-010-10)
2.5 mg/1	71209-010-11	71209-010	71209-0010-11	1000 TABLET in 1 BOTTLE (71209-010-11)
1.25 mg/1, 250 mg/1	65841-824-01	65841-824	65841-0824-01	100 TABLET in 1 BOTTLE (65841-824-01)
1.25 mg/1, 250 mg/1	65841-824-05	65841-824	65841-0824-05	500 TABLET in 1 BOTTLE (65841-824-05)
1.25 mg/1, 250 mg/1	65841-824-06	65841-824	65841-0824-06	30 TABLET in 1 BOTTLE (65841-824-06)
1.25 mg/1, 250 mg/1	65841-824-10	65841-824	65841-0824-10	1000 TABLET in 1 BOTTLE (65841-824-10)
1.25 mg/1, 250 mg/1	65841-824-16	65841-824	65841-0824-16	90 TABLET in 1 BOTTLE (65841-824-16)
1.25 mg/1, 250 mg/1	65841-824-77	65841-824	65841-0824-77	10 BLISTER PACK in 1 CARTON (65841-824-77) / 10 TABLET in 1 BLISTER PACK (65841-824-30)
Inner component	65841-824-30	65841-824	65841-0824-30	Inner component of kit (65841-824-77)
1.25 mg/1	71209-009-05	71209-009	71209-0009-05	100 TABLET in 1 BOTTLE (71209-009-05)
1.25 mg/1	71209-009-11	71209-009	71209-0009-11	1000 TABLET in 1 BOTTLE (71209-009-11)
5 mg/1	0093-9364-01	0093-9364	00093-9364-01	100 TABLET in 1 BOTTLE (0093-9364-01)
5 mg/1	0093-9364-05	0093-9364	00093-9364-05	500 TABLET in 1 BOTTLE (0093-9364-05)
5 mg/1	0093-9364-10	0093-9364	00093-9364-10	1000 TABLET in 1 BOTTLE (0093-9364-10)
2.5 mg/1, 500 mg/1	65841-825-01	65841-825	65841-0825-01	100 TABLET in 1 BOTTLE (65841-825-01)
2.5 mg/1, 500 mg/1	65841-825-05	65841-825	65841-0825-05	500 TABLET in 1 BOTTLE (65841-825-05)
2.5 mg/1, 500 mg/1	65841-825-06	65841-825	65841-0825-06	30 TABLET in 1 BOTTLE (65841-825-06)
2.5 mg/1, 500 mg/1	65841-825-10	65841-825	65841-0825-10	1000 TABLET in 1 BOTTLE (65841-825-10)
2.5 mg/1, 500 mg/1	65841-825-16	65841-825	65841-0825-16	90 TABLET in 1 BOTTLE (65841-825-16)
2.5 mg/1, 500 mg/1	65841-825-77	65841-825	65841-0825-77	10 BLISTER PACK in 1 CARTON (65841-825-77) / 10 TABLET in 1 BLISTER PACK (65841-825-30)
Inner component	65841-825-30	65841-825	65841-0825-30	Inner component of kit (65841-825-77)
2.5 mg/1	68071-5217-0	68071-5217	68071-5217-00	100 TABLET in 1 BOTTLE (68071-5217-0)
6 mg/1	0093-8036-01	0093-8036	00093-8036-01	100 TABLET in 1 BOTTLE (0093-8036-01)
5 mg/1	71209-011-05	71209-011	71209-0011-05	100 TABLET in 1 BOTTLE (71209-011-05)
5 mg/1	71209-011-10	71209-011	71209-0011-10	500 TABLET in 1 BOTTLE (71209-011-10)
5 mg/1	71209-011-11	71209-011	71209-0011-11	1000 TABLET in 1 BOTTLE (71209-011-11)
5 mg/1	68071-4695-3	68071-4695	68071-4695-03	30 TABLET in 1 BOTTLE (68071-4695-3)
5 mg/1	68071-4695-6	68071-4695	68071-4695-06	60 TABLET in 1 BOTTLE (68071-4695-6)
5 mg/1	68071-4695-9	68071-4695	68071-4695-09	90 TABLET in 1 BOTTLE (68071-4695-9)
5 mg/1	68071-5215-0	68071-5215	68071-5215-00	100 TABLET in 1 BOTTLE (68071-5215-0)
1.25 mg/1	65841-832-01	65841-832	65841-0832-01	100 TABLET in 1 BOTTLE (65841-832-01)
1.25 mg/1	65841-832-05	65841-832	65841-0832-05	500 TABLET in 1 BOTTLE (65841-832-05)
1.25 mg/1	65841-832-06	65841-832	65841-0832-06	30 TABLET in 1 BOTTLE (65841-832-06)
1.25 mg/1	65841-832-10	65841-832	65841-0832-10	1000 TABLET in 1 BOTTLE (65841-832-10)
1.25 mg/1	65841-832-16	65841-832	65841-0832-16	90 TABLET in 1 BOTTLE (65841-832-16)
1.25 mg/1	65841-832-77	65841-832	65841-0832-77	10 BLISTER PACK in 1 CARTON (65841-832-77) / 10 TABLET in 1 BLISTER PACK (65841-832-30)
Inner component	65841-832-30	65841-832	65841-0832-30	Inner component of kit (65841-832-77)
2.5 mg/1	65841-833-01	65841-833	65841-0833-01	100 TABLET in 1 BOTTLE (65841-833-01)
2.5 mg/1	65841-833-05	65841-833	65841-0833-05	500 TABLET in 1 BOTTLE (65841-833-05)
2.5 mg/1	65841-833-06	65841-833	65841-0833-06	30 TABLET in 1 BOTTLE (65841-833-06)
2.5 mg/1	65841-833-10	65841-833	65841-0833-10	1000 TABLET in 1 BOTTLE (65841-833-10)
2.5 mg/1	65841-833-16	65841-833	65841-0833-16	90 TABLET in 1 BOTTLE (65841-833-16)
2.5 mg/1	65841-833-77	65841-833	65841-0833-77	10 BLISTER PACK in 1 CARTON (65841-833-77) / 10 TABLET in 1 BLISTER PACK (65841-833-30)
Inner component	65841-833-30	65841-833	65841-0833-30	Inner component of kit (65841-833-77)
5 mg/1	65841-834-01	65841-834	65841-0834-01	100 TABLET in 1 BOTTLE (65841-834-01)
5 mg/1	65841-834-05	65841-834	65841-0834-05	500 TABLET in 1 BOTTLE (65841-834-05)
5 mg/1	65841-834-06	65841-834	65841-0834-06	30 TABLET in 1 BOTTLE (65841-834-06)
5 mg/1	65841-834-10	65841-834	65841-0834-10	1000 TABLET in 1 BOTTLE (65841-834-10)
5 mg/1	65841-834-16	65841-834	65841-0834-16	90 TABLET in 1 BOTTLE (65841-834-16)
5 mg/1	65841-834-77	65841-834	65841-0834-77	10 BLISTER PACK in 1 CARTON (65841-834-77) / 10 TABLET in 1 BLISTER PACK (65841-834-30)
Inner component	65841-834-30	65841-834	65841-0834-30	Inner component of kit (65841-834-77)
5 mg/1	68071-3677-0	68071-3677	68071-3677-00	100 TABLET in 1 BOTTLE (68071-3677-0)
5 mg/1, 500 mg/1	68071-4718-3	68071-4718	68071-4718-03	30 TABLET, FILM COATED in 1 BOTTLE (68071-4718-3)
1.25 mg/1	0093-8342-01	0093-8342	00093-8342-01	100 TABLET in 1 BOTTLE (0093-8342-01)
2.5 mg/1	0093-9433-01	0093-9433	00093-9433-01	100 TABLET in 1 BOTTLE (0093-9433-01)
2.5 mg/1	0093-9433-05	0093-9433	00093-9433-05	500 TABLET in 1 BOTTLE (0093-9433-05)
1.25 mg/1	62135-583-30	62135-583	62135-0583-30	30 TABLET in 1 BOTTLE (62135-583-30)
2.5 mg/1	62135-584-30	62135-584	62135-0584-30	30 TABLET in 1 BOTTLE (62135-584-30)
5 mg/1	62135-585-90	62135-585	62135-0585-90	90 TABLET in 1 BOTTLE (62135-585-90)
2.5 mg/1, 500 mg/1	23155-234-01	23155-234	23155-0234-01	100 TABLET in 1 BOTTLE (23155-234-01)
2.5 mg/1, 500 mg/1	23155-234-05	23155-234	23155-0234-05	500 TABLET in 1 BOTTLE (23155-234-05)
2.5 mg/1, 500 mg/1	23155-234-10	23155-234	23155-0234-10	1000 TABLET in 1 BOTTLE (23155-234-10)
2.5 mg/1	0093-8343-01	0093-8343	00093-8343-01	100 TABLET in 1 BOTTLE (0093-8343-01)
2.5 mg/1	0093-8343-05	0093-8343	00093-8343-05	500 TABLET in 1 BOTTLE (0093-8343-05)
2.5 mg/1	0093-8343-10	0093-8343	00093-8343-10	1000 TABLET in 1 BOTTLE (0093-8343-10)
2.5 mg/1	0093-8343-98	0093-8343	00093-8343-98	90 TABLET in 1 BOTTLE (0093-8343-98)
1.25 mg/1	0093-9477-53	0093-9477	00093-9477-53	50 TABLET in 1 BOTTLE (0093-9477-53)
1.25 mg/1, 250 mg/1	23155-233-01	23155-233	23155-0233-01	100 TABLET in 1 BOTTLE (23155-233-01)
1.25 mg/1, 250 mg/1	23155-233-05	23155-233	23155-0233-05	500 TABLET in 1 BOTTLE (23155-233-05)
1.25 mg/1, 250 mg/1	23155-233-10	23155-233	23155-0233-10	1000 TABLET in 1 BOTTLE (23155-233-10)

Taken from the manufacturer's FDA Structured Product Labeling submission. This is the label as filed, not a summary. Initial U.S. approval: 2023.

Highlights

These highlights do not include all the information needed to use Generic formulation safely and effectively. The full sections follow.

Indications and usage: AREXVY is a vaccine indicated for active immunization for the prevention of lower respiratory tract disease (LRTD) caused by respiratory syncytial virus (RSV) in: • Individuals 60 years of age and older. • Individuals 18 through 59 years of age who are at increased risk for LRTD caused by RSV. Limitations of Use: AREXVY is not for use in pregnant individuals.
Dosage and administration: For intramuscular use only. • After reconstitution, a single dose of AREXVY is either 0.5 mL (vial and vial presentation) or approximately 0.5 mL (vial and prefilled syringe presentation). • Supplied as two presentations: (1) Vial of Lyophilized Antigen Component reconstituted with accompanying Adjuvant Suspension Component vial; (2) Vial of Lyophilized Antigen Component reconstituted with accompanying prefilled syringe of Adjuvant Suspension Component.
Dosage forms and strengths: For injectable suspension: Single dose after reconstitution is 0.5 mL (vial/vial) or approximately 0.5 mL (vial/prefilled syringe).
Contraindications: History of severe allergic reaction (e.g., anaphylaxis) to any component of the vaccine.
Warnings and precautions: • Guillain-Barré Syndrome: Postmarketing observational study suggests an increased risk of Guillain-Barré syndrome during the 42 days following vaccination. • Allergic Reactions: Appropriate medical treatment must be immediately available to manage potential anaphylactic reactions. • Syncope: Syncope (fainting) may occur; procedures should be in place to avoid injury from falling. • Altered Immunocompetence: Immunocompromised persons may have a diminished immune response.
Adverse reactions: • Most commonly reported adverse reactions (≥10%) in adults ≥60 years: injection site pain (60.9%), fatigue (33.6%), myalgia (28.9%), headache (27.2%), and arthralgia (18.1%). • In adults 50–59 years: injection site pain (75.8%), fatigue (39.8%), myalgia (35.6%), headache (31.7%), arthralgia (23.4%), erythema (13.2%), and swelling (10.4%). • In adults 18–49 years: injection site pain (76.0%), myalgia (59.9%), fatigue (59.6%), headache (43.6%), and arthralgia (28.3%).

13 Label Sections

INDICATIONS AND USAGE

AREXVY is a vaccine indicated for active immunization for the prevention of lower respiratory tract disease (LRTD) caused by respiratory syncytial virus (RSV) in: • Individuals 60 years of age and older. • Individuals 18 through 59 years of age who are at increased risk for LRTD caused by RSV. Limitations of Use: AREXVY is not for use in pregnant individuals [see Use in Specific Populations (8.1)].

DOSAGE AND ADMINISTRATION

2.1 Dose and Schedule After reconstitution, a single dose of AREXVY is either 0.5 mL (vial and vial presentation) or approximately 0.5 mL (vial and prefilled syringe presentation). 2.2 Preparation & Reconstitution Instructions AREXVY is supplied in two presentations that must be combined prior to administration: • Vial and Vial Presentation: Reconstitute the Lyophilized Antigen Component (sterile white powder) with the accompanying Adjuvant Suspension Component (opalescent, colorless to pale brownish liquid). Use only the supplied Adjuvant Suspension Component for reconstitution. Withdraw entire contents of adjuvant vial and slowly transfer into antigen powder vial. Gently swirl until completely dissolved. • Vial and Prefilled Syringe Presentation: Reconstitute the Lyophilized Antigen Component vial with the accompanying prefilled syringe of Adjuvant Suspension Component. Slowly transfer entire contents into antigen vial and gently swirl until powder dissolves. 2.3 Administration For intramuscular (IM) injection only, preferably in the deltoid region. After reconstitution, administer AREXVY immediately or store protected from light in the refrigerator between 2°C and 8°C (36°F to 46°F) or at room temperature [up to 25°C (77°F)] and use within 4 hours. Discard reconstituted vaccine if not used within 4 hours.

DOSAGE FORMS AND STRENGTHS

For injectable suspension. • For the vial and vial presentation, a single dose after reconstitution is 0.5 mL. • For the vial and prefilled syringe presentation, a single dose after reconstitution is approximately 0.5 mL.

CONTRAINDICATIONS

Do not administer AREXVY to anyone with a history of a severe allergic reaction (e.g., anaphylaxis) to any component of AREXVY [see Description (11)].

WARNINGS AND PRECAUTIONS

5.1 Guillain-Barré Syndrome The results of a postmarketing observational study suggest an increased risk of Guillain-Barré syndrome during the 42 days following vaccination with AREXVY [see Adverse Reactions (6.2)]. 5.2 Preventing and Managing Allergic Reactions Appropriate medical treatment must be immediately available to manage potential anaphylactic reactions following administration of AREXVY. 5.3 Syncope Syncope (fainting) may occur in association with administration of injectable vaccines, including AREXVY. Procedures should be in place to avoid injury from fainting. 5.4 Altered Immunocompetence Immunocompromised persons, including those receiving immunosuppressive therapy, may have a diminished immune response to AREXVY.

ADVERSE REACTIONS

6.1 Clinical Trials Experience The safety of AREXVY was evaluated in over 17,879 vaccine recipients in multi-center clinical trials (Study 1: NCT04886596 in 24,966 participants). Most Commonly Reported Solicited Adverse Reactions: • Adults ≥60 years: Injection site pain (60.9%), Fatigue (33.6%), Myalgia (28.9%), Headache (27.2%), Arthralgia (18.1%), Erythema (7.5%), Swelling (5.5%), Fever (2.0%). • Adults 50–59 years: Injection site pain (75.8%), Fatigue (39.8%), Myalgia (35.6%), Headache (31.7%), Arthralgia (23.4%), Erythema (13.2%), Swelling (10.4%). • Adults 18–49 years: Injection site pain (76.0%), Myalgia (59.9%), Fatigue (59.6%), Headache (43.6%), Arthralgia (28.3%). 6.2 Postmarketing Experience Postmarketing surveillance identified cases of Guillain-Barré syndrome and acute hypersensitivity reactions following administration.

DRUG INTERACTIONS & CONCOMITANT ADMINISTRATION

USE IN SPECIFIC POPULATIONS

DESCRIPTION

CLINICAL PHARMACOLOGY

CLINICAL STUDIES

HOW SUPPLIED / STORAGE AND HANDLING

AREXVY is supplied as: • Outer Carton Kit (58160-848-11): 1 vial of Lyophilized Antigen Component (58160-723-03) and 1 vial of Adjuvant Suspension Component (58160-744-03). • Outer Carton Kit (58160-894-15): 1 vial of Lyophilized Antigen Component (58160-719-03) and 1 prefilled syringe of Adjuvant Suspension Component (58160-749-07). • Outer Carton Kit (58160-882-12): 1 vial of Lyophilized Antigen Component (58160-719-03) and 1 prefilled syringe of Adjuvant Suspension Component (58160-749-07). Storage before Reconstitution: Store in refrigerator between 2°C and 8°C (36°F to 46°F) in original carton to protect from light. Do not freeze. Discard if frozen. Storage after Reconstitution: Use immediately or store in refrigerator at 2°C to 8°C or room temperature up to 25°C (77°F) for up to 4 hours.

PATIENT COUNSELING INFORMATION

Labeler

Teva Pharmaceuticals

Full NDC portfolio, brand list and J-code coverage for this manufacturer.

Open the labeler

Terms used here11-digit NDC Package NDC N4 qualifier

Search more NDCs & medical codes

NDC • HCPCS Level II • CPT administration

All registered strengths & packaging

Prescribing information

Highlights

Related

Teva Pharmaceuticals