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Information for Vermont Prescribers of Prescription Drugs

KALYDECO® (ivacaftor) Tablets, ORKAMBI® (lumacaftor/ivacaftor) Tablets and SYMDEKO™ (tezacaftor/ivacaftor and ivacaftor) Tablets

KALYDECO® (ivacaftor) Tablets 

ORKAMBI® (lumacaftor/ivacaftor) Tablets 

SYMDEKO™ (tezacaftor/ivacaftor and ivacaftor) Tablets 

  • This list does not imply that the products on this chart are interchangeable or have the same efficacy or safety. Please refer to each product's FDA-approved label and indication for further information.
  • The prices listed below are Average Wholesale Prices ("AWP") as established and made available to the public by a third party publisher or as calculated from data made available to the public by a third party publisher. The price paid by consumers may be higher or lower than the prices listed below. Information about AWP of these drugs is being provided to Vermont prescribers pursuant to Vermont law, to give you information about the relative prices of marketed drugs and other drugs in the same therapeutic class.
  • The prices listed here do not necessarily reflect price per dosage, price per course of treatment or the cost effectiveness, of all the products listed. For simplicity, only the smallest package sizes available for each product are included.
 

Product Name

Manufacturer

NDC or UPC

Pkg Size

Pack

Tab

Marketed Product

 

 

 

 

 

KALYDECO oral tablet 150 mg

VERTEX PHARMACEUTICALS 

51167-0200-02

56 EA

$28,675.36

$512.06

ORKAMBI oral tablet 100-125 mg

VERTEX PHARMACEUTICALS 

51167-0700-02

112 EA

$25,103.08

$224.13

ORKAMBI oral tablet 200-125 mg

VERTEX PHARMACEUTICALS 

51167-0809-01

112 EA

$25,103.08

$224.13

Symdeko oral tablet 100-150mg and 150mg

VERTEX PHARMACEUTICALS 

51167-0661-01

56 EA

$26,880.00

$480.00

           
Other Products          
Cayston Inhalation Solution Reconstituted 75 mg  GILEAD SCIENCES  61958-0901-01  non-pill product
Pulmozyme Inhalation Solution 1 mg/ml  GENENTECH 50242-0100-39  non-pill product
Pulmozyme Inhalation Solution 1 mg/ml  GENENTECH 50242-0100-40 non-pill product
Tobi Podhaler Inhalation Capsule 28 mg  NOVARTIS 00078-0630-11  non-pill product
Tobi Podhaler Inhalation Capsule 28 mg  NOVARTIS  00078-0630-19  non-pill product
Tobi Podhaler Inhalation Capsule 28 mg  NOVARTIS  00078-0630-35  non-pill product
Tobi Podhaler Inhalation Capsule 28 mg  NOVARTIS 00078-0630-56  non-pill product

Medispan is the source of this information.
Disclosure effective date: February 23, 2018