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Rx Item:Zepbound 12.5MG 4X0.5ML PFP by Lilly Eli & Co USA

Item No. RX740002 740002 10284471 NDC# 00002-2460-80 0002-2460-80 00002246080 0002246080 Each Pen:00002-2460-01 0002-2460-01 00002246001 0002246001 UPC Code: 3-00022-46080-7 3000224608Item No. RX739998 739998 10284399 NDC# 00002-2471-80 0002-2471-80 00002247180 0002247180 Each Pen:00002-2471-01 0002-2471-01 00002247101 0002-2471-01 UPC Code: 3-00022-47180-3 300022471803Item No. RX739997 739997 10284398 NDC# 00002-2484-80 00002248480 0002-2484-80 0002248480 Each Pen: 00002-2484-01 00002248401 0002248401 0002-2484-01 UPC Code: 3-00022-48480-3 300022-484803 3000Item No. RX739999 739999 10284470 NDC# 00002-2506-80 0002-2506-80 00002250680 0002250680 Each Pen: 00002-2506-01 0002-2506-01 00002250601 0002-2506-01 UPC Code: 3-00022-50680-2 300022506802 300Item No. RX740000 740000 10284369 NDC# 00002-2495-80 0002-2495-80 00002249580 0002249580 UPC Code: 300022495809 3-00022-49580-9 300022-495809 Supplier Part No.: 249580 Generic Group DescriptionItem No. RX723277, 723277, NDC# 00002-1495-80 00002-495-80 0000214958 00002149580 UPC Code: 0-00002-14958-0 000002-149580 000002149580 Supplier Part No.: 149580 Generic Group Description:Tirzepatide SItem No. RX723277, 723277, NDC# 00002-1495-80 00002-495-80 0000214958 00002149580 UPC Code: 0-00002-14958-0 000002-149580 000002149580 Supplier Part No.: 149580 Generic Group Description:Tirzepatide SItem No. RX723277, 723277, NDC# 00002-1495-80 00002-495-80 0000214958 00002149580 UPC Code: 0-00002-14958-0 000002-149580 000002149580 Supplier Part No.: 149580 Generic Group Description:Tirzepatide S

Rx Item:Zepbound 12.5MG 4X0.5ML PFP by Lilly Eli & Co USA

$1271.84$1149.00

Item No. RX740002 740002 10284471 NDC# 00002-2460-80 0002-2460-80 00002246080 0002246080 Each Pen:00002-2460-01 0002-2460-01 00002246001 0002246001 UPC Code: 3-00022-46080-7 300022460807 300022-460807 Supplier Part No.: 246001 Generic Group Description:Tirzepatide Subcut Pen In Generic Group Number:52337 Therapeutic Code:682006 Generic Form Code:INJ Generic Strength Code:5 MG/0.5ML Unit Dose Indicator: Item Form Code:PFP Vendor Name:Lilly Eli & Co Item External Description:

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Clinical Information
Gen. Code and Des.
85492 tirzepatide SUBCUT PEN INJCTR 12.5MG/0.5
GCN and Des.
54993 tirzepatide SUBCUT PEN INJCTR 12.5MG/0.5
Strength
12.5MG
Dose Form
PEN INJECTOR (ML)
Product Category
RX Pharmaceuticals
Fine Line Class
850085008510 All Rx Products
DEA Class
NC
OMP Family

AHFS Class
68200600 INCRETIN MIMETICS
Active Ingredients
19067 tirzepatide

Item No. RX740002 740002 10284471 NDC# 00002-2460-80 0002-2460-80 00002246080 0002246080 Each Pen:00002-2460-01 0002-2460-01 00002246001 0002246001 UPC Code: 3-00022-46080-7 3000224608
Zepbound 12.5MG 4X0.5ML
Item No. RX740002 740002 10284471 NDC# 00002-2460-80 0002-2460-80 00002246080 0002246080 Each Pen:00002-2460-01 0002-2460-01 00002246001 0002246001 UPC Code: 3-00022-46080-7 3000224608

Item No. RX739998 739998 10284399 NDC# 00002-2471-80 0002-2471-80 00002247180 0002247180 Each Pen:00002-2471-01 0002-2471-01 00002247101 0002-2471-01 UPC Code: 3-00022-47180-3 300022471803
Zepbound 10MG 4X0.5ML PFP
Item No. RX739998 739998 10284399 NDC# 00002-2471-80 0002-2471-80 00002247180 0002247180 Each Pen:00002-2471-01 0002-2471-01 00002247101 0002-2471-01 UPC Code: 3-00022-47180-3 300022471803

Item No. RX739997 739997 10284398 NDC# 00002-2484-80 00002248480 0002-2484-80 0002248480 Each Pen: 00002-2484-01 00002248401 0002248401 0002-2484-01 UPC Code: 3-00022-48480-3 300022-484803 3000
Zepbound 7.5MG 4X0.5ML PFP
Item No. RX739997 739997 10284398 NDC# 00002-2484-80 00002248480 0002-2484-80 0002248480 Each Pen: 00002-2484-01 00002248401 0002248401 0002-2484-01 UPC Code: 3-00022-48480-3 300022-484803 3000

Item No. RX739999 739999 10284470 NDC# 00002-2506-80 0002-2506-80 00002250680 0002250680 Each Pen: 00002-2506-01 0002-2506-01 00002250601 0002-2506-01 UPC Code: 3-00022-50680-2 300022506802 300
Zepbound 2.5MG 4X0.5ML PFP
Item No. RX739999 739999 10284470 NDC# 00002-2506-80 0002-2506-80 00002250680 0002250680 Each Pen: 00002-2506-01 0002-2506-01 00002250601 0002-2506-01 UPC Code: 3-00022-50680-2 300022506802 300

Item No. RX740000 740000 10284369 NDC# 00002-2495-80 0002-2495-80 00002249580 0002249580 UPC Code: 300022495809 3-00022-49580-9 300022-495809 Supplier Part No.: 249580 Generic Group Description
Zepbound 5MG 4X0.5ML PFP
Item No. RX740000 740000 10284369 NDC# 00002-2495-80 0002-2495-80 00002249580 0002249580 UPC Code: 300022495809 3-00022-49580-9 300022-495809 Supplier Part No.: 249580 Generic Group Description

Item No. RX723277, 723277, NDC# 00002-1495-80 00002-495-80 0000214958 00002149580 UPC Code: 0-00002-14958-0 000002-149580 000002149580 Supplier Part No.: 149580 Generic Group Description:Tirzepatide S
Rx Item:Mounjaro 5MG 4X0.5ML PFP by Lill
Item No. RX723277, 723277, NDC# 00002-1495-80 00002-495-80 0000214958 00002149580 UPC Code: 0-00002-14958-0 000002-149580 000002149580 Supplier Part No.: 149580 Generic Group Description:Tirzepatide S

Item No. RX723277, 723277, NDC# 00002-1495-80 00002-495-80 0000214958 00002149580 UPC Code: 0-00002-14958-0 000002-149580 000002149580 Supplier Part No.: 149580 Generic Group Description:Tirzepatide S
Lilly Eli & Co USA
Item No. RX723277, 723277, NDC# 00002-1495-80 00002-495-80 0000214958 00002149580 UPC Code: 0-00002-14958-0 000002-149580 000002149580 Supplier Part No.: 149580 Generic Group Description:Tirzepatide S

Item No. RX723277, 723277, NDC# 00002-1495-80 00002-495-80 0000214958 00002149580 UPC Code: 0-00002-14958-0 000002-149580 000002149580 Supplier Part No.: 149580 Generic Group Description:Tirzepatide S
Rx Item:Mounjaro 5MG 4X0.5ML PFP by Lill
Item No. RX723277, 723277, NDC# 00002-1495-80 00002-495-80 0000214958 00002149580 UPC Code: 0-00002-14958-0 000002-149580 000002149580 Supplier Part No.: 149580 Generic Group Description:Tirzepatide S