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Information for Vermont Prescribers of Prescription Drugs (Long Form)

RYBELSUS® (semaglutide) tablets 7 mg or 14 mg

  • 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 Package Size AWP Per Package AWP Per Pill
Marketed Product
RYBELSUS® TAB 3MG (bottle) NOVO NOR­DISK 00169-4303-30 30 EA $1,162.22 $38.74
RYBELSUS® TAB 7MG (bottle) NOVO NOR­DISK 00169-4307-30 30 EA $1,162.22 $38.74
RYBELSUS® TAB 14MG (bottle) NOVO NOR­DISK 00169-4314-30 30 EA $1,162.22 $38.74
Other Products
ADLYXIN® (10MCG OR 20MCG/0.2ML) SANOFI-AVENTIS 00024-5745-02 Non-pill product
ADLYXIN® (20MCG/0.2ML) SANOFI-AVENTIS 00024-5747-02 Non-pill product
BYDUREON® (2MG) AMYLIN 00310-6530-04 Non-pill product
BYDUREON BCise® (2MG/.85ML) AMYLIN 00310-6540-04 Non-pill product
BYETTA® (5MCG/0.02ML) ASTRAZENECA 00310-6512-01 Non-pill product
BYETTA® (10MCG/0.04ML) ASTRAZENECA 00310-6524-01 Non-pill product
OZEMPIC® (.25MG OR .5MG/DOSE) NOVO NOR­DISK 00169-4132-12 Non-pill product
OZEMPIC® (1MG/DOSE) NOVO NOR­DISK 00169-4136-02 Non-pill product
OZEMPIC® (1MG/DOSE) NOVO NOR­DISK 00169-4130-13 Non-pill product
SAXENDA® (18MG/3ML) NOVO NOR­DISK 00169-2800-15 Non-pill product
SOLIQUA 100/33® (100-33 UNT-MCG/ML) SANOFI-AVENTIS 00024-5761-05 Non-pill product
TRULICITY® (.75MG/.5ML) ELI LILLY 00002-1433-80 Non-pill product
TRULICITY® (1.50MG/.5ML) ELI LILLY 00002-1434-80 Non-pill product
TRULICITY® (3MG/.5ML) ELI LILLY 00002-2236-80 Non-pill product
TRULICITY® (4.50MG/.5ML) ELI LILLY 00002-3182-80 Non-pill product
VICTOZA® (18MG/3ML) NOVO NOR­DISK 00169-4060-13 Non-pill product
VICTOZA® (18MG/3ML) NOVO NOR­DISK 00169-4060-12 Non-pill product
XULTOPHY 100/3.6® (100-3.6 UNIT-MG/ML) NOVO NOR­DISK 00169-2911-15 Non-pill product

Medi-Span® Price Rx® Pro Plus is the source of this information.

Obtained on 1/1/2024