ICATIBANT (Page 4 of 4)

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Rx Only

NDC 69097-664-34

Icatibant Injection

30 mg/3 mL (10 mg/mL)

Single-dose Prefilled Syringe

One 3 mL Prefilled Syringe

FOR SUBCUTANEOUS USE ONLY

Manufactured by:

Cipla Ltd., India

At M/s. Gland Pharma Limited, India

Manufactured for:

Cipla USA, Inc.

10 Independence Boulevard, Suite 300

Warren, NJ 07059

30 of 3
(click image for full-size original)

Rx Only

NDC 69097-664-68

Icatibant Injection

30 mg/3 mL (10 mg/mL)

Single-dose Prefilled Syringe

One 3 mL Prefilled Syringe

Manufactured by: Cipla Ltd., India

At M/s. Gland Pharma Limited, India

Manufactured for:

Cipla USA, Inc.

10 Independence Boulevard, Suite 300

Warren, NJ 07059

Cipla

30 mg per 30 mL
(click image for full-size original)

Rx Only

NDC 69097-664-34

Single-dose,

Prefilled Syringe

Icatibant Injection

30 mg/3 mL (10 mg/mL)

FOR SUBCUTANEOUS USE ONLY

Each syringe delivers 30 mg Icatibant equivalent to 34.14 mg Icatibant acetate

Carton contains:

One single-dose, prefilled syringe and one 25 G hypodermic needle.

Full prescribing information with patient injection instructions.

The syringe is closed with a protective cap.

One 3 mL Prefilled Syringe

Cipla

30mg per 3 lm 1s
(click image for full-size original)

Rx Only

NDC 69097-664-68

Single-dose,

Prefilled Syringe

Icatibant Injection

30 mg/3 mL (10 mg/mL)

FOR SUBCUTANEOUS USE ONLY

Each syringe delivers 30 mg Icatibant equivalent to 34.14 mg Icatibant acetate

Carton contains:

One single-dose, prefilled syringes and one 25 G hypodermic needle.

Full prescribing information with patient injection instructions.

The syringe is closed with a protective cap.

One 3 mL Prefilled Syringe

Cipla

30mg per 3 mL 3s pack carton
(click image for full-size original)

Rx Only

NDC 69097-664-68

Single-dose,

Prefilled Syringe

Icatibant Injection

30 mg/3 mL (10 mg/mL)

FOR SUBCUTANEOUS USE ONLY

Each syringe delivers 30 mg Icatibant equivalent to 34.14 mg Icatibant acetate

Carton contains:

Three cartons, each with one-single-dose, prefilled Syringe and one 25 G hypodermic needle.

Full prescribing information with patient injection instructions.

The syringe is closed with a protective cap.

3 x 3 mL Prefilled Syringes

Cipla

30mg per 3 mL 3s pack inner carton
(click image for full-size original)
ICATIBANT icatibant injection
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:69097-664
Route of Administration SUBCUTANEOUS DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
ICATIBANT ACETATE (ICATIBANT) ICATIBANT 30 mg in 3 mL
Inactive Ingredients
Ingredient Name Strength
ACETIC ACID 3.96 mg in 3 mL
SODIUM CHLORIDE 22.35 mg in 3 mL
SODIUM HYDROXIDE 1.92 mg in 3 mL
WATER
Packaging
# Item Code Package Description Multilevel Packaging
1 NDC:69097-664-68 3 SYRINGE, GLASS in 1 CARTON contains a SYRINGE, GLASS
1 3 mL in 1 SYRINGE, GLASS This package is contained within the CARTON (69097-664-68)
2 NDC:69097-664-34 1 SYRINGE, GLASS in 1 CARTON contains a SYRINGE, GLASS
2 3 mL in 1 SYRINGE, GLASS This package is contained within the CARTON (69097-664-34)
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA212446 07/13/2020
Labeler — Cipla USA Inc. (078719707)
Registrant — Cipla USA Inc. (078719707)
Establishment
Name Address ID/FEI Operations
Gland Pharma Limited,Hyderabad, Telangana 918601238 ANALYSIS (69097-664), MANUFACTURE (69097-664), PACK (69097-664)
Establishment
Name Address ID/FEI Operations
BCN Peptides S.A. Pol. Ind. Els Vinyets-Els Fogars II E-08777 Sant Quinti de Mediona (Barcelona) Spain 468203687 API MANUFACTURE (69097-664)

Revised: 05/2022 Cipla USA Inc.

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