SPL Mapping FHIR R5 Implementation Guide
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SPL Mapping FHIR R5 Implementation Guide, published by HL7 International / Biomedical Research and Regulation. This guide is not an authorized publication; it is the continuous build for version 0.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-spl/ and changes regularly. See the Directory of published versions

Example Bundle: EnbrelSyringeLabelBundle

Document Details

Generated Narrative: Bundle These highlights do not include all the information needed to use ENBREL safely and effectively. See full prescribing information for ENBREL. <br/> <br/>ENBREL<sup>®</sup> (etanercept) injection, for subcutaneous use <br/>ENBREL<sup>®</sup> (etanercept) for injection, for subcutaneous use <br/>Initial U.S. Approval: 1998


Document Content

WARNING: SERIOUS INFECTIONS and MALIGNANCIES

WARNING: SERIOUS INFECTIONS and MALIGNANCIES

See full prescribing information for complete boxed warning.

SERIOUS INFECTIONS

  • Increased risk of serious infections leading to hospitalization or death, including tuberculosis (TB), bacterial sepsis, invasive fungal infections (such as histoplasmosis), and infections due to other opportunistic pathogens. (5.1)
  • Enbrel should be discontinued if a patient develops a serious infection or sepsis during treatment. (5.1)
  • Perform test for latent TB; if positive, start treatment for TB prior to starting Enbrel. (5.1)
  • Monitor all patients for active TB during treatment, even if initial latent TB test is negative. (5.1)

MALIGNANCIES

  • Lymphoma and other malignancies, some fatal, have been reported in children and adolescent patients treated with TNF-blockers, including Enbrel. (5.3)

SPL UNCLASSIFIED SECTION

SERIOUS INFECTIONS

Patients treated with Enbrel are at increased risk for developing serious infections that may lead to hospitalization or death [see Warnings and Precautions (5.1) and Adverse Reactions (6)]. Most patients who developed these infections were taking concomitant immunosuppressants such as methotrexate or corticosteroids.

Enbrel should be discontinued if a patient develops a serious infection or sepsis.

Reported infections include:

  • Active tuberculosis, including reactivation of latent tuberculosis. Patients with tuberculosis have frequently presented with disseminated or extrapulmonary disease. Patients should be tested for latent tuberculosis before Enbrel use and during therapy. Treatment for latent infection should be initiated prior to Enbrel use.
  • Invasive fungal infections, including histoplasmosis, coccidioidomycosis, candidiasis, aspergillosis, NDAstomycosis, and pneumocystosis. Patients with histoplasmosis or other invasive fungal infections may present with disseminated, rather than localized, disease. Antigen and antibody testing for histoplasmosis may be negative in some patients with active infection. Empiric anti-fungal therapy should be considered in patients at risk for invasive fungal infections who develop severe systemic illness.
  • Bacterial, viral, and other infections due to opportunistic pathogens, including Legionella and Listeria.

The risks and benefits of treatment with Enbrel should be carefully considered prior to initiating therapy in patients with chronic or recurrent infection.

Patients should be closely monitored for the development of signs and symptoms of infection during and after treatment with Enbrel, including the possible development of tuberculosis in patients who tested negative for latent tuberculosis infection prior to initiating therapy.

SPL UNCLASSIFIED SECTION

MALIGNANCIES

Lymphoma and other malignancies, some fatal, have been reported in children and adolescent patients treated with TNF-blockers, including Enbrel.

1 INDICATIONS AND USAGE

Enbrel is a tumor necrosis factor (TNF) blocker indicated for the treatment of:

  • Rheumatoid Arthritis (RA) (1.1)
  • Polyarticular Juvenile Idiopathic Arthritis (JIA) in patients aged 2 years or older (1.2)
  • Psoriatic Arthritis (PsA) (1.3)
  • Ankylosing Spondylitis (AS) (1.4)
  • Plaque Psoriasis (PsO) in patients 4 years or older (1.5)

1.1 Rheumatoid Arthritis

Enbrel is administered by subcutaneous injection.

Patient PopulationRecommended Dose and Frequency
Adult RA and PsA (2.1)50 mg once weekly with or without methotrexate (MTX)
AS (2.1)50 mg once weekly
Adult PsO (2.1)50 mg twice weekly for 3 months, followed by 50 mg once weekly
Pediatric PsO or JIA (2.2)
0.8 mg/kg weekly, with a maximum of 50 mg per week

SPL UNCLASSIFIED SECTION

2.2 Pediatric Patients

Enbrel is administered by subcutaneous injection.

Table 2. Dosing and Administration for Pediatric Patients (PsO or JIA)
Pediatric Patients WeightRecommended Dose
63 kg (138 pounds) or more50 mg weekly
Less than 63 kg (138 pounds)0.8 mg/kg weekly

To achieve pediatric doses other than 25 mg or 50 mg, use Enbrel solution in a single-dose vial or reconstituted lyophilized powder in a multiple-dose vial.

Doses of Enbrel higher than those described in Table 2 have not been studied in pediatric patients.

In JIA patients, glucocorticoids, NSAIDs, or analgesics may be continued during treatment with Enbrel.

2.3 Preparation of Enbrel

Enbrel is intended for use under the guidance and supervision of a physician. Patients may self-inject when deemed appropriate and if they receive medical follow-up, as necessary. Patients should not self-administer until they receive proper training in how to prepare and administer the correct dose. Administer injections subcutaneously in the thigh, abdomen or outer area of the upper arm.

The following components contain dry natural rubber (a derivative of latex), which may cause allergic reactions in individuals sensitive to latex: the needle cover of the prefilled syringe, the needle cover within the white cap of the SureClick autoinjector, and the needle cover within the purple cap of the Enbrel Mini cartridge [see Warnings and Precautions (5.7)].

The Enbrel (etanercept) "Instructions for Use" insert for each presentation contains more detailed instructions on injection site selection and the preparation of Enbrel.

SPL UNCLASSIFIED SECTION

Preparation of Enbrel Single-dose Prefilled Syringe

For a more comfortable injection, leave Enbrel prefilled syringes at room temperature for about 15 to 30 minutes before injecting. DO NOT remove the needle cover while allowing the prefilled syringe to reach room temperature.

Inspect visually for particulate matter and discoloration prior to administration. There may be small white particles of protein in the solution. This is not unusual for proteinaceous solutions. The solution should not be used if discolored or cloudy, or if foreign particulate matter is present.

When using the Enbrel single-dose prefilled syringe, check to see if the amount of liquid in the prefilled syringe falls between the two purple fill level indicator lines on the syringe. If the syringe does not have the right amount of liquid, DO NOT USE THAT SYRINGE.

SPL UNCLASSIFIED SECTION

Preparation of Enbrel Single-dose Prefilled SureClick Autoinjector

Leave the autoinjector at room temperature for at least 30 minutes before injecting. DO NOT remove the needle cover while allowing the prefilled syringe to reach room temperature.

Inspect visually for particulate matter and discoloration prior to administration. There may be small white particles of protein in the solution. This is not unusual for proteinaceous solutions. The solution should not be used if discolored or cloudy, or if foreign particulate matter is present.

SPL UNCLASSIFIED SECTION

Preparation of Enbrel Single-dose Vial

For a more comfortable injection, leave Enbrel vial(s) at room temperature for at least 30 minutes before injecting. DO NOT remove the vial cap while allowing the vial to reach room temperature.

Inspect visually for particulate matter and discoloration prior to administration. There may be small white particles of protein in the solution. This is not unusual for proteinaceous solutions. The solution should not be used if discolored or cloudy, or if foreign particulate matter is present.

When using the Enbrel single-dose vial, administer the correct dose of solution using the following recommended materials:

  • A 1 mL Luer-Lock syringe.
  • A withdrawal needle with Luer-Lock connection, sterile, 22-gauge, length 1 ½ inch.
  • An injection needle with Luer-Lock connection, sterile, 27-gauge, length ½ inch.

Two vials may be required to administer the total prescribed dose. Use the same syringe for each vial. The vial does not contain preservatives; therefore discard unused portions.

SPL UNCLASSIFIED SECTION

Preparation of Enbrel Lyophilized Powder in a Multiple-dose Vial

Enbrel lyophilized powder should be reconstituted aseptically with 1 mL of the supplied Sterile Bacteriostatic Water for Injection, USP (0.9% benzyl alcohol), giving a solution of 1 mL containing 25 mg of Enbrel.

A vial adapter is supplied for use when reconstituting the lyophilized powder. However, the vial adapter should not be used if multiple doses are going to be withdrawn from the vial. If the vial will be used for multiple doses, a 25-gauge needle should be used for reconstituting and withdrawing Enbrel, and the supplied "Mixing Date:" sticker should be attached to the vial and the date of reconstitution entered. Reconstituted solution must be refrigerated at 36°F to 46°F (2°C to 8°C) and used within 14 days. Discard reconstituted solution after 14 days because product stability and sterility cannot be assured after 14 days. DO NOT store reconstituted Enbrel solution at room temperature.

For a more comfortable injection, leave the Enbrel dose tray at room temperature for about 15 to 30 minutes before injecting.

If using the vial adapter, twist the vial adapter onto the diluent syringe. Then, place the vial adapter over the Enbrel vial and insert the vial adapter into the vial stopper. Push down on the plunger to inject the diluent into the Enbrel vial. If using a 25-gauge needle to reconstitute and withdraw Enbrel, the diluent should be injected very slowly into the Enbrel vial. It is normal for some foaming to occur. Keeping the diluent syringe in place, gently swirl the contents of the Enbrel vial during dissolution. To avoid excessive foaming, do not shake or vigorously agitate.

Generally, dissolution of Enbrel takes less than 10 minutes. Do not use the solution if discolored or cloudy, or if particulate matter remains.

Withdraw the correct dose of reconstituted solution into the syringe. Some foam or bubbles may remain in the vial. Remove the syringe from the vial adapter or remove the 25-gauge needle from the syringe. Attach a 27-gauge needle to inject Enbrel.

The contents of one vial of Enbrel solution should not be mixed with, or transferred into, the contents of another vial of Enbrel. No other medications should be added to solutions containing Enbrel, and do not reconstitute Enbrel with other diluents. Do not filter reconstituted solution during preparation or administration.

SPL UNCLASSIFIED SECTION

Preparation of Enbrel Mini® single-dose prefilled cartridge using the AutoTouch® reusable autoinjector

Leave Enbrel Mini single-dose prefilled cartridge at room temperature for at least 30 minutes before injecting. DO NOT remove the purple cap while allowing the cartridge to reach room temperature.

Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration. There may be small white particles of protein in the solution. This is not unusual for proteinaceous solutions. The solution should not be used if discolored or cloudy, or if foreign particulate matter is present.

To use AutoTouch reusable autoinjector, open the door by pushing the door button and inserting Enbrel Mini single-dose prefilled cartridge into AutoTouch. When inserted correctly, Enbrel Mini single-dose prefilled cartridge will slide freely and completely into the door. Close the door and AutoTouch reusable autoinjector is ready for injection.

2.4 Monitoring to Assess Safety

SPL LISTING DATA ELEMENTS SECTION

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

PRINCIPAL DISPLAY PANEL
Contains 4 Single-Dose Prefilled Syringes
NDC 58406-455-04
Enbrel®
etanercept
25 mg/0.5 mL
Single-Dose Prefilled Syringe
25 mg/0.5 mL
Attention: Not for use in pediatric patients under 31 kg (68 pounds).
For Subcutaneous Use Only
Sterile Solution – No Preservative
Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE. 
Carton contents (4 single-dose prefilled syringes, 1 package
insert with attached Medication Guide) are intended to be
dispensed as a unit.
ATTENTION: Enclosed Medication Guide is required
for each patient.
This Product Contains Dry Natural Rubber.
AMGEN®
Rx Only
Manufactured by Immunex Corporation, Thousand Oaks, CA 91320

PRINCIPAL DISPLAY PANEL Contains 4 Single-Dose Prefilled Syringes NDC 58406-455-04 Enbrel® etanercept 25 mg/0.5 mL Single-Dose Prefilled Syringe 25 mg/0.5 mL Attention: Not for use in pediatric patients under 31 kg (68 pounds). For Subcutaneous Use Only Sterile Solution – No Preservative Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE. Carton contents (4 single-dose prefilled syringes, 1 package insert with attached Medication Guide) are intended to be dispensed as a unit. ATTENTION: Enclosed Medication Guide is required for each patient. This Product Contains Dry Natural Rubber. AMGEN® Rx Only Manufactured by Immunex Corporation, Thousand Oaks, CA 91320

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

PRINCIPAL DISPLAY PANEL
Contains 4 Single-Dose Prefilled Syringes
NDC 58406-435-04
Enbrel®
etanercept
50 mg/mL
Single-Dose Prefilled Syringe
50 mg/mL
Attention: Not for use in pediatric patients under 63 kg (138 pounds).
For Subcutaneous Use Only
Sterile Solution – No Preservative
Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE.
Carton contents (4 single-dose prefilled syringes, 1 package
insert with attached Medication Guide) are intended to be
dispensed as a unit.
ATTENTION: Enclosed Medication Guide is required
for each patient.
This Product Contains Dry Natural Rubber.
AMGEN®
Rx Only
Manufactured by Immunex Corporation, Thousand Oaks, CA 91320

PRINCIPAL DISPLAY PANEL Contains 4 Single-Dose Prefilled Syringes NDC 58406-435-04 Enbrel® etanercept 50 mg/mL Single-Dose Prefilled Syringe 50 mg/mL Attention: Not for use in pediatric patients under 63 kg (138 pounds). For Subcutaneous Use Only Sterile Solution – No Preservative Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE. Carton contents (4 single-dose prefilled syringes, 1 package insert with attached Medication Guide) are intended to be dispensed as a unit. ATTENTION: Enclosed Medication Guide is required for each patient. This Product Contains Dry Natural Rubber. AMGEN® Rx Only Manufactured by Immunex Corporation, Thousand Oaks, CA 91320

PRINCIPAL DISPLAY PANEL
Contains 4 Single-Dose Prefilled Syringes
NDC 58406-010-04
Enbrel®
etanercept
25 mg/0.5 mL
Single-Dose Prefilled Syringe
25 mg/0.5 mL
Attention: Not for use in pediatric patients under 31 kg (68 pounds).
For Subcutaneous Use Only
Sterile Solution – No Preservative
Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE.
Carton contents (4 single-dose prefilled syringes, 1 package
insert with attached Medication Guide) are intended to be
dispensed as a unit.
ATTENTION: Enclosed Medication Guide is required
for each patient.
This Product Contains Dry Natural Rubber.
AMGEN®
Rx Only
Manufactured by Immunex Corporation, Thousand Oaks, CA 91320

PRINCIPAL DISPLAY PANEL Contains 4 Single-Dose Prefilled Syringes NDC 58406-010-04 Enbrel® etanercept 25 mg/0.5 mL Single-Dose Prefilled Syringe 25 mg/0.5 mL Attention: Not for use in pediatric patients under 31 kg (68 pounds). For Subcutaneous Use Only Sterile Solution – No Preservative Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE. Carton contents (4 single-dose prefilled syringes, 1 package insert with attached Medication Guide) are intended to be dispensed as a unit. ATTENTION: Enclosed Medication Guide is required for each patient. This Product Contains Dry Natural Rubber. AMGEN® Rx Only Manufactured by Immunex Corporation, Thousand Oaks, CA 91320

PRINCIPAL DISPLAY PANEL
Contains 4 Single-Dose Prefilled Syringes
NDC 58406-021-04
Enbrel®
etanercept
50 mg/mL
Single-Dose Prefilled Syringe
50 mg/mL
Attention: Not for use in pediatric patients under 63 kg (138 pounds).
For Subcutaneous Use Only
Sterile Solution – No Preservative
Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE.
Carton contents (4 single-dose prefilled syringes, 1 package
insert with attached Medication Guide) are intended to be
dispensed as a unit.
ATTENTION: Enclosed Medication Guide is required
for each patient.
This Product Contains Dry Natural Rubber.
AMGEN®
Rx Only
Manufactured by Immunex Corporation, Thousand Oaks, CA 91320

PRINCIPAL DISPLAY PANEL Contains 4 Single-Dose Prefilled Syringes NDC 58406-021-04 Enbrel® etanercept 50 mg/mL Single-Dose Prefilled Syringe 50 mg/mL Attention: Not for use in pediatric patients under 63 kg (138 pounds). For Subcutaneous Use Only Sterile Solution – No Preservative Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE. Carton contents (4 single-dose prefilled syringes, 1 package insert with attached Medication Guide) are intended to be dispensed as a unit. ATTENTION: Enclosed Medication Guide is required for each patient. This Product Contains Dry Natural Rubber. AMGEN® Rx Only Manufactured by Immunex Corporation, Thousand Oaks, CA 91320

PRINCIPAL DISPLAY PANEL
Contains 4 Single-Dose Prefilled Autoinjectors
NDC 58406-445-04
Enbrel®
etanercept
SureClick® Autoinjector
50 mg/mL
Single-Dose Prefilled Autoinjector
50 mg/mL
Attention: Not for use in pediatric patients under 63 kg (138 pounds).
For Subcutaneous Use Only
Sterile Solution – No Preservative
Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE.
Carton Contents (4 prefilled SureClick® Autoinjectors, 1 package insert with
attached Medication Guide) are intended to be dispensed as a unit.
ATTENTION: Enclosed Medication Guide is required for each patient.
This Product Contains Dry Natural Rubber.
AMGEN®
Rx Only
Manufactured by Immunex Corporation, Thousand Oaks, CA 91320-1799

PRINCIPAL DISPLAY PANEL Contains 4 Single-Dose Prefilled Autoinjectors NDC 58406-445-04 Enbrel® etanercept SureClick® Autoinjector 50 mg/mL Single-Dose Prefilled Autoinjector 50 mg/mL Attention: Not for use in pediatric patients under 63 kg (138 pounds). For Subcutaneous Use Only Sterile Solution – No Preservative Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE. Carton Contents (4 prefilled SureClick® Autoinjectors, 1 package insert with attached Medication Guide) are intended to be dispensed as a unit. ATTENTION: Enclosed Medication Guide is required for each patient. This Product Contains Dry Natural Rubber. AMGEN® Rx Only Manufactured by Immunex Corporation, Thousand Oaks, CA 91320-1799

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

PRINCIPAL DISPLAY PANEL
Contains 4 Single-Dose Prefilled Autoinjectors
NDC 58406-032-04
Enbrel®
etanercept
SureClick® Autoinjector
50 mg/mL
Single-Dose Prefilled Autoinjector
50 mg/mL
Attention: Not for use in pediatric patients under 63 kg (138 pounds).
For Subcutaneous Use Only
Sterile Solution – No Preservative
Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE.
Carton Contents (4 prefilled SureClick® Autoinjectors, 1 package insert with
attached Medication Guide) are intended to be dispensed as a unit.
ATTENTION: Enclosed Medication Guide is required for each patient.
This Product Contains Dry Natural Rubber.
AMGEN®
Rx Only
Manufactured by Immunex Corporation, Thousand Oaks, CA 91320-1799

PRINCIPAL DISPLAY PANEL Contains 4 Single-Dose Prefilled Autoinjectors NDC 58406-032-04 Enbrel® etanercept SureClick® Autoinjector 50 mg/mL Single-Dose Prefilled Autoinjector 50 mg/mL Attention: Not for use in pediatric patients under 63 kg (138 pounds). For Subcutaneous Use Only Sterile Solution – No Preservative Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE. Carton Contents (4 prefilled SureClick® Autoinjectors, 1 package insert with attached Medication Guide) are intended to be dispensed as a unit. ATTENTION: Enclosed Medication Guide is required for each patient. This Product Contains Dry Natural Rubber. AMGEN® Rx Only Manufactured by Immunex Corporation, Thousand Oaks, CA 91320-1799

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

PRINCIPAL DISPLAY PANEL
Contains 4 Multi-Dose Trays
NDC 58406-425-34
AMGEN®
Enbrel®
etanercept
25 mg/vial
Multiple-Dose Vial
See package insert for full prescribing information
and instructions for preparation and administration.
25 mg/vial
Each vial contains a sterile lyophilized preparation
of 25 mg etanercept (a recombinant CHO cell-derived
product), 40 mg mannitol, 10 mg sucrose, and
1.2 mg tromethamine.
Specific activitiy: approximately 1.7 x 106 U/mg.
No U.S. standard of potency. Volume after reconstitution
with 1 mL diluent is 1 mL.
Before and after reconstitution refrigerate
at 2° to 8°C (36° to 46°F). DO NOT FREEZE.
For Subcutaneous Use Only
AMGEN®
Manufactured by Immunex Corporation, Thousand Oaks, CA 91320
Contains diluent syringes (Made in Germany)
U.S. License No. 1132
©2013, 2016 Immunex Corporation
Patent: http://pat.amgen.com/enbrel/

PRINCIPAL DISPLAY PANEL Contains 4 Multi-Dose Trays NDC 58406-425-34 AMGEN® Enbrel® etanercept 25 mg/vial Multiple-Dose Vial See package insert for full prescribing information and instructions for preparation and administration. 25 mg/vial Each vial contains a sterile lyophilized preparation of 25 mg etanercept (a recombinant CHO cell-derived product), 40 mg mannitol, 10 mg sucrose, and 1.2 mg tromethamine. Specific activitiy: approximately 1.7 x 106 U/mg. No U.S. standard of potency. Volume after reconstitution with 1 mL diluent is 1 mL. Before and after reconstitution refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE. For Subcutaneous Use Only AMGEN® Manufactured by Immunex Corporation, Thousand Oaks, CA 91320 Contains diluent syringes (Made in Germany) U.S. License No. 1132 ©2013, 2016 Immunex Corporation Patent: http://pat.amgen.com/enbrel/

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

PRINCIPAL DISPLAY PANEL
Contains 4 Single-dose prefilled cartridges
NDC 58406-456-04
Enbrel®
etanercept
50 mg/mL
Enbrel Mini™ prefilled cartridge
50 mg/mL
Single-dose prefilled cartridge
For use with AutoTouch™ reusuable autoinjector only
Attention: Not for use in pediatric patient under 138 lbs.
For Subcutaneous Use Only
Sterile Solution – No Preservative
Refrigerate at 2°C to 8°C (36° to 46°F). DO NOT FREEZE. DO NOT SHAKE.
Carton contents (4 prefilled cartridges, 1 package insert with attached
Medication Guide) are intended to be dispensed as a unit.
ATTENTION: Enclosed Medication Guide is required for each patient.
This Product Contains
Dry Natural Rubber.
Do not Reuse
CAUTION, See package insert
for full prescribing information
and Instructions for Use
Rx Only
AMGEN®

PRINCIPAL DISPLAY PANEL Contains 4 Single-dose prefilled cartridges NDC 58406-456-04 Enbrel® etanercept 50 mg/mL Enbrel Mini™ prefilled cartridge 50 mg/mL Single-dose prefilled cartridge For use with AutoTouch™ reusuable autoinjector only Attention: Not for use in pediatric patient under 138 lbs. For Subcutaneous Use Only Sterile Solution – No Preservative Refrigerate at 2°C to 8°C (36° to 46°F). DO NOT FREEZE. DO NOT SHAKE. Carton contents (4 prefilled cartridges, 1 package insert with attached Medication Guide) are intended to be dispensed as a unit. ATTENTION: Enclosed Medication Guide is required for each patient. This Product Contains Dry Natural Rubber. Do not Reuse CAUTION, See package insert for full prescribing information and Instructions for Use Rx Only AMGEN®

PRINCIPAL DISPLAY PANEL - 50 mg/mL Cartridge Carton

Contains 4 Single-dose prefilled cartridges

NDC 58406-044-04

Enbrel®
etanercept

50
mg/mL

Enbrel Mini® prefilled cartridge
50 mg/mL
Single-dose prefilled cartridge

For use with all AutoTouch® reusable autoinjectors only

Attention: Not for use in pediatric patient under 138 lbs.

For Subcutaneous Use Only

Sterile Solution – No Preservative

Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE. DO NOT SHAKE.

Carton contents (4 prefilled cartridges, 1 package insert with attached
Medication Guide) are intended to be dispensed as a unit.

ATTENTION: Enclosed Medication Guide is required for each patient.

This Product Contains
Dry Natural Rubber.

Do not Reuse

CAUTION, See package insert
for full prescribing information
and Instructions for Use

Rx Only

AMGEN®

PRINCIPAL DISPLAY PANEL - 50 mg/mL Cartridge Carton

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

PRINCIPAL DISPLAY PANEL
Contains 4 Single-dose prefilled Autoinjectors
NDC 58406-446-04
Enbrel®
etanercept
50 mg/mL
SureClick® 2.0 Autoinjector
Enhanced Features
see instructions for use
50 mg/mL
Single-dose Prefilled Autoinjector
Attention: Not for use in pediatric patients under 63 kg (138 pounds)
For Subcutaneous Use Only
Sterile Solution – No Preservative
Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE.
Carton contents (4 prefilled SureClick® 2.0 Autoinjectors, 1 package insert with
attached Medication Guide) are intended to be dispensed as a unit.
ATTENTION: Enclosed Medication Guide is required for each patient.
This Product Contains Dry Natural Rubber.
AMGEN®
Rx Only
Manufactured by Immunex Corporation, Thousand Oaks, CA 91320-1799
Marketed by Amgen Inc.

PRINCIPAL DISPLAY PANEL Contains 4 Single-dose prefilled Autoinjectors NDC 58406-446-04 Enbrel® etanercept 50 mg/mL SureClick® 2.0 Autoinjector Enhanced Features see instructions for use 50 mg/mL Single-dose Prefilled Autoinjector Attention: Not for use in pediatric patients under 63 kg (138 pounds) For Subcutaneous Use Only Sterile Solution – No Preservative Refrigerate at 2° to 8°C (36° to 46°F). DO NOT FREEZE. Carton contents (4 prefilled SureClick® 2.0 Autoinjectors, 1 package insert with attached Medication Guide) are intended to be dispensed as a unit. ATTENTION: Enclosed Medication Guide is required for each patient. This Product Contains Dry Natural Rubber. AMGEN® Rx Only Manufactured by Immunex Corporation, Thousand Oaks, CA 91320-1799 Marketed by Amgen Inc.

PRINCIPAL DISPLAY PANEL
NDC 58406-470-01

AMGEN®

AutoTouch®  reusable autoinjector

For use with Enbrel Mini® (etanercept)

For use with Enbrel Mini® (etanercept) single-dose prefilled cartridge

Contains 1 AutoTouch® reusable autoinjector

For Subcutaneous Use Only

Store at room temperature.

IP52 – This package will resisit drops of water and dust.

Do Not Use if Package is Damaged

Type BF Applied Part

Exp: Expiry Date

Follow instructions for use

Rx Only

PRINCIPAL DISPLAY PANEL NDC 58406-470-01 AMGEN® AutoTouch® reusable autoinjector For use with Enbrel Mini® (etanercept) For use with Enbrel Mini® (etanercept) single-dose prefilled cartridge Contains 1 AutoTouch® reusable autoinjector For Subcutaneous Use Only Store at room temperature. IP52 – This package will resisit drops of water and dust. Do Not Use if Package is Damaged Type BF Applied Part Exp: Expiry Date Follow instructions for use Rx Only

PRINCIPAL DISPLAY PANEL - 25 mg Vial Carton

4 Single-Dose Vials, each vial is 25 mg/0.5mL

NDC 58406-055-04

AMGEN®

Enbrel®
etanercept

Injection
25 mg/0.5 mL
Single-Dose Vial – Discard unused portion

For Subcutaneous Use Only.
Sterile Solution - No Preservative.
Refrigerate at 2° to 8°C (36° to 46°F). Do Not Freeze or Shake.
Protect from Light.

25
mg

U.S. License No. 1132
Manufactured by Immunex Corporation
Thousand Oaks, CA 91320-1799 U.S.A.
© 2019 Immunex Corporation

Rx Only

PRINCIPAL DISPLAY PANEL - 25 mg Vial Carton

Additional Resources Included in Document


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type: HUMAN PRESCRIPTION DRUG LABEL

date: 2021-12-13

author: Organization Immunex Corporation

title: These highlights do not include all the information needed to use ENBREL safely and effectively. See full prescribing information for ENBREL. <br/> <br/>ENBREL<sup>®</sup> (etanercept) injection, for subcutaneous use <br/>ENBREL<sup>®</sup> (etanercept) for injection, for subcutaneous use <br/>Initial U.S. Approval: 1998


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name

productName: ENBREL

type: Proprietary Name

name

productName: etanercept

type: Generic Name (Non-Proprietary)


Entry 4 - fullUrl = http://example.org/ManufacturedItemDefinition/Enbrel50mgSolution

Resource ManufacturedItemDefinition:

Generated Narrative: ManufacturedItemDefinition Enbrel50mgSolution

status: Active

manufacturedDoseForm: SOLUTION


Entry 5 - fullUrl = http://example.org/Ingredient/Enbrel50mgSolutionActiveIngredient

Resource Ingredient:

Generated Narrative: Ingredient Enbrel50mgSolutionActiveIngredient

status: Active

for: ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

role: active ingredient - basis of strength

substance

Codes

-Reference
*SubstanceDefinition: identifier = http://fdasis.nlm.nih.gov#Unique Ingredient Identifier (UNII)#OP401G7OJC

Strengths

-Presentation[x]
*50 mg (Details: UCUM codemg = 'mg')/1 mL (Details: UCUM codemL = 'mL')

Entry 6 - fullUrl = http://example.org/SubstanceDefinition/EnbrelIngredientDefinition

Resource SubstanceDefinition:

Generated Narrative: SubstanceDefinition EnbrelIngredientDefinition

identifier: Unique Ingredient Identifier (UNII)/OP401G7OJC

Moieties

-IdentifierName
*Unique Ingredient Identifier (UNII)/OP401G7OJCETANERCEPT

Names

-Name
*ETANERCEPT

Entry 7 - fullUrl = http://example.org/Ingredient/Enbrel50mgSolutionIngredient1

Resource Ingredient:

Generated Narrative: Ingredient Enbrel50mgSolutionIngredient1

status: Active

for: ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

role: inactive ingredient

substance

Codes

-Concept
*ARGININE HYDROCHLORIDE

Strengths

-Presentation[x]
*0.025 mmol (Details: UCUM codemmol = 'mmol')/1 mL (Details: UCUM codemL = 'mL')

Entry 8 - fullUrl = http://example.org/Ingredient/Enbrel50mgSolutionIngredient2

Resource Ingredient:

Generated Narrative: Ingredient Enbrel50mgSolutionIngredient2

status: Active

for: ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

role: inactive ingredient

substance

Codes

-Concept
*SODIUM CHLORIDE

Strengths

-Presentation[x]
*0.12 mmol (Details: UCUM codemmol = 'mmol')/1 mL (Details: UCUM codemL = 'mL')

Entry 9 - fullUrl = http://example.org/Ingredient/Enbrel50mgSolutionIngredient3

Resource Ingredient:

Generated Narrative: Ingredient Enbrel50mgSolutionIngredient3

status: Active

for: ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

role: inactive ingredient

substance

Codes

-Concept
*SUCROSE

Strengths

-Presentation[x]
*10 mg (Details: UCUM codemg = 'mg')/1 mL (Details: UCUM codemL = 'mL')

Entry 10 - fullUrl = http://example.org/PackagedProductDefinition/Enbrel435Package

Resource PackagedProductDefinition:

Generated Narrative: PackagedProductDefinition Enbrel435Package

packageFor: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-435; route = SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2005-10-05 --> (ongoing)

packaging

identifier: National drug codes/58406-435-04

type: CARTON

packaging

identifier: National drug codes/58406-435-01

type: SYRINGE

quantity: 4

Properties

-TypeValue[x]
*Combination Product TypeType 0: Not a Combination Product

containedItem

Items

-Reference
*ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

amount: 1 mL (Details: UCUM codemL = 'mL')


Entry 11 - fullUrl = http://example.org/RegulatedAuthorization/Enbrel435Marketing

Resource RegulatedAuthorization:

Generated Narrative: RegulatedAuthorization Enbrel435Marketing

identifier: urn:oid:2.16.840.1.113883.3.150/NDA103795

subject: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-435; route = SUBCUTANEOUS

type: NDA

region: United States of America


Entry 12 - fullUrl = http://example.org/MedicinalProductDefinition/Enbrel445Definition

Resource MedicinalProductDefinition:

Generated Narrative: MedicinalProductDefinition Enbrel445Definition

identifier: National drug codes/58406-445

route: SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2005-11-10 --> (ongoing)

name

productName: ENBREL

type: Proprietary Name

name

productName: etanercept

type: Generic Name (Non-Proprietary)


Entry 13 - fullUrl = http://example.org/PackagedProductDefinition/Enbrel445Package

Resource PackagedProductDefinition:

Generated Narrative: PackagedProductDefinition Enbrel445Package

packageFor: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-445; route = SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2005-11-10 --> (ongoing)

packaging

identifier: National drug codes/58406-445-04

type: CARTON

packaging

identifier: National drug codes/58406-445-01

type: SYRINGE

quantity: 4

Properties

-TypeValue[x]
*Combination Product TypeType 0: Not a Combination Product

containedItem

Items

-Reference
*ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

amount: 1 mL (Details: UCUM codemL = 'mL')


Entry 14 - fullUrl = http://example.org/RegulatedAuthorization/Enbrel445Marketing

Resource RegulatedAuthorization:

Generated Narrative: RegulatedAuthorization Enbrel445Marketing

identifier: urn:oid:2.16.840.1.113883.3.150/NDA103795

subject: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-445; route = SUBCUTANEOUS

type: NDA

region: United States of America


Entry 15 - fullUrl = http://example.org/MedicinalProductDefinition/Enbrel425Definition

Resource MedicinalProductDefinition:

Generated Narrative: MedicinalProductDefinition Enbrel425Definition

identifier: National drug codes/58406-425

MarketingStatuses

-StatusDateRange
*active2003-01-02 --> (ongoing)

name

productName: ENBREL

type: Proprietary Name

name

productName: etanercept

type: Generic Name (Non-Proprietary)


Entry 16 - fullUrl = http://example.org/MedicinalProductDefinition/Enbrel425Part1Definition

Resource MedicinalProductDefinition:

Generated Narrative: MedicinalProductDefinition Enbrel425Part1Definition

identifier: National drug codes/58406-424

MarketingStatuses

-StatusDateRange
*active2003-01-02 --> (ongoing)

name

productName: ENBREL

type: Proprietary Name

name

productName: etanercept

type: Generic Name (Non-Proprietary)


Entry 17 - fullUrl = http://example.org/PackagedProductDefinition/Enbrel425Part1Package

Resource PackagedProductDefinition:

Generated Narrative: PackagedProductDefinition Enbrel425Part1Package

packageFor: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-424

packaging

identifier: National drug codes/58406-424-01

type: VIAL

Properties

-TypeValue[x]
*Combination Product TypeType 2: Prefilled Drug Delivery Device/System (syringe, patch, etc.)

containedItem

Items

-Reference
*ManufacturedItemDefinition: status = active; manufacturedDoseForm = INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION

amount: 1 mL (Details: UCUM codemL = 'mL')


Entry 18 - fullUrl = http://example.org/RegulatedAuthorization/Enbrel425Part1Marketing

Resource RegulatedAuthorization:

Generated Narrative: RegulatedAuthorization Enbrel425Part1Marketing

identifier: urn:oid:2.16.840.1.113883.3.150/NDA103795

subject: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-424

type: NDA

region: United States of America


Entry 19 - fullUrl = http://example.org/MedicinalProductDefinition/Enbrel425Part2Definition

Resource MedicinalProductDefinition:

Generated Narrative: MedicinalProductDefinition Enbrel425Part2Definition

identifier: National drug codes/58406-910

MarketingStatuses

-StatusDateRange
*active2003-01-02 --> (ongoing)

name

productName: ENBREL

type: Proprietary Name

name

productName: etanercept

type: Generic Name (Non-Proprietary)


Entry 20 - fullUrl = http://example.org/PackagedProductDefinition/Enbrel425Part2Package

Resource PackagedProductDefinition:

Generated Narrative: PackagedProductDefinition Enbrel425Part2Package

packageFor: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-910

packaging

identifier: National drug codes/58406-910-01

type: SYRINGE

Properties

-TypeValue[x]
*Combination Product TypeType 2: Prefilled Drug Delivery Device/System (syringe, patch, etc.)

containedItem

Items

-Reference
*ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

amount: 1 mL (Details: UCUM codemL = 'mL')


Entry 21 - fullUrl = http://example.org/RegulatedAuthorization/Enbrel425Part2Marketing

Resource RegulatedAuthorization:

Generated Narrative: RegulatedAuthorization Enbrel425Part2Marketing

identifier: urn:oid:2.16.840.1.113883.3.150/NDA103795

subject: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-910

type: NDA

region: United States of America


Entry 22 - fullUrl = http://example.org/ManufacturedItemDefinition/EnbrelPowder

Resource ManufacturedItemDefinition:

Generated Narrative: ManufacturedItemDefinition EnbrelPowder

status: Active

manufacturedDoseForm: INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION


Entry 23 - fullUrl = http://example.org/Ingredient/EnbrelPowderActiveIngredient

Resource Ingredient:

Generated Narrative: Ingredient EnbrelPowderActiveIngredient

status: Active

for: ManufacturedItemDefinition: status = active; manufacturedDoseForm = INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION

role: active ingredient - basis of strength

substance

Codes

-Reference
*SubstanceDefinition: identifier = http://fdasis.nlm.nih.gov#Unique Ingredient Identifier (UNII)#OP401G7OJC

Strengths

-Presentation[x]
*25 mg (Details: UCUM codemg = 'mg')/1 mL (Details: UCUM codemL = 'mL')

Entry 24 - fullUrl = http://example.org/Ingredient/EnbrelPowderIngredient1

Resource Ingredient:

Generated Narrative: Ingredient EnbrelPowderIngredient1

status: Active

for: ManufacturedItemDefinition: status = active; manufacturedDoseForm = INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION

role: inactive ingredient

substance

Codes

-Concept
*MANNITOL

Strengths

-Presentation[x]
*40 mg (Details: UCUM codemg = 'mg')/1 mL (Details: UCUM codemL = 'mL')

Entry 25 - fullUrl = http://example.org/Ingredient/EnbrelPowderIngredient2

Resource Ingredient:

Generated Narrative: Ingredient EnbrelPowderIngredient2

status: Active

for: ManufacturedItemDefinition: status = active; manufacturedDoseForm = INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION

role: inactive ingredient

substance

Codes

-Concept
*SUCROSE

Strengths

-Presentation[x]
*10 mg (Details: UCUM codemg = 'mg')/1 mL (Details: UCUM codemL = 'mL')

Entry 26 - fullUrl = http://example.org/Ingredient/EnbrelPowderIngredient3

Resource Ingredient:

Generated Narrative: Ingredient EnbrelPowderIngredient3

status: Active

for: ManufacturedItemDefinition: status = active; manufacturedDoseForm = INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION

role: inactive ingredient

substance

Codes

-Concept
*TROMETHAMINE

Strengths

-Presentation[x]
*1.2 mg (Details: UCUM codemg = 'mg')/1 mL (Details: UCUM codemL = 'mL')

Entry 27 - fullUrl = http://example.org/ManufacturedItemDefinition/EnbrelSterileSolution

Resource ManufacturedItemDefinition:

Generated Narrative: ManufacturedItemDefinition EnbrelSterileSolution

status: Active

manufacturedDoseForm: SOLUTION


Entry 28 - fullUrl = http://example.org/Ingredient/EnbrelSterileSolutionIngredient1

Resource Ingredient:

Generated Narrative: Ingredient EnbrelSterileSolutionIngredient1

status: Active

for: ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

role: inactive ingredient

substance

Codes

-Concept
*BENZYL ALCOHOL

Strengths

-Presentation[x]
*9.93 mg (Details: UCUM codemg = 'mg')/1 mL (Details: UCUM codemL = 'mL')

Entry 29 - fullUrl = http://example.org/Ingredient/EnbrelSterileSolutionIngredient2

Resource Ingredient:

Generated Narrative: Ingredient EnbrelSterileSolutionIngredient2

status: Active

for: ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

role: inactive ingredient

substance

Codes

-Concept
*WATER

Strengths

-Presentation[x]
*1 mL (Details: UCUM codemL = 'mL')/1 mL (Details: UCUM codemL = 'mL')

Entry 30 - fullUrl = http://example.org/ManufacturedItemDefinition/EnbrelKit

Resource ManufacturedItemDefinition:

Generated Narrative: ManufacturedItemDefinition EnbrelKit

status: Active

manufacturedDoseForm: KIT


Entry 31 - fullUrl = http://example.org/PackagedProductDefinition/Enbrel425Package

Resource PackagedProductDefinition:

Generated Narrative: PackagedProductDefinition Enbrel425Package

packageFor: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-425

MarketingStatuses

-StatusDateRange
*active2003-10-02 --> (ongoing)

packaging

identifier: National drug codes/58406-425-34

type: CARTON

packaging

identifier: National drug codes/58406-425-41

type: KIT

quantity: 4

containedItem

Items

-Reference
*ManufacturedItemDefinition: status = active; manufacturedDoseForm = KIT

amount: 1 1 (Details: UCUM code1 = '1')

packaging

Packaged Product Reference: PackagedProductDefinition

identifier: National drug codes/58406-910-01

type: SYRINGE

containedItem

Items

-Reference
*ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

amount: 1 mL (Details: UCUM codemL = 'mL')

packaging

Packaged Product Reference: PackagedProductDefinition


Entry 32 - fullUrl = http://example.org/RegulatedAuthorization/Enbrel425Marketing

Resource RegulatedAuthorization:

Generated Narrative: RegulatedAuthorization Enbrel425Marketing

identifier: urn:oid:2.16.840.1.113883.3.150/NDA103795

subject: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-425

type: NDA

region: United States of America


Entry 33 - fullUrl = http://example.org/MedicinalProductDefinition/Enbrel455Definition

Resource MedicinalProductDefinition:

Generated Narrative: MedicinalProductDefinition Enbrel455Definition

identifier: National drug codes/58406-455

route: SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2005-11-10 --> (ongoing)

name

productName: ENBREL

type: Proprietary Name

name

productName: etanercept

type: Generic Name (Non-Proprietary)


Entry 34 - fullUrl = http://example.org/ManufacturedItemDefinition/Enbrel25mgSolution

Resource ManufacturedItemDefinition:

Generated Narrative: ManufacturedItemDefinition Enbrel25mgSolution

status: Active

manufacturedDoseForm: SOLUTION


Entry 35 - fullUrl = http://example.org/Ingredient/Enbrel25mgSolutionActiveIngredient

Resource Ingredient:

Generated Narrative: Ingredient Enbrel25mgSolutionActiveIngredient

status: Active

for: ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

role: active ingredient - basis of strength

substance

Codes

-Reference
*SubstanceDefinition: identifier = http://fdasis.nlm.nih.gov#Unique Ingredient Identifier (UNII)#OP401G7OJC

Strengths

-Presentation[x]
*25 mg (Details: UCUM codemg = 'mg')/0.5 mL (Details: UCUM codemL = 'mL')

Entry 36 - fullUrl = http://example.org/Ingredient/Enbrel25mgSolutionIngredient1

Resource Ingredient:

Generated Narrative: Ingredient Enbrel25mgSolutionIngredient1

status: Active

for: ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

role: inactive ingredient

substance

Codes

-Concept
*ARGININE HYDROCHLORIDE

Strengths

-Presentation[x]
*0.013 mmol (Details: UCUM codemmol = 'mmol')/0.5 mL (Details: UCUM codemL = 'mL')

Entry 37 - fullUrl = http://example.org/Ingredient/Enbrel25mgSolutionIngredient2

Resource Ingredient:

Generated Narrative: Ingredient Enbrel25mgSolutionIngredient2

status: Active

for: ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

role: inactive ingredient

substance

Codes

-Concept
*SODIUM CHLORIDE

Strengths

-Presentation[x]
*0.06 mmol (Details: UCUM codemmol = 'mmol')/0.5 mL (Details: UCUM codemL = 'mL')

Entry 38 - fullUrl = http://example.org/Ingredient/Enbrel25mgSolutionIngredient3

Resource Ingredient:

Generated Narrative: Ingredient Enbrel25mgSolutionIngredient3

status: Active

for: ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

role: inactive ingredient

substance

Codes

-Concept
*SUCROSE

Strengths

-Presentation[x]
*5 mg (Details: UCUM codemg = 'mg')/0.5 mL (Details: UCUM codemL = 'mL')

Entry 39 - fullUrl = http://example.org/PackagedProductDefinition/Enbrel455Package

Resource PackagedProductDefinition:

Generated Narrative: PackagedProductDefinition Enbrel455Package

packageFor: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-455; route = SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2005-11-10 --> (ongoing)

packaging

identifier: National drug codes/58406-455-04

type: CARTON

Properties

-TypeValue[x]
*Combination Product TypeType 2: Prefilled Drug Delivery Device/System (syringe, patch, etc.)

packaging

identifier: National drug codes/58406-455-01

type: SYRINGE

quantity: 4

containedItem

Items

-Reference
*ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

amount: 0.5 mL (Details: UCUM codemL = 'mL')


Entry 40 - fullUrl = http://example.org/RegulatedAuthorization/Enbrel455Marketing

Resource RegulatedAuthorization:

Generated Narrative: RegulatedAuthorization Enbrel455Marketing

identifier: urn:oid:2.16.840.1.113883.3.150/NDA103795

subject: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-455; route = SUBCUTANEOUS

type: NDA

region: United States of America


Entry 41 - fullUrl = http://example.org/MedicinalProductDefinition/Enbrel456Definition

Resource MedicinalProductDefinition:

Generated Narrative: MedicinalProductDefinition Enbrel456Definition

identifier: National drug codes/58406-456

route: SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2017-09-29 --> (ongoing)

name

productName: ENBREL

type: Proprietary Name

name

productName: etanercept

type: Generic Name (Non-Proprietary)


Entry 42 - fullUrl = http://example.org/PackagedProductDefinition/Enbrel456Package

Resource PackagedProductDefinition:

Generated Narrative: PackagedProductDefinition Enbrel456Package

packageFor: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-456; route = SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2017-09-29 --> (ongoing)

packaging

identifier: National drug codes/58406-456-04

type: CARTON

Properties

-TypeValue[x]
*Combination Product TypeType 2: Prefilled Drug Delivery Device/System (syringe, patch, etc.)

packaging

identifier: National drug codes/58406-456-01

type: CARTRIDGE

quantity: 4

containedItem

Items

-Reference
*ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

amount: 1 mL (Details: UCUM codemL = 'mL')


Entry 43 - fullUrl = http://example.org/RegulatedAuthorization/Enbrel456Marketing

Resource RegulatedAuthorization:

Generated Narrative: RegulatedAuthorization Enbrel456Marketing

identifier: urn:oid:2.16.840.1.113883.3.150/NDA103795

subject: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-456; route = SUBCUTANEOUS

type: NDA

region: United States of America


Entry 44 - fullUrl = http://example.org/MedicinalProductDefinition/Enbrel446Definition

Resource MedicinalProductDefinition:

Generated Narrative: MedicinalProductDefinition Enbrel446Definition

identifier: National drug codes/58406-446

route: SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2017-10-20 --> (ongoing)

name

productName: ENBREL

type: Proprietary Name

name

productName: etanercept

type: Generic Name (Non-Proprietary)


Entry 45 - fullUrl = http://example.org/PackagedProductDefinition/Enbrel446Package

Resource PackagedProductDefinition:

Generated Narrative: PackagedProductDefinition Enbrel446Package

packageFor: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-446; route = SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2017-10-20 --> (ongoing)

packaging

identifier: National drug codes/58406-446-04

type: CARTON

Properties

-TypeValue[x]
*Combination Product TypeType 2: Prefilled Drug Delivery Device/System (syringe, patch, etc.)

packaging

identifier: National drug codes/58406-446-01

type: SYRINGE

quantity: 4

containedItem

Items

-Reference
*ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

amount: 1 mL (Details: UCUM codemL = 'mL')


Entry 46 - fullUrl = http://example.org/RegulatedAuthorization/Enbrel446Marketing

Resource RegulatedAuthorization:

Generated Narrative: RegulatedAuthorization Enbrel446Marketing

identifier: urn:oid:2.16.840.1.113883.3.150/NDA103795

subject: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-446; route = SUBCUTANEOUS

type: NDA

region: United States of America


Entry 47 - fullUrl = http://example.org/MedicinalProductDefinition/Enbrel021Definition

Resource MedicinalProductDefinition:

Generated Narrative: MedicinalProductDefinition Enbrel021Definition

identifier: National drug codes/58406-021

route: SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2019-06-07 --> (ongoing)

name

productName: ENBREL

type: Proprietary Name

name

productName: etanercept

type: Generic Name (Non-Proprietary)


Entry 48 - fullUrl = http://example.org/PackagedProductDefinition/Enbrel021Package

Resource PackagedProductDefinition:

Generated Narrative: PackagedProductDefinition Enbrel021Package

packageFor: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-021; route = SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2019-06-07 --> (ongoing)

packaging

identifier: National drug codes/58406-021-04

type: CARTON

Properties

-TypeValue[x]
*Combination Product TypeType 2: Prefilled Drug Delivery Device/System (syringe, patch, etc.)

packaging

identifier: National drug codes/58406-021-01

type: SYRINGE

quantity: 4

containedItem

Items

-Reference
*ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

amount: 1 mL (Details: UCUM codemL = 'mL')


Entry 49 - fullUrl = http://example.org/RegulatedAuthorization/Enbrel021Marketing

Resource RegulatedAuthorization:

Generated Narrative: RegulatedAuthorization Enbrel021Marketing

identifier: urn:oid:2.16.840.1.113883.3.150/NDA103795

subject: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-021; route = SUBCUTANEOUS

type: NDA

region: United States of America


Entry 50 - fullUrl = http://example.org/MedicinalProductDefinition/Enbrel032Definition

Resource MedicinalProductDefinition:

Generated Narrative: MedicinalProductDefinition Enbrel032Definition

identifier: National drug codes/58406-032

route: SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2019-06-07 --> (ongoing)

name

productName: ENBREL

type: Proprietary Name

name

productName: etanercept

type: Generic Name (Non-Proprietary)


Entry 51 - fullUrl = http://example.org/PackagedProductDefinition/Enbrel032Package

Resource PackagedProductDefinition:

Generated Narrative: PackagedProductDefinition Enbrel032Package

packageFor: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-032; route = SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2019-06-07 --> (ongoing)

packaging

identifier: National drug codes/58406-032-04

type: CARTON

Properties

-TypeValue[x]
*Combination Product TypeType 2: Prefilled Drug Delivery Device/System (syringe, patch, etc.)

packaging

identifier: National drug codes/58406-032-01

type: SYRINGE

quantity: 4

containedItem

Items

-Reference
*ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

amount: 1 mL (Details: UCUM codemL = 'mL')


Entry 52 - fullUrl = http://example.org/RegulatedAuthorization/Enbrel032Marketing

Resource RegulatedAuthorization:

Generated Narrative: RegulatedAuthorization Enbrel032Marketing

identifier: urn:oid:2.16.840.1.113883.3.150/NDA103795

subject: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-032; route = SUBCUTANEOUS

type: NDA

region: United States of America


Entry 53 - fullUrl = http://example.org/MedicinalProductDefinition/Enbrel010Definition

Resource MedicinalProductDefinition:

Generated Narrative: MedicinalProductDefinition Enbrel010Definition

identifier: National drug codes/58406-010

route: SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2019-06-07 --> (ongoing)

name

productName: ENBREL

type: Proprietary Name

name

productName: etanercept

type: Generic Name (Non-Proprietary)


Entry 54 - fullUrl = http://example.org/PackagedProductDefinition/Enbrel010Package

Resource PackagedProductDefinition:

Generated Narrative: PackagedProductDefinition Enbrel010Package

packageFor: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-010; route = SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2019-06-07 --> (ongoing)

packaging

identifier: National drug codes/58406-010-04

type: CARTON

Properties

-TypeValue[x]
*Combination Product TypeType 2: Prefilled Drug Delivery Device/System (syringe, patch, etc.)

packaging

identifier: National drug codes/58406-010-01

type: SYRINGE

quantity: 4

containedItem

Items

-Reference
*ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

amount: 0.5 mL (Details: UCUM codemL = 'mL')


Entry 55 - fullUrl = http://example.org/RegulatedAuthorization/Enbrel010Marketing

Resource RegulatedAuthorization:

Generated Narrative: RegulatedAuthorization Enbrel010Marketing

identifier: urn:oid:2.16.840.1.113883.3.150/NDA103795

subject: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-010; route = SUBCUTANEOUS

type: NDA

region: United States of America


Entry 56 - fullUrl = http://example.org/MedicinalProductDefinition/Enbrel044Definition

Resource MedicinalProductDefinition:

Generated Narrative: MedicinalProductDefinition Enbrel044Definition

identifier: National drug codes/58406-044

route: SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2019-06-07 --> (ongoing)

name

productName: ENBREL

type: Proprietary Name

name

productName: etanercept

type: Generic Name (Non-Proprietary)


Entry 57 - fullUrl = http://example.org/PackagedProductDefinition/Enbrel044Package

Resource PackagedProductDefinition:

Generated Narrative: PackagedProductDefinition Enbrel044Package

packageFor: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-044; route = SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2019-06-07 --> (ongoing)

packaging

identifier: National drug codes/58406-044-04

type: CARTON

Properties

-TypeValue[x]
*Combination Product TypeType 2: Prefilled Drug Delivery Device/System (syringe, patch, etc.)

packaging

identifier: National drug codes/58406-044-01

type: CARTRIDGE

quantity: 4

containedItem

Items

-Reference
*ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

amount: 1 mL (Details: UCUM codemL = 'mL')


Entry 58 - fullUrl = http://example.org/RegulatedAuthorization/Enbrel044Marketing

Resource RegulatedAuthorization:

Generated Narrative: RegulatedAuthorization Enbrel044Marketing

identifier: urn:oid:2.16.840.1.113883.3.150/NDA103795

subject: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-044; route = SUBCUTANEOUS

type: NDA

region: United States of America


Entry 59 - fullUrl = http://example.org/MedicinalProductDefinition/Enbrel055Definition

Resource MedicinalProductDefinition:

Generated Narrative: MedicinalProductDefinition Enbrel055Definition

identifier: National drug codes/58406-055

route: SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2020-03-05 --> (ongoing)

name

productName: ENBREL

type: Proprietary Name

name

productName: etanercept

type: Generic Name (Non-Proprietary)


Entry 60 - fullUrl = http://example.org/PackagedProductDefinition/Enbrel055Package

Resource PackagedProductDefinition:

Generated Narrative: PackagedProductDefinition Enbrel055Package

packageFor: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-055; route = SUBCUTANEOUS

MarketingStatuses

-StatusDateRange
*active2020-03-05 --> (ongoing)

packaging

identifier: National drug codes/58406-055-04

type: CARTON

Properties

-TypeValue[x]
*Combination Product TypeType 2: Prefilled Drug Delivery Device/System (syringe, patch, etc.)

packaging

identifier: National drug codes/58406-055-01

type: SYRINGE

quantity: 4

containedItem

Items

-Reference
*ManufacturedItemDefinition: status = active; manufacturedDoseForm = SOLUTION

amount: 0.5 mL (Details: UCUM codemL = 'mL')


Entry 61 - fullUrl = http://example.org/RegulatedAuthorization/Enbrel055Marketing

Resource RegulatedAuthorization:

Generated Narrative: RegulatedAuthorization Enbrel055Marketing

identifier: urn:oid:2.16.840.1.113883.3.150/NDA103795

subject: MedicinalProductDefinition: identifier = http://hl7.org/fhir/sid/ndc#National drug codes#58406-055; route = SUBCUTANEOUS

type: NDA

region: United States of America