`®
`(semaglutide) injection 0.5 mg, 1 mg, or 2 mg
`
`0.25 mg or 0.5 mg dose
`3 mL pen
`(1 pen package)
`
`WAC Price
`$968.52
`
`1 mg dose
`3 mL pen
`(1 pen package)
`
`WAC Price
`$968.52
`
`2 mg dose
`3 mL pen
`(1 pen package)
`
`WAC Price
`$968.52
`
`Wholesale Acquisition Cost (WAC) or list price is the price from a manufacturer to a wholesaler or a direct purchaser before any
`discounts or rebates are applied. Most people don’t pay WAC or list price for prescription medication if they have health insurance.
`
`Please visit NovoCare.com to get more information around cost, coverage, and affordability.
`
`State-specific price disclosure information:
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`Colorado WAC Disclosure Form
`
`Connecticut List Price Disclosure Form
`
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`US23HCP00130 October 202
`
`Novo Nordisk Exhibit 2522
`Mylan Pharms. Inc. v. Novo Nordisk A/S
`IPR2023-00724
`Page 00001
`
`