{
  "meta": {
    "disclaimer": "Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.",
    "terms": "https://open.fda.gov/terms/",
    "license": "https://open.fda.gov/license/",
    "last_updated": "2026-01-27",
    "results": {
      "skip": 0,
      "limit": 1,
      "total": 78284
    }
  },
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        "senderorganization": "FDA-Public Use"
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          {
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          {
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          {
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          {
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            "reactionmeddrapt": "Intervertebral disc degeneration",
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          {
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          {
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              "package_ndc": [
                "0088-2220-33",
                "0088-2220-34",
                "0088-2219-00",
                "0088-2219-01",
                "0088-2219-05"
              ],
              "nui": [
                "M0011417",
                "N0000175453"
              ],
              "pharm_class_cs": [
                "Insulin [CS]"
              ],
              "pharm_class_epc": [
                "Insulin Analog [EPC]"
              ],
              "unii": [
                "2ZM8CX04RZ"
              ]
            }
          },
          {
            "drugcharacterization": "1",
            "medicinalproduct": "LANTUS SOLOSTAR",
            "drugbatchnumb": "3F613A",
            "drugauthorizationnumb": "021081",
            "drugstructuredosagenumb": "78",
            "drugstructuredosageunit": "025",
            "drugdosagetext": "78 IU",
            "drugdosageform": "SOLUTION FOR INJECTION",
            "drugadministrationroute": "065",
            "drugindication": "TYPE 2 DIABETES MELLITUS",
            "drugstartdateformat": "602",
            "drugstartdate": "1991",
            "actiondrug": "3",
            "activesubstance": {
              "activesubstancename": "INSULIN GLARGINE"
            },
            "openfda": {
              "application_number": [
                "BLA021081"
              ],
              "brand_name": [
                "LANTUS SOLOSTAR"
              ],
              "generic_name": [
                "INSULIN GLARGINE"
              ],
              "manufacturer_name": [
                "sanofi-aventis U.S. LLC"
              ],
              "product_ndc": [
                "0088-2219",
                "0088-2220"
              ],
              "product_type": [
                "HUMAN PRESCRIPTION DRUG"
              ],
              "route": [
                "SUBCUTANEOUS"
              ],
              "substance_name": [
                "INSULIN GLARGINE"
              ],
              "rxcui": [
                "285018",
                "311041",
                "847230",
                "847232"
              ],
              "spl_id": [
                "4e220385-b760-4a64-a1ca-84bd2bebe448"
              ],
              "spl_set_id": [
                "d5e07a0c-7e14-4756-9152-9fea485d654a"
              ],
              "package_ndc": [
                "0088-2220-33",
                "0088-2220-34",
                "0088-2219-00",
                "0088-2219-01",
                "0088-2219-05"
              ],
              "nui": [
                "M0011417",
                "N0000175453"
              ],
              "pharm_class_cs": [
                "Insulin [CS]"
              ],
              "pharm_class_epc": [
                "Insulin Analog [EPC]"
              ],
              "unii": [
                "2ZM8CX04RZ"
              ]
            }
          },
          {
            "drugcharacterization": "2",
            "medicinalproduct": "OZEMPIC",
            "drugseparatedosagenumb": "1",
            "drugintervaldosageunitnumb": "1",
            "drugintervaldosagedefinition": "803",
            "drugdosagetext": "UNK UNK, QW",
            "drugadministrationroute": "065",
            "drugstartdateformat": "102",
            "drugstartdate": "20200218",
            "actiondrug": "5",
            "drugadditional": "3",
            "activesubstance": {
              "activesubstancename": "SEMAGLUTIDE"
            },
            "openfda": {
              "application_number": [
                "NDA209637",
                "NDA213051"
              ],
              "brand_name": [
                "OZEMPIC"
              ],
              "generic_name": [
                "SEMAGLUTIDE",
                "ORAL SEMAGLUTIDE"
              ],
              "manufacturer_name": [
                "Novo Nordisk"
              ],
              "product_ndc": [
                "0169-4130",
                "0169-4136",
                "0169-4132",
                "0169-4772",
                "0169-4181",
                "0169-1704",
                "0169-1715",
                "0169-1709",
                "0169-4303",
                "0169-4307",
                "0169-4314",
                "0169-4815",
                "0169-4804",
                "0169-4809"
              ],
              "product_type": [
                "HUMAN PRESCRIPTION DRUG"
              ],
              "route": [
                "SUBCUTANEOUS",
                "ORAL"
              ],
              "substance_name": [
                "SEMAGLUTIDE"
              ],
              "rxcui": [
                "1991306",
                "1991311",
                "1991316",
                "1991317",
                "2398841",
                "2398842",
                "2599362",
                "2599365",
                "2619152",
                "2619154",
                "2200644",
                "2200650",
                "2200652",
                "2200654",
                "2200656",
                "2200658",
                "2707547",
                "2707549",
                "2707551",
                "2707553",
                "2707555",
                "2707557",
                "2736944",
                "2736946",
                "2736948"
              ],
              "spl_id": [
                "341dc8b9-9576-48a7-b8d8-c583c67b7007",
                "dfe441cd-c20f-452b-a8a5-3a6017b6b006"
              ],
              "spl_set_id": [
                "adec4fd2-6858-4c99-91d4-531f5f2a2d79",
                "27f15fac-7d98-4114-a2ec-92494a91da98"
              ],
              "package_ndc": [
                "0169-4136-11",
                "0169-4136-02",
                "0169-4132-90",
                "0169-4132-97",
                "0169-4132-11",
                "0169-4132-12",
                "0169-4130-01",
                "0169-4130-13",
                "0169-4772-11",
                "0169-4772-12",
                "0169-4772-90",
                "0169-4772-97",
                "0169-4181-03",
                "0169-4181-13",
                "0169-4181-90",
                "0169-4181-97",
                "0169-1715-30",
                "0169-1715-90",
                "0169-1704-30",
                "0169-1709-30",
                "0169-4303-01",
                "0169-4303-13",
                "0169-4303-90",
                "0169-4303-93",
                "0169-4303-30",
                "0169-4303-99",
                "0169-4307-01",
                "0169-4307-13",
                "0169-4307-30",
                "0169-4314-01",
                "0169-4314-13",
                "0169-4314-30",
                "0169-4815-30",
                "0169-4815-90",
                "0169-4804-30",
                "0169-4809-30"
              ],
              "nui": [
                "N0000178480",
                "M0160181",
                "N0000020058"
              ],
              "pharm_class_epc": [
                "GLP-1 Receptor Agonist [EPC]"
              ],
              "pharm_class_cs": [
                "Glucagon-Like Peptide 1 [CS]"
              ],
              "pharm_class_moa": [
                "Glucagon-like Peptide-1 (GLP-1) Agonists [MoA]"
              ],
              "unii": [
                "53AXN4NNHX"
              ]
            }
          }
        ],
        "summary": {
          "narrativeincludeclinical": "CASE EVENT DATE: 2011"
        }
      }
    }
  ]
}