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    NDC 00006-3069-01 PIFELTRO 100 mg/1 Details

    PIFELTRO 100 mg/1

    PIFELTRO is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Merck Sharp & Dohme LLC. The primary component is DORAVIRINE.

    Product Information

    NDC 00006-3069
    Product ID 0006-3069_15d3431d-2abc-4a2a-ab4e-de1c5ed3a95b
    Associated GPIs 12109025000320
    GCN Sequence Number 078887
    GCN Sequence Number Description doravirine TABLET 100 MG ORAL
    HIC3 W5K
    HIC3 Description ANTIVIRALS, HIV-SPECIFIC, NON-NUCLEOSIDE, RTI
    GCN 45294
    HICL Sequence Number 045216
    HICL Sequence Number Description DORAVIRINE
    Brand/Generic Brand
    Proprietary Name PIFELTRO
    Proprietary Name Suffix n/a
    Non-Proprietary Name doravirine
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 100
    Active Ingredient Units mg/1
    Substance Name DORAVIRINE
    Labeler Name Merck Sharp & Dohme LLC
    Pharmaceutical Class Human Immunodeficiency Virus 1 Non-Nucleoside Analog Reverse Transcriptase Inhibitor [EPC], Non-Nucleoside Analog [EXT], Non-Nucleoside Reverse Transcriptase Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA210806
    Listing Certified Through 2024-12-31

    Package

    NDC 00006-3069-01 (00006306901)

    NDC Package Code 0006-3069-01
    Billing NDC 00006306901
    Package 30 TABLET, FILM COATED in 1 BOTTLE (0006-3069-01)
    Marketing Start Date 2018-07-20
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 57.0465
    Pricing Unit EA
    Effective Date 2024-01-06
    NDC Description PIFELTRO 100 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    Classification for Rate Setting B
    As of Date 2024-02-21
    This pricing file, entitled the NADAC (National Average Drug Acquisition Cost) files, provide state Medicaid agencies with covered outpatient drug prices by averaging survey invoice prices from retail community pharmacies across the United States. These pharmacies include independent retail community pharmacies and chain pharmacies. The prices are updated on a weekly and monthly basis