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    NDC 00006-5007-01 DELSTRIGO 100; 300; 300 mg/1; mg/1; mg/1 Details

    DELSTRIGO 100; 300; 300 mg/1; mg/1; mg/1

    DELSTRIGO 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; LAMIVUDINE; TENOFOVIR DISOPROXIL FUMARATE.

    Product Information

    NDC 00006-5007
    Product ID 0006-5007_159c05bc-4bee-42d5-90a8-70da539ed1b5
    Associated GPIs 12109903270320
    GCN Sequence Number 078822
    GCN Sequence Number Description doravirine/lamivu/tenofov diso TABLET 100-300 MG ORAL
    HIC3 W5Q
    HIC3 Description ARTV NUCLEOSIDE,NUCLEOTIDE,NON-NUCLEOSIDE RTI COMB
    GCN 45217
    HICL Sequence Number 045195
    HICL Sequence Number Description DORAVIRINE/LAMIVUDINE/TENOFOVIR DISOPROXIL FUMARATE
    Brand/Generic Brand
    Proprietary Name DELSTRIGO
    Proprietary Name Suffix n/a
    Non-Proprietary Name doravirine, lamivudine, and tenofovir disoproxil fumarate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 100; 300; 300
    Active Ingredient Units mg/1; mg/1; mg/1
    Substance Name DORAVIRINE; LAMIVUDINE; TENOFOVIR DISOPROXIL FUMARATE
    Labeler Name Merck Sharp & Dohme LLC
    Pharmaceutical Class Hepatitis B Virus Nucleoside Analog Reverse Transcriptase Inhibitor [EPC], Hepatitis B Virus Nucleoside Analog Reverse Transcriptase Inhibitor [EPC], Human Immunodeficiency Virus 1 Non-Nucleoside Analog Reverse Transcriptase Inhibitor [EPC], Human Immunod
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA210807
    Listing Certified Through 2024-12-31

    Package

    NDC 00006-5007-01 (00006500701)

    NDC Package Code 0006-5007-01
    Billing NDC 00006500701
    Package 30 TABLET, FILM COATED in 1 BOTTLE (0006-5007-01)
    Marketing Start Date 2018-07-20
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 86.8211
    Pricing Unit EA
    Effective Date 2024-01-06
    NDC Description DELSTRIGO 100-300-300 MG TAB
    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