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    NDC 00009-5191-03 Detrol LA 4 mg/1 Details

    Detrol LA 4 mg/1

    Detrol LA is a ORAL CAPSULE, EXTENDED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Pharmacia and Upjohn Company LLC. The primary component is TOLTERODINE TARTRATE.

    Product Information

    NDC 00009-5191
    Product ID 0009-5191_59d526b1-16f4-41b8-84da-5843d66551d6
    Associated GPIs 54100060207030
    GCN Sequence Number 047327
    GCN Sequence Number Description tolterodine tartrate CAP ER 24H 4 MG ORAL
    HIC3 R1A
    HIC3 Description URINARY TRACT ANTISPASMODIC/ANTIINCONTINENCE AGENT
    GCN 12263
    HICL Sequence Number 018047
    HICL Sequence Number Description TOLTERODINE TARTRATE
    Brand/Generic Brand
    Proprietary Name Detrol LA
    Proprietary Name Suffix n/a
    Non-Proprietary Name tolterodine tartrate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE, EXTENDED RELEASE
    Route ORAL
    Active Ingredient Strength 4
    Active Ingredient Units mg/1
    Substance Name TOLTERODINE TARTRATE
    Labeler Name Pharmacia and Upjohn Company LLC
    Pharmaceutical Class Cholinergic Muscarinic Antagonist [EPC], Cholinergic Muscarinic Antagonists [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA021228
    Listing Certified Through 2025-12-31

    Package

    NDC 00009-5191-03 (00009519103)

    NDC Package Code 0009-5191-03
    Billing NDC 00009519103
    Package 500 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (0009-5191-03)
    Marketing Start Date 2000-02-22
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 11.7471
    Pricing Unit EA
    Effective Date 2021-01-01
    NDC Description DETROL LA 4 MG CAPSULE
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    Classification for Rate Setting B
    As of Date 2022-01-12
    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