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    NDC 00023-6501-16 UBRELVY 100 mg/1 Details

    UBRELVY 100 mg/1

    UBRELVY is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Allergan, Inc.. The primary component is UBROGEPANT.

    Product Information

    NDC 00023-6501
    Product ID 0023-6501_a2a2dac4-01bf-469c-be05-60bee5d4b117
    Associated GPIs 67701080000340
    GCN Sequence Number 080589
    GCN Sequence Number Description ubrogepant TABLET 100 MG ORAL
    HIC3 H3F
    HIC3 Description ANTIMIGRAINE PREPARATIONS
    GCN 47478
    HICL Sequence Number 046273
    HICL Sequence Number Description UBROGEPANT
    Brand/Generic Brand
    Proprietary Name UBRELVY
    Proprietary Name Suffix n/a
    Non-Proprietary Name ubrogepant
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 100
    Active Ingredient Units mg/1
    Substance Name UBROGEPANT
    Labeler Name Allergan, Inc.
    Pharmaceutical Class Calcitonin Gene-related Peptide Receptor Antagonist [EPC], Calcitonin Gene-related Peptide Receptor Antagonists [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA211765
    Listing Certified Through 2024-12-31

    Package

    NDC 00023-6501-16 (00023650116)

    NDC Package Code 0023-6501-16
    Billing NDC 00023650116
    Package 16 PACKET in 1 BOX (0023-6501-16) / 1 TABLET in 1 PACKET (0023-6501-02)
    Marketing Start Date 2019-12-23
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 90.0749
    Pricing Unit EA
    Effective Date 2022-06-29
    NDC Description UBRELVY 100 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 2
    Classification for Rate Setting B
    As of Date 2022-11-23
    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