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    NDC 00049-2340-05 Relpax 40 mg/1 Details

    Relpax 40 mg/1

    Relpax is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by ROERIG. The primary component is ELETRIPTAN HYDROBROMIDE.

    Product Information

    NDC 00049-2340
    Product ID 0049-2340_20f8821b-f61b-4a2c-aeb8-8f723e3f7f8b
    Associated GPIs 67406025100340
    GCN Sequence Number 049606
    GCN Sequence Number Description eletriptan hydrobromide TABLET 40 MG ORAL
    HIC3 H3F
    HIC3 Description ANTIMIGRAINE PREPARATIONS
    GCN 15174
    HICL Sequence Number 023093
    HICL Sequence Number Description ELETRIPTAN HYDROBROMIDE
    Brand/Generic Brand
    Proprietary Name Relpax
    Proprietary Name Suffix n/a
    Non-Proprietary Name eletriptan hydrobromide
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 40
    Active Ingredient Units mg/1
    Substance Name ELETRIPTAN HYDROBROMIDE
    Labeler Name ROERIG
    Pharmaceutical Class Serotonin 1b Receptor Agonists [MoA], Serotonin 1d Receptor Agonists [MoA], Serotonin-1b and Serotonin-1d Receptor Agonist [EPC]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA021016
    Listing Certified Through 2024-12-31

    Package

    NDC 00049-2340-05 (00049234005)

    NDC Package Code 0049-2340-05
    Billing NDC 00049234005
    Package 12 BLISTER PACK in 1 CARTON (0049-2340-05) / 1 TABLET, FILM COATED in 1 BLISTER PACK (0049-2340-79)
    Marketing Start Date 2002-12-26
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 77.6851
    Pricing Unit EA
    Effective Date 2024-01-30
    NDC Description RELPAX 40 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