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    NDC 00074-2625-84 Mavyret 100; 40 mg/1; mg/1 Details

    Mavyret 100; 40 mg/1; mg/1

    Mavyret is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by AbbVie Inc.. The primary component is GLECAPREVIR; PIBRENTASVIR.

    Product Information

    NDC 00074-2625
    Product ID 0074-2625_085d0018-b2f0-4da6-b528-a2866430599c
    Associated GPIs 12359902350320
    GCN Sequence Number 077637
    GCN Sequence Number Description glecaprevir/pibrentasvir TABLET 100MG-40MG ORAL
    HIC3 W0E
    HIC3 Description HEPATITIS C VIRUS- NS5A AND NS3/4A INHIBITOR COMB
    GCN 43699
    HICL Sequence Number 044453
    HICL Sequence Number Description GLECAPREVIR/PIBRENTASVIR
    Brand/Generic Brand
    Proprietary Name Mavyret
    Proprietary Name Suffix n/a
    Non-Proprietary Name Glecaprevir and Pibrentasvir
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 100; 40
    Active Ingredient Units mg/1; mg/1
    Substance Name GLECAPREVIR; PIBRENTASVIR
    Labeler Name AbbVie Inc.
    Pharmaceutical Class Breast Cancer Resistance Protein Inhibitors [MoA], Breast Cancer Resistance Protein Inhibitors [MoA], Cytochrome P450 1A2 Inhibitors [MoA], Cytochrome P450 1A2 Inhibitors [MoA], Cytochrome P450 3A Inhibitors [MoA], Cytochrome P450 3A Inhibitors [MoA], HCV
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA209394
    Listing Certified Through 2024-12-31

    Package

    NDC 00074-2625-84 (00074262584)

    NDC Package Code 0074-2625-84
    Billing NDC 00074262584
    Package 84 TABLET, FILM COATED in 1 BOTTLE (0074-2625-84)
    Marketing Start Date 2021-06-22
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 152.564
    Pricing Unit EA
    Effective Date 2023-07-19
    NDC Description MAVYRET 100-40 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