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    NDC 00074-7095-30 Qulipta 10 mg/1 Details

    Qulipta 10 mg/1

    Qulipta is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by AbbVie Inc.. The primary component is ATOGEPANT.

    Product Information

    NDC 00074-7095
    Product ID 0074-7095_a313e1c3-0edb-4e39-b069-0c538f0c9424
    Associated GPIs 67701010000310
    GCN Sequence Number 082700
    GCN Sequence Number Description atogepant TABLET 10 MG ORAL
    HIC3 H3F
    HIC3 Description ANTIMIGRAINE PREPARATIONS
    GCN 51231
    HICL Sequence Number 047599
    HICL Sequence Number Description ATOGEPANT
    Brand/Generic Brand
    Proprietary Name Qulipta
    Proprietary Name Suffix n/a
    Non-Proprietary Name Atogepant
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 10
    Active Ingredient Units mg/1
    Substance Name ATOGEPANT
    Labeler Name AbbVie 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 NDA215206
    Listing Certified Through 2024-12-31

    Package

    NDC 00074-7095-30 (00074709530)

    NDC Package Code 0074-7095-30
    Billing NDC 00074709530
    Package 30 TABLET in 1 BOTTLE (0074-7095-30)
    Marketing Start Date 2021-09-30
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 34.8642
    Pricing Unit EA
    Effective Date 2024-01-02
    NDC Description QULIPTA 10 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