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    NDC 00093-2013-12 Sumatriptan 4 mg/.5mL Details

    Sumatriptan 4 mg/.5mL

    Sumatriptan is a SUBCUTANEOUS INJECTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Teva Pharmaceuticals USA Inc. The primary component is SUMATRIPTAN SUCCINATE.

    Product Information

    NDC 00093-2013
    Product ID 0093-2013_b8128b50-7bfe-4ec9-8c1e-aa3141d8e917
    Associated GPIs 6740607010D510
    GCN Sequence Number 060499
    GCN Sequence Number Description sumatriptan succinate PEN INJCTR 4 MG/0.5ML SUBCUT
    HIC3 H3F
    HIC3 Description ANTIMIGRAINE PREPARATIONS
    GCN 26666
    HICL Sequence Number 006587
    HICL Sequence Number Description SUMATRIPTAN SUCCINATE
    Brand/Generic Generic
    Proprietary Name Sumatriptan
    Proprietary Name Suffix n/a
    Non-Proprietary Name sumatriptan succinate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form INJECTION
    Route SUBCUTANEOUS
    Active Ingredient Strength 4
    Active Ingredient Units mg/.5mL
    Substance Name SUMATRIPTAN SUCCINATE
    Labeler Name Teva Pharmaceuticals USA Inc
    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 ANDA
    Application Number ANDA078319
    Listing Certified Through n/a

    Package

    NDC 00093-2013-12 (00093201312)

    NDC Package Code 0093-2013-12
    Billing NDC 00093201312
    Package 2 SYRINGE in 1 CARTON (0093-2013-12) / .5 mL in 1 SYRINGE (0093-2013-34)
    Marketing Start Date 2016-06-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 146.932
    Pricing Unit ML
    Effective Date 2024-01-17
    NDC Description SUMATRIPTAN 4 MG/0.5 ML INJECT
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 5
    Classification for Rate Setting G
    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