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    NDC 00093-9218-41 dimethyl fumarate 120 mg/1 Details

    dimethyl fumarate 120 mg/1

    dimethyl fumarate is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by TEVA PHARMACEUTICALS USA, INC.. The primary component is DIMETHYL FUMARATE.

    Product Information

    NDC 00093-9218
    Product ID 0093-9218_0b2673ca-4000-4697-ad2b-c36b7524e1f8
    Associated GPIs 62405525006520
    GCN Sequence Number 070786
    GCN Sequence Number Description dimethyl fumarate CAPSULE DR 120 MG ORAL
    HIC3 H0E
    HIC3 Description AGENTS TO TREAT MULTIPLE SCLEROSIS
    GCN 34434
    HICL Sequence Number 040168
    HICL Sequence Number Description DIMETHYL FUMARATE
    Brand/Generic Generic
    Proprietary Name dimethyl fumarate
    Proprietary Name Suffix n/a
    Non-Proprietary Name dimethyl fumarate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 120
    Active Ingredient Units mg/1
    Substance Name DIMETHYL FUMARATE
    Labeler Name TEVA PHARMACEUTICALS USA, INC.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA204063
    Listing Certified Through n/a

    Package

    NDC 00093-9218-41 (00093921841)

    NDC Package Code 0093-9218-41
    Billing NDC 00093921841
    Package 1 BOTTLE, PLASTIC in 1 CARTON (0093-9218-41) / 14 CAPSULE in 1 BOTTLE, PLASTIC
    Marketing Start Date 2020-09-28
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 6.92871
    Pricing Unit EA
    Effective Date 2021-10-20
    NDC Description DIMETHYL FUMARATE DR 120 MG CP
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 6
    Classification for Rate Setting G
    As of Date 2022-10-12
    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