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    NDC 00093-9219-06 dimethyl fumarate 240 mg/1 Details

    dimethyl fumarate 240 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 00093-9219
    Product ID 0093-9219_9acda865-2177-4cdc-a314-75454c101c34
    Associated GPIs 62405525006540
    GCN Sequence Number 070787
    GCN Sequence Number Description dimethyl fumarate CAPSULE DR 240 MG ORAL
    HIC3 H0E
    HIC3 Description AGENTS TO TREAT MULTIPLE SCLEROSIS
    GCN 34435
    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 240
    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 AUTHORIZED GENERIC
    Application Number NDA204063
    Listing Certified Through n/a

    Package

    NDC 00093-9219-06 (00093921906)

    NDC Package Code 0093-9219-06
    Billing NDC 00093921906
    Package 1 BOTTLE, PLASTIC in 1 CARTON (0093-9219-06) / 60 CAPSULE in 1 BOTTLE, PLASTIC
    Marketing Start Date 2020-09-28
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.98409
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description DIMETHYL FUMARATE DR 240 MG CP
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 6
    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