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    NDC 00115-9929-10 Dextroamphetamine Sulfate 15 mg/1 Details

    Dextroamphetamine Sulfate 15 mg/1

    Dextroamphetamine Sulfate is a ORAL CAPSULE, EXTENDED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Amneal Pharmaceuticals of New York LLC. The primary component is DEXTROAMPHETAMINE SULFATE.

    Product Information

    NDC 00115-9929
    Product ID 0115-9929_42b19d09-cffd-4772-bc84-76c2066d6f00
    Associated GPIs 61100020107015
    GCN Sequence Number 005006
    GCN Sequence Number Description dextroamphetamine sulfate CAPSULE ER 15 MG ORAL
    HIC3 J5B
    HIC3 Description ADRENERGICS, AROMATIC, NON-CATECHOLAMINE
    GCN 19851
    HICL Sequence Number 002065
    HICL Sequence Number Description DEXTROAMPHETAMINE SULFATE
    Brand/Generic Generic
    Proprietary Name Dextroamphetamine Sulfate
    Proprietary Name Suffix Extended-Release
    Non-Proprietary Name Dextroamphetamine Sulfate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE, EXTENDED RELEASE
    Route ORAL
    Active Ingredient Strength 15
    Active Ingredient Units mg/1
    Substance Name DEXTROAMPHETAMINE SULFATE
    Labeler Name Amneal Pharmaceuticals of New York LLC
    Pharmaceutical Class Central Nervous System Stimulant [EPC], Central Nervous System Stimulation [PE]
    DEA Schedule CII
    Marketing Category NDA AUTHORIZED GENERIC
    Application Number NDA017078
    Listing Certified Through 2024-12-31

    Package

    NDC 00115-9929-10 (00115992910)

    NDC Package Code 0115-9929-10
    Billing NDC 00115992910
    Package 90 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (0115-9929-10)
    Marketing Start Date 1976-08-02
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 1.22715
    Pricing Unit EA
    Effective Date 2022-11-23
    NDC Description DEXTROAMPHETAMINE ER 15 MG CAP
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 6
    Classification for Rate Setting G
    As of Date 2022-11-23
    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