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NDC 00121-0678-16 Nortriptyline Hydrochloride 10 mg/5mL Details
Nortriptyline Hydrochloride 10 mg/5mL
Nortriptyline Hydrochloride is a ORAL SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by PAI Holdings, LLC. The primary component is NORTRIPTYLINE HYDROCHLORIDE.
MedlinePlus Drug Summary
Nortriptyline is used to treat depression. Nortriptyline is in a group of medications called tricyclic antidepressants. It works by increasing the amounts of certain natural substances in the brain that are needed to maintain mental balance.
Related Packages: 00121-0678-16Last Updated: 11/30/2022
MedLinePlus Full Drug Details: Nortriptyline
Product Information
| NDC | 00121-0678 |
|---|---|
| Product ID | 0121-0678_8740931d-ff81-46f3-b955-83c5f91b265a |
| Associated GPIs | 58200060102005 |
| GCN Sequence Number | 046063 |
| GCN Sequence Number Description | nortriptyline HCl SOLUTION 10 MG/5 ML ORAL |
| HIC3 | H2U |
| HIC3 Description | TRICYCLIC ANTIDEPRESSANTS,REL.NON-SEL.REUPT-INHIB |
| GCN | 16535 |
| HICL Sequence Number | 001644 |
| HICL Sequence Number Description | NORTRIPTYLINE HCL |
| Brand/Generic | Generic |
| Proprietary Name | Nortriptyline Hydrochloride |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Nortriptyline Hydrochloride |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | SOLUTION |
| Route | ORAL |
| Active Ingredient Strength | 10 |
| Active Ingredient Units | mg/5mL |
| Substance Name | NORTRIPTYLINE HYDROCHLORIDE |
| Labeler Name | PAI Holdings, LLC |
| Pharmaceutical Class | Tricyclic Antidepressant [EPC] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA075606 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00121-0678-16 (00121067816)
| NDC Package Code | 0121-0678-16 |
|---|---|
| Billing NDC | 00121067816 |
| Package | 473 mL in 1 BOTTLE (0121-0678-16) |
| Marketing Start Date | 2000-08-23 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.34759 |
| Pricing Unit | ML |
| Effective Date | 2023-05-17 |
| NDC Description | NORTRIPTYLINE 10 MG/5 ML SOLN |
| 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