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    NDC 00143-9638-05 SUMATRIPTAN 6 mg/.5mL Details

    SUMATRIPTAN 6 mg/.5mL

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

    Product Information

    NDC 00143-9638
    Product ID 0143-9638_38f8761d-784e-407e-9dda-73fd78a829f4
    Associated GPIs 67406070102010
    GCN Sequence Number 019193
    GCN Sequence Number Description sumatriptan succinate VIAL 6 MG/0.5ML SUBCUT
    HIC3 H3F
    HIC3 Description ANTIMIGRAINE PREPARATIONS
    GCN 50742
    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
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form INJECTION
    Route SUBCUTANEOUS
    Active Ingredient Strength 6
    Active Ingredient Units mg/.5mL
    Substance Name SUMATRIPTAN SUCCINATE
    Labeler Name Hikma 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 ANDA200183
    Listing Certified Through 2024-12-31

    Package

    NDC 00143-9638-05 (00143963805)

    NDC Package Code 0143-9638-05
    Billing NDC 00143963805
    Package 5 VIAL in 1 CARTON (0143-9638-05) / .5 mL in 1 VIAL (0143-9638-01)
    Marketing Start Date 2013-09-16
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 16.7389
    Pricing Unit ML
    Effective Date 2024-02-21
    NDC Description SUMATRIPTAN 6 MG/0.5 ML VIAL
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 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