Search by Drug Name or NDC
NDC 00173-0737-01 IMITREX 100 mg/1 Details
IMITREX 100 mg/1
IMITREX is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by GlaxoSmithKline LLC. The primary component is SUMATRIPTAN SUCCINATE.
MedlinePlus Drug Summary
Sumatriptan is used to treat the symptoms of migraine headaches (severe, throbbing headaches that sometimes are accompanied by nausea or sensitivity to sound and light). Sumatriptan is in a class of medications called selective serotonin receptor agonists. It works by narrowing blood vessels in the head, stopping pain signals from being sent to the brain, and blocking the release of certain natural substances that cause pain, nausea, and other symptoms of migraine. Sumatriptan does not prevent migraine attacks or reduce the number of headaches you have.
Related Packages: 00173-0737-01Last Updated: 11/30/2022
MedLinePlus Full Drug Details: Sumatriptan
Product Information
| NDC | 00173-0737 |
|---|---|
| Product ID | 0173-0737_d11a0873-59af-493c-be1a-9c5adf68182c |
| Associated GPIs | 67406070100320 |
| GCN Sequence Number | 017129 |
| GCN Sequence Number Description | sumatriptan succinate TABLET 100 MG ORAL |
| HIC3 | H3F |
| HIC3 Description | ANTIMIGRAINE PREPARATIONS |
| GCN | 05701 |
| HICL Sequence Number | 006587 |
| HICL Sequence Number Description | SUMATRIPTAN SUCCINATE |
| Brand/Generic | Brand |
| Proprietary Name | IMITREX |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | sumatriptan |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | TABLET, FILM COATED |
| Route | ORAL |
| Active Ingredient Strength | 100 |
| Active Ingredient Units | mg/1 |
| Substance Name | SUMATRIPTAN SUCCINATE |
| Labeler Name | GlaxoSmithKline LLC |
| 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 | NDA |
| Application Number | NDA020132 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00173-0737-01 (00173073701)
| NDC Package Code | 0173-0737-01 |
|---|---|
| Billing NDC | 00173073701 |
| Package | 1 CARTON in 1 CARTON (0173-0737-01) / 1 BLISTER PACK in 1 CARTON / 9 TABLET, FILM COATED in 1 BLISTER PACK |
| Marketing Start Date | 2003-12-19 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 72.8565 |
| Pricing Unit | EA |
| Effective Date | 2024-01-01 |
| NDC Description | IMITREX 100 MG TABLET |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4 |
| Classification for Rate Setting | B |
| 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