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    NDC 00173-0873-10 Incruse Ellipta 62.5 ug/1 Details

    Incruse Ellipta 62.5 ug/1

    Incruse Ellipta is a ORAL AEROSOL, POWDER in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by GlaxoSmithKline LLC. The primary component is UMECLIDINIUM BROMIDE.

    Product Information

    NDC 00173-0873
    Product ID 0173-0873_e528d273-b49e-4095-be44-1ac2ff45252e
    Associated GPIs 44100090208030
    GCN Sequence Number 072375
    GCN Sequence Number Description umeclidinium bromide BLST W/DEV 62.5 MCG INHALATION
    HIC3 B61
    HIC3 Description ANTICHOLINERGICS, ORALLY INHALED LONG ACTING
    GCN 36574
    HICL Sequence Number 041115
    HICL Sequence Number Description UMECLIDINIUM BROMIDE
    Brand/Generic Brand
    Proprietary Name Incruse Ellipta
    Proprietary Name Suffix n/a
    Non-Proprietary Name umeclidinium
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form AEROSOL, POWDER
    Route ORAL
    Active Ingredient Strength 62.5
    Active Ingredient Units ug/1
    Substance Name UMECLIDINIUM BROMIDE
    Labeler Name GlaxoSmithKline LLC
    Pharmaceutical Class Anticholinergic [EPC], Cholinergic Antagonists [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA205382
    Listing Certified Through 2024-12-31

    Package

    NDC 00173-0873-10 (00173087310)

    NDC Package Code 0173-0873-10
    Billing NDC 00173087310
    Package 1 TRAY in 1 CARTON (0173-0873-10) / 1 INHALER in 1 TRAY / 30 AEROSOL, POWDER in 1 INHALER
    Marketing Start Date 2014-04-30
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 11.3292
    Pricing Unit EA
    Effective Date 2023-06-21
    NDC Description INCRUSE ELLIPTA 62.5 MCG INH
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 2, 5
    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