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    NDC 00173-0947-55 WELLBUTRIN 100 mg/1 Details

    WELLBUTRIN 100 mg/1

    WELLBUTRIN is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by GlaxoSmithKline LLC. The primary component is BUPROPION HYDROCHLORIDE.

    Product Information

    NDC 00173-0947
    Product ID 0173-0947_d3423427-a8fe-473b-ae18-305040d648b8
    Associated GPIs 58300040107420
    GCN Sequence Number 046239
    GCN Sequence Number Description bupropion HCl TAB SR 12H 100 MG ORAL
    HIC3 H7D
    HIC3 Description NOREPINEPHRINE AND DOPAMINE REUPTAKE INHIB (NDRIS)
    GCN 16387
    HICL Sequence Number 001653
    HICL Sequence Number Description BUPROPION HCL
    Brand/Generic Brand
    Proprietary Name WELLBUTRIN
    Proprietary Name Suffix SR
    Non-Proprietary Name bupropion hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 100
    Active Ingredient Units mg/1
    Substance Name BUPROPION HYDROCHLORIDE
    Labeler Name GlaxoSmithKline LLC
    Pharmaceutical Class Aminoketone [EPC], Dopamine Uptake Inhibitors [MoA], Increased Dopamine Activity [PE], Increased Norepinephrine Activity [PE], Norepinephrine Uptake Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA020358
    Listing Certified Through 2024-12-31

    Package

    NDC 00173-0947-55 (00173094755)

    NDC Package Code 0173-0947-55
    Billing NDC 00173094755
    Package 60 TABLET, FILM COATED in 1 BOTTLE (0173-0947-55)
    Marketing Start Date 1996-11-15
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 7.03414
    Pricing Unit EA
    Effective Date 2023-02-22
    NDC Description WELLBUTRIN SR 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