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    NDC 00310-6135-30 KOMBIGLYZE 500; 5 mg/1; mg/1 Details

    KOMBIGLYZE 500; 5 mg/1; mg/1

    KOMBIGLYZE is a ORAL TABLET, FILM COATED, EXTENDED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by AstraZeneca Pharmaceuticals LP. The primary component is METFORMIN HYDROCHLORIDE; SAXAGLIPTIN HYDROCHLORIDE.

    Product Information

    NDC 00310-6135
    Product ID 0310-6135_18325f97-e837-472a-9118-f1fb8b9b71e7
    Associated GPIs 27992502607530
    GCN Sequence Number 066816
    GCN Sequence Number Description saxagliptin HCl/metformin HCl TBMP 24HR 5 MG-500MG ORAL
    HIC3 C4F
    HIC3 Description ANTIHYPERGLYCEMIC,DPP-4 INHIBITOR-BIGUANIDE COMBS.
    GCN 29118
    HICL Sequence Number 037246
    HICL Sequence Number Description SAXAGLIPTIN HCL/METFORMIN HCL
    Brand/Generic Brand
    Proprietary Name KOMBIGLYZE
    Proprietary Name Suffix XR
    Non-Proprietary Name SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED, EXTENDED RELEASE
    Route ORAL
    Active Ingredient Strength 500; 5
    Active Ingredient Units mg/1; mg/1
    Substance Name METFORMIN HYDROCHLORIDE; SAXAGLIPTIN HYDROCHLORIDE
    Labeler Name AstraZeneca Pharmaceuticals LP
    Pharmaceutical Class Biguanide [EPC], Biguanides [CS], Dipeptidyl Peptidase 4 Inhibitor [EPC], Dipeptidyl Peptidase 4 Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA200678
    Listing Certified Through 2024-12-31

    Package

    NDC 00310-6135-30 (00310613530)

    NDC Package Code 0310-6135-30
    Billing NDC 00310613530
    Package 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC (0310-6135-30)
    Marketing Start Date 2015-01-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 15.48
    Pricing Unit EA
    Effective Date 2023-01-01
    NDC Description KOMBIGLYZE XR 5-500 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