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    NDC 00456-1405-63 Bystolic 5 mg/1 Details

    Bystolic 5 mg/1

    Bystolic is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Allergan, Inc.. The primary component is NEBIVOLOL HYDROCHLORIDE.

    Product Information

    NDC 00456-1405
    Product ID 0456-1405_fc045f7d-469a-4504-9bdc-3a836349b684
    Associated GPIs 33200040100320
    GCN Sequence Number 036654
    GCN Sequence Number Description nebivolol HCl TABLET 5 MG ORAL
    HIC3 J7C
    HIC3 Description BETA-ADRENERGIC BLOCKING AGENTS
    GCN 07055
    HICL Sequence Number 016740
    HICL Sequence Number Description NEBIVOLOL HCL
    Brand/Generic Brand
    Proprietary Name Bystolic
    Proprietary Name Suffix n/a
    Non-Proprietary Name nebivolol hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 5
    Active Ingredient Units mg/1
    Substance Name NEBIVOLOL HYDROCHLORIDE
    Labeler Name Allergan, Inc.
    Pharmaceutical Class Adrenergic beta-Antagonists [MoA], beta-Adrenergic Blocker [EPC]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA021742
    Listing Certified Through 2024-12-31

    Package

    NDC 00456-1405-63 (00456140563)

    NDC Package Code 0456-1405-63
    Billing NDC 00456140563
    Package 100 TABLET in 1 BOX, UNIT-DOSE (0456-1405-63)
    Marketing Start Date 2008-01-22
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 5.29978
    Pricing Unit EA
    Effective Date 2022-01-14
    NDC Description BYSTOLIC 5 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 2
    Classification for Rate Setting B
    As of Date 2022-11-23
    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