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    NDC 00456-1420-30 Bystolic 20 mg/1 Details

    Bystolic 20 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 00456-1420
    Product ID 0456-1420_fc045f7d-469a-4504-9bdc-3a836349b684
    Associated GPIs 33200040100340
    GCN Sequence Number 064945
    GCN Sequence Number Description nebivolol HCl TABLET 20 MG ORAL
    HIC3 J7C
    HIC3 Description BETA-ADRENERGIC BLOCKING AGENTS
    GCN 18703
    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 20
    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 00456-1420-30 (00456142030)

    NDC Package Code 0456-1420-30
    Billing NDC 00456142030
    Package 30 TABLET in 1 BOTTLE (0456-1420-30)
    Marketing Start Date 2008-01-22
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 5.30783
    Pricing Unit EA
    Effective Date 2022-01-14
    NDC Description BYSTOLIC 20 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