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    NDC 00456-2005-01 Lexapro 5 mg/1 Details

    Lexapro 5 mg/1

    Lexapro is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Allergan, Inc.. The primary component is ESCITALOPRAM OXALATE.

    Product Information

    NDC 00456-2005
    Product ID 0456-2005_4bf626c4-fe19-41f1-8928-effced9f8003
    Associated GPIs 58160034100310
    GCN Sequence Number 051642
    GCN Sequence Number Description escitalopram oxalate TABLET 5 MG ORAL
    HIC3 H2S
    HIC3 Description SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)
    GCN 18975
    HICL Sequence Number 024022
    HICL Sequence Number Description ESCITALOPRAM OXALATE
    Brand/Generic Brand
    Proprietary Name Lexapro
    Proprietary Name Suffix n/a
    Non-Proprietary Name ESCITALOPRAM
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 5
    Active Ingredient Units mg/1
    Substance Name ESCITALOPRAM OXALATE
    Labeler Name Allergan, Inc.
    Pharmaceutical Class Serotonin Reuptake Inhibitor [EPC], Serotonin Uptake Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA021323
    Listing Certified Through 2024-12-31

    Package

    NDC 00456-2005-01 (00456200501)

    NDC Package Code 0456-2005-01
    Billing NDC 00456200501
    Package 100 TABLET, FILM COATED in 1 BOTTLE (0456-2005-01)
    Marketing Start Date 2002-08-14
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 13.6632
    Pricing Unit EA
    Effective Date 2024-01-02
    NDC Description LEXAPRO 5 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