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    NDC 00469-0677-73 ASTAGRAF XL 1 mg/1 Details

    ASTAGRAF XL 1 mg/1

    ASTAGRAF XL is a ORAL CAPSULE, COATED, EXTENDED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Astellas Pharma US, Inc.. The primary component is TACROLIMUS.

    Product Information

    NDC 00469-0677
    Product ID 0469-0677_15be9383-263f-4080-bda4-2ab0bdfbf239
    Associated GPIs 99404080007010
    GCN Sequence Number 062897
    GCN Sequence Number Description tacrolimus CAP ER 24H 1 MG ORAL
    HIC3 Z2E
    HIC3 Description IMMUNOSUPPRESSIVES
    GCN 98663
    HICL Sequence Number 020974
    HICL Sequence Number Description TACROLIMUS
    Brand/Generic Brand
    Proprietary Name ASTAGRAF XL
    Proprietary Name Suffix n/a
    Non-Proprietary Name tacrolimus extended-release capsules
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE, COATED, EXTENDED RELEASE
    Route ORAL
    Active Ingredient Strength 1
    Active Ingredient Units mg/1
    Substance Name TACROLIMUS
    Labeler Name Astellas Pharma US, Inc.
    Pharmaceutical Class Calcineurin Inhibitor Immunosuppressant [EPC], Calcineurin Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA204096
    Listing Certified Through 2024-12-31

    Package

    NDC 00469-0677-73 (00469067773)

    NDC Package Code 0469-0677-73
    Billing NDC 00469067773
    Package 1 BOTTLE in 1 CARTON (0469-0677-73) / 30 CAPSULE, COATED, EXTENDED RELEASE in 1 BOTTLE
    Marketing Start Date 2013-07-19
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 5.41688
    Pricing Unit EA
    Effective Date 2024-01-18
    NDC Description ASTAGRAF XL 1 MG CAPSULE
    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