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    NDC 00555-0776-02 Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate and Amphetamine Sulfate 3.125; 3.125; 3.125; 3.125 mg/1; mg/1; mg/1; mg/1 Details

    Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate and Amphetamine Sulfate 3.125; 3.125; 3.125; 3.125 mg/1; mg/1; mg/1; mg/1

    Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate and Amphetamine Sulfate is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Teva Pharmaceuticals USA, Inc.. The primary component is AMPHETAMINE ASPARTATE MONOHYDRATE; AMPHETAMINE SULFATE; DEXTROAMPHETAMINE SACCHARATE; DEXTROAMPHETAMINE SULFATE.

    Product Information

    NDC 00555-0776
    Product ID 0555-0776_34b99d97-5d73-4eb8-b3e4-7721b9e8726c
    Associated GPIs 61109902100312
    GCN Sequence Number 047132
    GCN Sequence Number Description dextroamphetamine/amphetamine TABLET 12.5 MG ORAL
    HIC3 J5B
    HIC3 Description ADRENERGICS, AROMATIC, NON-CATECHOLAMINE
    GCN 29008
    HICL Sequence Number 013449
    HICL Sequence Number Description DEXTROAMPHETAMINE SULF-SACCHARATE/AMPHETAMINE SULF-ASPARTATE
    Brand/Generic Generic
    Proprietary Name Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate and Amphetamine Sulfate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Dextroamphetamine Saccharate, Amphetamine Aspartate, Dextroamphetamine Sulfate and Amphetamine Sulfate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 3.125; 3.125; 3.125; 3.125
    Active Ingredient Units mg/1; mg/1; mg/1; mg/1
    Substance Name AMPHETAMINE ASPARTATE MONOHYDRATE; AMPHETAMINE SULFATE; DEXTROAMPHETAMINE SACCHARATE; DEXTROAMPHETAMINE SULFATE
    Labeler Name Teva Pharmaceuticals USA, Inc.
    Pharmaceutical Class Central Nervous System Stimulant [EPC], Central Nervous System Stimulant [EPC], Central Nervous System Stimulant [EPC], Central Nervous System Stimulant [EPC], Central Nervous System Stimulation [PE], Central Nervous System Stimulation [PE], Central Nervo
    DEA Schedule CII
    Marketing Category ANDA
    Application Number ANDA040422
    Listing Certified Through 2024-12-31

    Package

    NDC 00555-0776-02 (00555077602)

    NDC Package Code 0555-0776-02
    Billing NDC 00555077602
    Package 100 TABLET in 1 BOTTLE (0555-0776-02)
    Marketing Start Date 2003-03-19
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.43118
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description DEXTROAMP-AMPHETAM 12.5 MG TAB
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    Classification for Rate Setting G
    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