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    NDC 00591-3900-87 memantine hydrochloride Details

    memantine hydrochloride

    memantine hydrochloride is a ORAL KIT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Actavis Pharma, Inc.. The primary component is .

    Product Information

    NDC 00591-3900
    Product ID 0591-3900_0b1165b5-71ba-45d3-bede-28dfa18c2d9a
    Associated GPIs 62053550100350
    GCN Sequence Number 053325
    GCN Sequence Number Description memantine HCl TAB DS PK 5 MG-10 MG ORAL
    HIC3 H1A
    HIC3 Description ALZHEIMER'S THERAPY, NMDA RECEPTOR ANTAGONISTS
    GCN 20774
    HICL Sequence Number 013778
    HICL Sequence Number Description MEMANTINE HCL
    Brand/Generic Generic
    Proprietary Name memantine hydrochloride
    Proprietary Name Suffix n/a
    Non-Proprietary Name memantine hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form KIT
    Route ORAL
    Active Ingredient Strength n/a
    Active Ingredient Units n/a
    Substance Name n/a
    Labeler Name Actavis Pharma, Inc.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category NDA AUTHORIZED GENERIC
    Application Number NDA021487
    Listing Certified Through 2024-12-31

    Package

    NDC 00591-3900-87 (00591390087)

    NDC Package Code 0591-3900-87
    Billing NDC 00591390087
    Package 1 BLISTER PACK in 1 CARTON (0591-3900-87) / 1 KIT in 1 BLISTER PACK
    Marketing Start Date 2015-04-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.31922
    Pricing Unit EA
    Effective Date 2023-12-20
    NDC Description MEMANTINE 5-10 MG TITRATION PK
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 6
    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