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    NDC 00597-0108-54 Pradaxa 110 mg/1 Details

    Pradaxa 110 mg/1

    Pradaxa is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Boehringer Ingelheim Pharmaceuticals Inc.. The primary component is DABIGATRAN ETEXILATE MESYLATE.

    Product Information

    NDC 00597-0108
    Product ID 0597-0108_00778be6-a0f3-4092-9023-4c4bdcdb7286
    Associated GPIs 83337030200130
    GCN Sequence Number 063998
    GCN Sequence Number Description dabigatran etexilate mesylate CAPSULE 110 MG ORAL
    HIC3 M9T
    HIC3 Description THROMBIN INHIBITORS, SELECTIVE, DIRECT, REVERSIBLE
    GCN 99709
    HICL Sequence Number 035604
    HICL Sequence Number Description DABIGATRAN ETEXILATE MESYLATE
    Brand/Generic Brand
    Proprietary Name Pradaxa
    Proprietary Name Suffix n/a
    Non-Proprietary Name dabigatran etexilate mesylate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 110
    Active Ingredient Units mg/1
    Substance Name DABIGATRAN ETEXILATE MESYLATE
    Labeler Name Boehringer Ingelheim Pharmaceuticals Inc.
    Pharmaceutical Class Direct Thrombin Inhibitor [EPC], Thrombin Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA022512
    Listing Certified Through 2024-12-31

    Package

    NDC 00597-0108-54 (00597010854)

    NDC Package Code 0597-0108-54
    Billing NDC 00597010854
    Package 1 BOTTLE in 1 CARTON (0597-0108-54) / 60 CAPSULE in 1 BOTTLE
    Marketing Start Date 2017-07-07
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 7.90692
    Pricing Unit EA
    Effective Date 2022-01-10
    NDC Description PRADAXA 110 MG CAPSULE
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    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