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    NDC 00597-0109-30 Mirapex 0.375 mg/1 Details

    Mirapex 0.375 mg/1

    Mirapex is a ORAL TABLET, EXTENDED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Boehringer Ingelheim Pharmaceuticals, Inc.. The primary component is PRAMIPEXOLE DIHYDROCHLORIDE.

    Product Information

    NDC 00597-0109
    Product ID 0597-0109_60ae1a38-d77c-49ae-82fc-8c246276352b
    Associated GPIs 73203060107520
    GCN Sequence Number 065762
    GCN Sequence Number Description pramipexole di-HCl TAB ER 24H 0.375 MG ORAL
    HIC3 H6A
    HIC3 Description ANTIPARKINSONISM DRUGS,OTHER
    GCN 27806
    HICL Sequence Number 013455
    HICL Sequence Number Description PRAMIPEXOLE DI-HCL
    Brand/Generic Brand
    Proprietary Name Mirapex
    Proprietary Name Suffix ER
    Non-Proprietary Name pramipexole dihydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, EXTENDED RELEASE
    Route ORAL
    Active Ingredient Strength 0.375
    Active Ingredient Units mg/1
    Substance Name PRAMIPEXOLE DIHYDROCHLORIDE
    Labeler Name Boehringer Ingelheim Pharmaceuticals, Inc.
    Pharmaceutical Class Dopamine Agonists [MoA], Nonergot Dopamine Agonist [EPC]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA022421
    Listing Certified Through n/a

    Package

    NDC 00597-0109-30 (00597010930)

    NDC Package Code 0597-0109-30
    Billing NDC 00597010930
    Package 1 BOTTLE, PLASTIC in 1 CARTON (0597-0109-30) / 30 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC
    Marketing Start Date 2010-02-22
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 23.6779
    Pricing Unit EA
    Effective Date 2024-01-01
    NDC Description MIRAPEX ER 0.375 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