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    NDC 00642-7471-01 Tyblume Details

    Tyblume

    Tyblume is a KIT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Exeltis USA, Inc.. The primary component is .

    Product Information

    NDC 00642-7471
    Product ID 0642-7471_f48a4726-8731-6fcb-e053-2995a90a6bea
    Associated GPIs 25990002400505
    GCN Sequence Number 081896
    GCN Sequence Number Description levonorgestrel/ethin.estradiol TAB CHEW 0.1-0.02MG ORAL
    HIC3 G8A
    HIC3 Description CONTRACEPTIVES,ORAL
    GCN 49156
    HICL Sequence Number 001460
    HICL Sequence Number Description LEVONORGESTREL/ETHINYL ESTRADIOL
    Brand/Generic Brand
    Proprietary Name Tyblume
    Proprietary Name Suffix n/a
    Non-Proprietary Name Levonorgestrel and Ethinyl Estradiol
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form KIT
    Route n/a
    Active Ingredient Strength n/a
    Active Ingredient Units n/a
    Substance Name n/a
    Labeler Name Exeltis USA, Inc.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA209405
    Listing Certified Through 2024-12-31

    Package

    NDC 00642-7471-01 (00642747101)

    NDC Package Code 0642-7471-01
    Billing NDC 00642747101
    Package 1 BLISTER PACK in 1 BOX (0642-7471-01) / 1 KIT in 1 BLISTER PACK
    Marketing Start Date 2020-10-26
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.75012
    Pricing Unit EA
    Effective Date 2023-09-20
    NDC Description TYBLUME 0.1-0.02 MG CHEW TAB
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 2
    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