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    NDC 00904-6621-04 Imatinib Mesylate 400 mg/1 Details

    Imatinib Mesylate 400 mg/1

    Imatinib Mesylate is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Major Pharmaceuticals. The primary component is IMATINIB MESYLATE.

    Product Information

    NDC 00904-6621
    Product ID 0904-6621_8b34da8f-4d25-4206-a2e8-e84af4836518
    Associated GPIs 21531835100340
    GCN Sequence Number 052711
    GCN Sequence Number Description imatinib mesylate TABLET 400 MG ORAL
    HIC3 V1Q
    HIC3 Description ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS
    GCN 19907
    HICL Sequence Number 022096
    HICL Sequence Number Description IMATINIB MESYLATE
    Brand/Generic Generic
    Proprietary Name Imatinib Mesylate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Imatinib Mesylate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 400
    Active Ingredient Units mg/1
    Substance Name IMATINIB MESYLATE
    Labeler Name Major Pharmaceuticals
    Pharmaceutical Class Bcr-Abl Tyrosine Kinase Inhibitors [MoA], Cytochrome P450 2D6 Inhibitors [MoA], Cytochrome P450 3A4 Inhibitors [MoA], Kinase Inhibitor [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA079179
    Listing Certified Through 2024-12-31

    Package

    NDC 00904-6621-04 (00904662104)

    NDC Package Code 0904-6621-04
    Billing NDC 00904662104
    Package 30 BLISTER PACK in 1 CARTON (0904-6621-04) / 1 TABLET, FILM COATED in 1 BLISTER PACK
    Marketing Start Date 2016-08-05
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 1.73837
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description IMATINIB MESYLATE 400 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