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    NDC 00904-6785-04 Mycophenolic Acid 180 mg/1 Details

    Mycophenolic Acid 180 mg/1

    Mycophenolic Acid is a ORAL TABLET, DELAYED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Major Pharmaceuticals. The primary component is MYCOPHENOLATE SODIUM.

    Product Information

    NDC 00904-6785
    Product ID 0904-6785_b192505c-ae0f-47ce-aced-0c303e802e83
    Associated GPIs 99403030300620
    GCN Sequence Number 052119
    GCN Sequence Number Description mycophenolate sodium TABLET DR 180 MG ORAL
    HIC3 Z2E
    HIC3 Description IMMUNOSUPPRESSIVES
    GCN 19646
    HICL Sequence Number 025201
    HICL Sequence Number Description MYCOPHENOLATE SODIUM
    Brand/Generic Generic
    Proprietary Name Mycophenolic Acid
    Proprietary Name Suffix n/a
    Non-Proprietary Name Mycophenolic Acid
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, DELAYED RELEASE
    Route ORAL
    Active Ingredient Strength 180
    Active Ingredient Units mg/1
    Substance Name MYCOPHENOLATE SODIUM
    Labeler Name Major Pharmaceuticals
    Pharmaceutical Class Antimetabolite Immunosuppressant [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA091558
    Listing Certified Through 2024-12-31

    Package

    NDC 00904-6785-04 (00904678504)

    NDC Package Code 0904-6785-04
    Billing NDC 00904678504
    Package 30 BLISTER PACK in 1 CARTON (0904-6785-04) / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACK
    Marketing Start Date 2012-08-21
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.18261
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description MYCOPHENOLIC ACID DR 180 MG TB
    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

    Standard Product Labeling (SPL)/Prescribing Information SPL 93763b39-ba21-449b-bdc5-254ba57154e4 Details

    Revised: 6/2022