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    NDC 13107-0084-05 LORAZEPAM 1 mg/1 Details

    LORAZEPAM 1 mg/1

    LORAZEPAM is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Aurolife Pharma LLC. The primary component is LORAZEPAM.

    Product Information

    NDC 13107-0084
    Product ID 13107-084_82f8b652-862a-4f3b-9d95-146b732dfccf
    Associated GPIs 57100060000310
    GCN Sequence Number 003758
    GCN Sequence Number Description lorazepam TABLET 1 MG ORAL
    HIC3 H20
    HIC3 Description ANTI-ANXIETY - BENZODIAZEPINES
    GCN 14161
    HICL Sequence Number 004846
    HICL Sequence Number Description LORAZEPAM
    Brand/Generic Generic
    Proprietary Name LORAZEPAM
    Proprietary Name Suffix n/a
    Non-Proprietary Name LORAZEPAM
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 1
    Active Ingredient Units mg/1
    Substance Name LORAZEPAM
    Labeler Name Aurolife Pharma LLC
    Pharmaceutical Class Benzodiazepine [EPC], Benzodiazepines [CS]
    DEA Schedule CIV
    Marketing Category ANDA
    Application Number ANDA203572
    Listing Certified Through 2024-12-31

    Package

    NDC 13107-0084-05 (13107008405)

    NDC Package Code 13107-084-05
    Billing NDC 13107008405
    Package 500 TABLET in 1 BOTTLE (13107-084-05)
    Marketing Start Date 2017-03-24
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.05384
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description LORAZEPAM 1 MG TABLET
    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