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    NDC 16714-0358-01 Levetiracetam 100 mg/mL Details

    Levetiracetam 100 mg/mL

    Levetiracetam is a ORAL SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by NorthStar Rx LLC. The primary component is LEVETIRACETAM.

    Product Information

    NDC 16714-0358
    Product ID 16714-358_29d37aea-2c61-4364-bbdf-a786d639dbab
    Associated GPIs 72600043002020
    GCN Sequence Number 053031
    GCN Sequence Number Description levetiracetam SOLUTION 100 MG/ML ORAL
    HIC3 H4B
    HIC3 Description ANTICONVULSANTS
    GCN 20353
    HICL Sequence Number 020952
    HICL Sequence Number Description LEVETIRACETAM
    Brand/Generic Generic
    Proprietary Name Levetiracetam
    Proprietary Name Suffix n/a
    Non-Proprietary Name Levetiracetam
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SOLUTION
    Route ORAL
    Active Ingredient Strength 100
    Active Ingredient Units mg/mL
    Substance Name LEVETIRACETAM
    Labeler Name NorthStar Rx LLC
    Pharmaceutical Class Decreased Central Nervous System Disorganized Electrical Activity [PE]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA079063
    Listing Certified Through 2024-12-31

    Package

    NDC 16714-0358-01 (16714035801)

    NDC Package Code 16714-358-01
    Billing NDC 16714035801
    Package 473 mL in 1 BOTTLE, PLASTIC (16714-358-01)
    Marketing Start Date 2009-01-15
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.03218
    Pricing Unit ML
    Effective Date 2024-02-21
    NDC Description LEVETIRACETAM 100 MG/ML SOLN
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 5
    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