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    NDC 16714-0447-02 Amitriptyline Hydrochloride 25 mg/1 Details

    Amitriptyline Hydrochloride 25 mg/1

    Amitriptyline Hydrochloride is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Northstar RxLLC. The primary component is AMITRIPTYLINE HYDROCHLORIDE.

    Product Information

    NDC 16714-0447
    Product ID 16714-447_11a82180-1ec5-4a05-8449-4cd30011b513
    Associated GPIs 58200010100310
    GCN Sequence Number 046046
    GCN Sequence Number Description amitriptyline HCl TABLET 25 MG ORAL
    HIC3 H2U
    HIC3 Description TRICYCLIC ANTIDEPRESSANTS,REL.NON-SEL.REUPT-INHIB
    GCN 16515
    HICL Sequence Number 001643
    HICL Sequence Number Description AMITRIPTYLINE HCL
    Brand/Generic Generic
    Proprietary Name Amitriptyline Hydrochloride
    Proprietary Name Suffix n/a
    Non-Proprietary Name Amitriptyline Hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 25
    Active Ingredient Units mg/1
    Substance Name AMITRIPTYLINE HYDROCHLORIDE
    Labeler Name Northstar RxLLC
    Pharmaceutical Class Tricyclic Antidepressant [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA085968
    Listing Certified Through n/a

    Package

    NDC 16714-0447-02 (16714044702)

    NDC Package Code 16714-447-02
    Billing NDC 16714044702
    Package 1000 TABLET, FILM COATED in 1 BOTTLE (16714-447-02)
    Marketing Start Date 2014-12-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.05086
    Pricing Unit EA
    Effective Date 2022-11-23
    NDC Description AMITRIPTYLINE HCL 25 MG TAB
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    Classification for Rate Setting G
    As of Date 2022-11-23
    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