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    NDC 23155-0830-01 Mycophenolate mofetil 250 mg/1 Details

    Mycophenolate mofetil 250 mg/1

    Mycophenolate mofetil is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.. The primary component is MYCOPHENOLATE MOFETIL.

    Product Information

    NDC 23155-0830
    Product ID 23155-830_2dab9b9d-d85e-46f3-9518-c9f6e4fbf70e
    Associated GPIs
    GCN Sequence Number 023724
    GCN Sequence Number Description mycophenolate mofetil CAPSULE 250 MG ORAL
    HIC3 Z2E
    HIC3 Description IMMUNOSUPPRESSIVES
    GCN 47560
    HICL Sequence Number 010012
    HICL Sequence Number Description MYCOPHENOLATE MOFETIL
    Brand/Generic Generic
    Proprietary Name Mycophenolate mofetil
    Proprietary Name Suffix n/a
    Non-Proprietary Name Mycophenolate mofetil
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 250
    Active Ingredient Units mg/1
    Substance Name MYCOPHENOLATE MOFETIL
    Labeler Name Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.
    Pharmaceutical Class Antimetabolite Immunosuppressant [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA090055
    Listing Certified Through 2025-12-31

    Package

    NDC 23155-0830-01 (23155083001)

    NDC Package Code 23155-830-01
    Billing NDC 23155083001
    Package 100 CAPSULE in 1 BOTTLE, PLASTIC (23155-830-01)
    Marketing Start Date 2022-06-30
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.21474
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description MYCOPHENOLATE 250 MG CAPSULE
    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