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    NDC 42192-0623-28 levonorgestrel and ethinyl estradiol Details

    levonorgestrel and ethinyl estradiol

    levonorgestrel and ethinyl estradiol is a KIT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Acella Pharmaceuticals. The primary component is .

    Product Information

    NDC 42192-0623
    Product ID 42192-623_1e41b45c-f1c4-4007-ac32-fa62055184b0
    Associated GPIs
    GCN Sequence Number 078077
    GCN Sequence Number Description levonorgest/eth.estradiol/iron TABLET 0.1-0.02MG ORAL
    HIC3 G8A
    HIC3 Description CONTRACEPTIVES,ORAL
    GCN 44336
    HICL Sequence Number 044733
    HICL Sequence Number Description LEVONORGESTREL/ETHINYL ESTRADIOL/IRON
    Brand/Generic Generic
    Proprietary Name levonorgestrel and ethinyl estradiol
    Proprietary Name Suffix n/a
    Non-Proprietary Name levonorgestrel and ethinyl estradiol
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form KIT
    Route n/a
    Active Ingredient Strength n/a
    Active Ingredient Units n/a
    Substance Name n/a
    Labeler Name Acella Pharmaceuticals
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA208612
    Listing Certified Through 2024-12-31

    Package

    NDC 42192-0623-28 (42192062328)

    NDC Package Code 42192-623-28
    Billing NDC 42192062328
    Package 1 BLISTER PACK in 1 CARTON (42192-623-28) / 1 KIT in 1 BLISTER PACK
    Marketing Start Date 2023-08-21
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 8.27367
    Pricing Unit EA
    Effective Date 2023-12-20
    NDC Description LEVONORGESTREL-ETH ESTRADIOL-FE BISGLYC 0.1-0.02-36.5 MG TAB
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 6
    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