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NDC 42806-0096-30 Protriptyline Hydrochloride 5 mg/1 Details
Protriptyline Hydrochloride 5 mg/1
Protriptyline Hydrochloride is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Epic Pharma, LLC. The primary component is PROTRIPTYLINE HYDROCHLORIDE.
MedlinePlus Drug Summary
Protriptyline is used to treat depression. Protriptyline is in a class of medications called tricyclic antidepressants. It works by increasing the amounts of certain natural substances in the brain that help maintain mental balance.
Related Packages: 42806-0096-30Last Updated: 11/30/2022
MedLinePlus Full Drug Details: Protriptyline
Product Information
| NDC | 42806-0096 |
|---|---|
| Product ID | 42806-096_e68d74c7-1d6a-4453-bb46-0047047b7527 |
| Associated GPIs | 58200070100305 |
| GCN Sequence Number | 046080 |
| GCN Sequence Number Description | protriptyline HCl TABLET 5 MG ORAL |
| HIC3 | H2U |
| HIC3 Description | TRICYCLIC ANTIDEPRESSANTS,REL.NON-SEL.REUPT-INHIB |
| GCN | 16556 |
| HICL Sequence Number | 001646 |
| HICL Sequence Number Description | PROTRIPTYLINE HCL |
| Brand/Generic | Generic |
| Proprietary Name | Protriptyline Hydrochloride |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Protriptyline Hydrochloride |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | TABLET, FILM COATED |
| Route | ORAL |
| Active Ingredient Strength | 5 |
| Active Ingredient Units | mg/1 |
| Substance Name | PROTRIPTYLINE HYDROCHLORIDE |
| Labeler Name | Epic Pharma, LLC |
| Pharmaceutical Class | Tricyclic Antidepressant [EPC] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA202220 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 42806-0096-30 (42806009630)
| NDC Package Code | 42806-096-30 |
|---|---|
| Billing NDC | 42806009630 |
| Package | 30 TABLET, FILM COATED in 1 BOTTLE (42806-096-30) |
| Marketing Start Date | 2020-07-10 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 2.61989 |
| Pricing Unit | EA |
| Effective Date | 2021-02-17 |
| NDC Description | PROTRIPTYLINE HCL 5 MG TABLET |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4 |
| Classification for Rate Setting | G |
| As of Date | 2022-02-16 |
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