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    NDC 43547-0604-10 Lisdexamfetamine dimesylate 30 mg/1 Details

    Lisdexamfetamine dimesylate 30 mg/1

    Lisdexamfetamine dimesylate is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Solco Healthcare US,LLC. The primary component is LISDEXAMFETAMINE DIMESYLATE.

    Product Information

    NDC 43547-0604
    Product ID 43547-604_7ed12fbd-7572-4bf1-b142-e05f81a7110e
    Associated GPIs
    GCN Sequence Number 062283
    GCN Sequence Number Description lisdexamfetamine dimesylate CAPSULE 30 MG ORAL
    HIC3 J5B
    HIC3 Description ADRENERGICS, AROMATIC, NON-CATECHOLAMINE
    GCN 98071
    HICL Sequence Number 034486
    HICL Sequence Number Description LISDEXAMFETAMINE DIMESYLATE
    Brand/Generic Generic
    Proprietary Name Lisdexamfetamine dimesylate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Lisdexamfetamine dimesylate capsules
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 30
    Active Ingredient Units mg/1
    Substance Name LISDEXAMFETAMINE DIMESYLATE
    Labeler Name Solco Healthcare US,LLC
    Pharmaceutical Class Central Nervous System Stimulant [EPC], Central Nervous System Stimulation [PE]
    DEA Schedule CII
    Marketing Category ANDA
    Application Number ANDA216266
    Listing Certified Through 2024-12-31

    Package

    NDC 43547-0604-10 (43547060410)

    NDC Package Code 43547-604-10
    Billing NDC 43547060410
    Package 100 CAPSULE in 1 BOTTLE (43547-604-10)
    Marketing Start Date 2023-09-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 5.6884
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description LISDEXAMFETAMINE 30 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