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    NDC 49702-0228-13 Tivicay 50 mg/1 Details

    Tivicay 50 mg/1

    Tivicay is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by ViiV Healthcare Company. The primary component is DOLUTEGRAVIR SODIUM.

    Product Information

    NDC 49702-0228
    Product ID 49702-228_a7af7500-2f34-45cc-bcb9-0fbf4655880a
    Associated GPIs 12103015100320
    GCN Sequence Number 071322
    GCN Sequence Number Description dolutegravir sodium TABLET 50 MG ORAL
    HIC3 W5U
    HIC3 Description ANTIVIRALS,HIV-1 INTEGRASE STRAND TRANSFER INHIBTR
    GCN 35079
    HICL Sequence Number 040533
    HICL Sequence Number Description DOLUTEGRAVIR SODIUM
    Brand/Generic Brand
    Proprietary Name Tivicay
    Proprietary Name Suffix n/a
    Non-Proprietary Name dolutegravir sodium
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 50
    Active Ingredient Units mg/1
    Substance Name DOLUTEGRAVIR SODIUM
    Labeler Name ViiV Healthcare Company
    Pharmaceutical Class HIV Integrase Inhibitors [MoA], Human Immunodeficiency Virus Integrase Strand Transfer Inhibitor [EPC], Multidrug and Toxin Extrusion Transporter 1 Inhibitors [MoA], Organic Cation Transporter 2 Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA204790
    Listing Certified Through 2024-12-31

    Package

    NDC 49702-0228-13 (49702022813)

    NDC Package Code 49702-228-13
    Billing NDC 49702022813
    Package 30 TABLET, FILM COATED in 1 BOTTLE (49702-228-13)
    Marketing Start Date 2013-08-13
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 73.1471
    Pricing Unit EA
    Effective Date 2024-01-01
    NDC Description TIVICAY 50 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    Classification for Rate Setting B
    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