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NDC 50268-0040-15 Amitriptyline Hydrochloride 75 mg/1 Details
Amitriptyline Hydrochloride 75 mg/1
Amitriptyline Hydrochloride is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by AvPAK. The primary component is AMITRIPTYLINE HYDROCHLORIDE.
MedlinePlus Drug Summary
Amitriptyline is used to treat symptoms of depression. Amitriptyline is in a class of medications called tricyclic antidepressants. It works by increasing the amounts of certain natural substances in the brain that are needed to maintain mental balance.
Related Packages: 50268-0040-15Last Updated: 04/14/2024
MedLinePlus Full Drug Details: Amitriptyline
Product Information
| NDC | 50268-0040 |
|---|---|
| Product ID | 50268-040_fd771acd-9f9e-5733-e053-6394a90aee99 |
| Associated GPIs | |
| GCN Sequence Number | 046048 |
| GCN Sequence Number Description | amitriptyline HCl TABLET 75 MG ORAL |
| HIC3 | H2U |
| HIC3 Description | TRICYCLIC ANTIDEPRESSANTS,REL.NON-SEL.REUPT-INHIB |
| GCN | 16517 |
| HICL Sequence Number | 001643 |
| HICL Sequence Number Description | AMITRIPTYLINE HCL |
| Brand/Generic | Generic |
| Proprietary Name | Amitriptyline Hydrochloride |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Amitriptyline Hydrochloride |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | TABLET, FILM COATED |
| Route | ORAL |
| Active Ingredient Strength | 75 |
| Active Ingredient Units | mg/1 |
| Substance Name | AMITRIPTYLINE HYDROCHLORIDE |
| Labeler Name | AvPAK |
| Pharmaceutical Class | Tricyclic Antidepressant [EPC] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA214548 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 50268-0040-15 (50268004015)
| NDC Package Code | 50268-040-15 |
|---|---|
| Billing NDC | 50268004015 |
| Package | 50 BLISTER PACK in 1 BOX (50268-040-15) / 1 TABLET, FILM COATED in 1 BLISTER PACK (50268-040-11) |
| Marketing Start Date | 2023-06-06 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.12782 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | AMITRIPTYLINE HCL 75 MG TAB |
| 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
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