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NDC 51079-0288-04 Clozapine 100 mg/1 Details
Clozapine 100 mg/1
Clozapine is a ORAL TABLET, ORALLY DISINTEGRATING in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Mylan Institutional Inc.. The primary component is CLOZAPINE.
MedlinePlus Drug Summary
Clozapine is used to treat the symptoms of schizophrenia (a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions) in people who have not been helped by other medications or who have tried to kill themselves and are likely to try to kill or harm themselves again. Clozapine is in a class of medications called atypical antipsychotics. It works by changing the activity of certain natural substances in the brain.
Related Packages: 51079-0288-04Last Updated: 11/30/2022
MedLinePlus Full Drug Details: Clozapine
Product Information
| NDC | 51079-0288 |
|---|---|
| Product ID | 51079-288_0eaeb920-5452-13c4-e063-6394a90a2291 |
| Associated GPIs | 59152020007230 |
| GCN Sequence Number | 053995 |
| GCN Sequence Number Description | clozapine TAB RAPDIS 100 MG ORAL |
| HIC3 | H7T |
| HIC3 Description | ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST |
| GCN | 21785 |
| HICL Sequence Number | 004834 |
| HICL Sequence Number Description | CLOZAPINE |
| Brand/Generic | Generic |
| Proprietary Name | Clozapine |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | clozapine |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | TABLET, ORALLY DISINTEGRATING |
| Route | ORAL |
| Active Ingredient Strength | 100 |
| Active Ingredient Units | mg/1 |
| Substance Name | CLOZAPINE |
| Labeler Name | Mylan Institutional Inc. |
| Pharmaceutical Class | Atypical Antipsychotic [EPC] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA201824 |
| Listing Certified Through | 2025-12-31 |
Package
NDC 51079-0288-04 (51079028804)
| NDC Package Code | 51079-288-04 |
|---|---|
| Billing NDC | 51079028804 |
| Package | 40 BLISTER PACK in 1 CARTON (51079-288-04) / 1 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK (51079-288-01) |
| Marketing Start Date | 2016-09-26 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 4.41636 |
| Pricing Unit | EA |
| Effective Date | 2023-08-23 |
| NDC Description | CLOZAPINE ODT 100 MG TABLET |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4 |
| 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