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    NDC 52427-0575-30 Forfivo 450 mg/1 Details

    Forfivo 450 mg/1

    Forfivo is a ORAL TABLET, FILM COATED, EXTENDED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Almatica Pharma Inc.. The primary component is BUPROPION HYDROCHLORIDE.

    Product Information

    NDC 52427-0575
    Product ID 52427-575_c32284bb-ebd9-86a7-d213-0386fbbc565a
    Associated GPIs 58300040107545
    GCN Sequence Number 069853
    GCN Sequence Number Description bupropion HCl TAB ER 24H 450 MG ORAL
    HIC3 H7D
    HIC3 Description NOREPINEPHRINE AND DOPAMINE REUPTAKE INHIB (NDRIS)
    GCN 33081
    HICL Sequence Number 001653
    HICL Sequence Number Description BUPROPION HCL
    Brand/Generic Brand
    Proprietary Name Forfivo
    Proprietary Name Suffix XL
    Non-Proprietary Name bupropion hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED, EXTENDED RELEASE
    Route ORAL
    Active Ingredient Strength 450
    Active Ingredient Units mg/1
    Substance Name BUPROPION HYDROCHLORIDE
    Labeler Name Almatica Pharma Inc.
    Pharmaceutical Class Aminoketone [EPC], Dopamine Uptake Inhibitors [MoA], Increased Dopamine Activity [PE], Increased Norepinephrine Activity [PE], Norepinephrine Uptake Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA022497
    Listing Certified Through 2024-12-31

    Package

    NDC 52427-0575-30 (52427057530)

    NDC Package Code 52427-575-30
    Billing NDC 52427057530
    Package 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (52427-575-30)
    Marketing Start Date 2017-05-15
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 14.7642
    Pricing Unit EA
    Effective Date 2022-09-21
    NDC Description FORFIVO XL 450 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 2
    Classification for Rate Setting B
    As of Date 2022-11-23
    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