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    NDC 54879-0022-01 CYCLOPHOSPHAMIDE 50 mg/1 Details

    CYCLOPHOSPHAMIDE 50 mg/1

    CYCLOPHOSPHAMIDE is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by STI Pharma LLC. The primary component is CYCLOPHOSPHAMIDE.

    Product Information

    NDC 54879-0022
    Product ID 54879-022_0ec5751b-ff35-64c7-e063-6294a90a0c77
    Associated GPIs 21101020000110
    GCN Sequence Number 071489
    GCN Sequence Number Description cyclophosphamide CAPSULE 50 MG ORAL
    HIC3 V1A
    HIC3 Description ANTINEOPLASTIC - ALKYLATING AGENTS
    GCN 35318
    HICL Sequence Number 003893
    HICL Sequence Number Description CYCLOPHOSPHAMIDE
    Brand/Generic Generic
    Proprietary Name CYCLOPHOSPHAMIDE
    Proprietary Name Suffix n/a
    Non-Proprietary Name CYCLOPHOSPHAMIDE
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 50
    Active Ingredient Units mg/1
    Substance Name CYCLOPHOSPHAMIDE
    Labeler Name STI Pharma LLC
    Pharmaceutical Class Alkylating Activity [MoA], Alkylating Drug [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA209872
    Listing Certified Through 2025-12-31

    Package

    NDC 54879-0022-01 (54879002201)

    NDC Package Code 54879-022-01
    Billing NDC 54879002201
    Package 100 CAPSULE in 1 BOTTLE (54879-022-01)
    Marketing Start Date 2018-05-08
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 4.071
    Pricing Unit EA
    Effective Date 2023-07-19
    NDC Description CYCLOPHOSPHAMIDE 50 MG CAPSULE
    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