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    NDC 57841-1150-02 Talicia 250; 10; 12.5 mg/1; mg/1; mg/1 Details

    Talicia 250; 10; 12.5 mg/1; mg/1; mg/1

    Talicia is a ORAL CAPSULE, DELAYED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by RedHill Biopharma Ltd. The primary component is AMOXICILLIN; OMEPRAZOLE MAGNESIUM; RIFABUTIN.

    Product Information

    NDC 57841-1150
    Product ID 57841-1150_23124460-5e8c-46a8-b2a7-9ee4f94b58ca
    Associated GPIs 49993003406520
    GCN Sequence Number 080455
    GCN Sequence Number Description omeprazole/amoxicill/rifabutin CAP IR DR 10MG-250MG ORAL
    HIC3 D4F
    HIC3 Description ANTI-ULCER-H.PYLORI AGENTS
    GCN 47303
    HICL Sequence Number 046200
    HICL Sequence Number Description OMEPRAZOLE MAGNESIUM/AMOXICILLIN TRIHYDRATE/RIFABUTIN
    Brand/Generic Brand
    Proprietary Name Talicia
    Proprietary Name Suffix n/a
    Non-Proprietary Name omeprazole magnesium, amoxicillin and rifabutin
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE, DELAYED RELEASE
    Route ORAL
    Active Ingredient Strength 250; 10; 12.5
    Active Ingredient Units mg/1; mg/1; mg/1
    Substance Name AMOXICILLIN; OMEPRAZOLE MAGNESIUM; RIFABUTIN
    Labeler Name RedHill Biopharma Ltd
    Pharmaceutical Class Cytochrome P450 2C19 Inhibitors [MoA], Penicillin-class Antibacterial [EPC], Penicillins [CS], Proton Pump Inhibitor [EPC], Proton Pump Inhibitors [MoA], Rifamycin Antimycobacterial [EPC], Rifamycins [CS]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA213004
    Listing Certified Through 2024-12-31

    Package

    NDC 57841-1150-02 (57841115002)

    NDC Package Code 57841-1150-2
    Billing NDC 57841115002
    Package 2 BOTTLE in 1 CARTON (57841-1150-2) / 84 CAPSULE, DELAYED RELEASE in 1 BOTTLE (57841-1150-1)
    Marketing Start Date 2020-03-09
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 4.59324
    Pricing Unit EA
    Effective Date 2024-02-01
    NDC Description TALICIA DR 10-250-12.5 MG CAP
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 2
    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