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    NDC 57841-1300-01 MOVANTIK 12.5 mg/1 Details

    MOVANTIK 12.5 mg/1

    MOVANTIK is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by RedHill Biopharma Ltd. The primary component is NALOXEGOL OXALATE.

    Product Information

    NDC 57841-1300
    Product ID 57841-1300_3da484be-32a1-4265-b58e-fa55b7acd59a
    Associated GPIs 52580060300320
    GCN Sequence Number 073335
    GCN Sequence Number Description naloxegol oxalate TABLET 12.5 MG ORAL
    HIC3 H3Y
    HIC3 Description MU-OPIOID RECEPTOR ANTAGONISTS,PERIPHERALLY-ACTING
    GCN 37725
    HICL Sequence Number 041686
    HICL Sequence Number Description NALOXEGOL OXALATE
    Brand/Generic Brand
    Proprietary Name MOVANTIK
    Proprietary Name Suffix n/a
    Non-Proprietary Name naloxegol oxalate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 12.5
    Active Ingredient Units mg/1
    Substance Name NALOXEGOL OXALATE
    Labeler Name RedHill Biopharma Ltd
    Pharmaceutical Class Opioid Antagonist [EPC], Opioid Antagonists [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA204760
    Listing Certified Through 2024-12-31

    Package

    NDC 57841-1300-01 (57841130001)

    NDC Package Code 57841-1300-1
    Billing NDC 57841130001
    Package 30 TABLET, FILM COATED in 1 BOTTLE (57841-1300-1)
    Marketing Start Date 2020-10-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 13.2655
    Pricing Unit EA
    Effective Date 2024-01-01
    NDC Description MOVANTIK 12.5 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    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