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    NDC 59148-0040-13 Rexulti 4 mg/1 Details

    Rexulti 4 mg/1

    Rexulti is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Otsuka America Pharmaceutical, Inc.. The primary component is BREXPIPRAZOLE.

    Product Information

    NDC 59148-0040
    Product ID 59148-040_57cc61f4-a0f8-46c1-a328-9605180f266e
    Associated GPIs 59250020000360
    GCN Sequence Number 074448
    GCN Sequence Number Description brexpiprazole TABLET 4 MG ORAL
    HIC3 H7X
    HIC3 Description ANTIPSYCHOTICS, ATYP, D2 PARTIAL AGONIST/5HT MIXED
    GCN 38619
    HICL Sequence Number 042283
    HICL Sequence Number Description BREXPIPRAZOLE
    Brand/Generic Brand
    Proprietary Name Rexulti
    Proprietary Name Suffix n/a
    Non-Proprietary Name brexpiprazole
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 4
    Active Ingredient Units mg/1
    Substance Name BREXPIPRAZOLE
    Labeler Name Otsuka America Pharmaceutical, Inc.
    Pharmaceutical Class Atypical Antipsychotic [EPC]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA205422
    Listing Certified Through 2024-12-31

    Package

    NDC 59148-0040-13 (59148004013)

    NDC Package Code 59148-040-13
    Billing NDC 59148004013
    Package 1 BOTTLE in 1 CARTON (59148-040-13) / 30 TABLET in 1 BOTTLE
    Marketing Start Date 2015-07-10
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 47.0266
    Pricing Unit EA
    Effective Date 2024-01-15
    NDC Description REXULTI 4 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