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    NDC 59417-0104-10 Vyvanse 40 mg/1 Details

    Vyvanse 40 mg/1

    Vyvanse is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Takeda Pharmaceuticals America, Inc.. The primary component is LISDEXAMFETAMINE DIMESYLATE.

    Product Information

    NDC 59417-0104
    Product ID 59417-104_756b98a0-fada-44b2-a606-f2e71ef8cc84
    Associated GPIs 61100025100140
    GCN Sequence Number 063646
    GCN Sequence Number Description lisdexamfetamine dimesylate CAPSULE 40 MG ORAL
    HIC3 J5B
    HIC3 Description ADRENERGICS, AROMATIC, NON-CATECHOLAMINE
    GCN 99367
    HICL Sequence Number 034486
    HICL Sequence Number Description LISDEXAMFETAMINE DIMESYLATE
    Brand/Generic Brand
    Proprietary Name Vyvanse
    Proprietary Name Suffix n/a
    Non-Proprietary Name lisdexamfetamine dimesylate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 40
    Active Ingredient Units mg/1
    Substance Name LISDEXAMFETAMINE DIMESYLATE
    Labeler Name Takeda Pharmaceuticals America, Inc.
    Pharmaceutical Class Central Nervous System Stimulant [EPC], Central Nervous System Stimulation [PE]
    DEA Schedule CII
    Marketing Category NDA
    Application Number NDA021977
    Listing Certified Through 2024-12-31

    Package

    NDC 59417-0104-10 (59417010410)

    NDC Package Code 59417-104-10
    Billing NDC 59417010410
    Package 100 CAPSULE in 1 BOTTLE (59417-104-10)
    Marketing Start Date 2007-12-10
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 12.3902
    Pricing Unit EA
    Effective Date 2024-01-01
    NDC Description VYVANSE 40 MG CAPSULE
    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