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NDC 59651-0084-60 Dimethyl Fumarate 240 mg/1 Details
Dimethyl Fumarate 240 mg/1
Dimethyl Fumarate is a ORAL CAPSULE, DELAYED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Aurobindo Pharma Limited. The primary component is DIMETHYL FUMARATE.
Product Information
| NDC | 59651-0084 |
|---|---|
| Product ID | 59651-084_b5797a1a-863d-4398-a7c5-6358d3cf85ac |
| Associated GPIs | |
| GCN Sequence Number | 070787 |
| GCN Sequence Number Description | dimethyl fumarate CAPSULE DR 240 MG ORAL |
| HIC3 | H0E |
| HIC3 Description | AGENTS TO TREAT MULTIPLE SCLEROSIS |
| GCN | 34435 |
| HICL Sequence Number | 040168 |
| HICL Sequence Number Description | DIMETHYL FUMARATE |
| Brand/Generic | Generic |
| Proprietary Name | Dimethyl Fumarate |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Dimethyl Fumarate |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | CAPSULE, DELAYED RELEASE |
| Route | ORAL |
| Active Ingredient Strength | 240 |
| Active Ingredient Units | mg/1 |
| Substance Name | DIMETHYL FUMARATE |
| Labeler Name | Aurobindo Pharma Limited |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA210385 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 59651-0084-60 (59651008460)
| NDC Package Code | 59651-084-60 |
|---|---|
| Billing NDC | 59651008460 |
| Package | 60 CAPSULE, DELAYED RELEASE in 1 BOTTLE (59651-084-60) |
| Marketing Start Date | 2022-12-22 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.98409 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | DIMETHYL FUMARATE DR 240 MG CP |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 1 |
| 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