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    NDC 59762-1350-01 Rifabutin 150 mg/1 Details

    Rifabutin 150 mg/1

    Rifabutin is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Greenstone LLC. The primary component is RIFABUTIN.

    Product Information

    NDC 59762-1350
    Product ID 59762-1350_75d0a783-da69-408a-98a0-473c4c25fa5c
    Associated GPIs 09000075000120
    GCN Sequence Number 018766
    GCN Sequence Number Description rifabutin CAPSULE 150 MG ORAL
    HIC3 W2E
    HIC3 Description ANTI-MYCOBACTERIUM AGENTS
    GCN 29810
    HICL Sequence Number 007626
    HICL Sequence Number Description RIFABUTIN
    Brand/Generic Generic
    Proprietary Name Rifabutin
    Proprietary Name Suffix n/a
    Non-Proprietary Name rifabutin
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 150
    Active Ingredient Units mg/1
    Substance Name RIFABUTIN
    Labeler Name Greenstone LLC
    Pharmaceutical Class Rifamycin Antimycobacterial [EPC], Rifamycins [CS]
    DEA Schedule n/a
    Marketing Category NDA AUTHORIZED GENERIC
    Application Number NDA050689
    Listing Certified Through 2024-12-31

    Package

    NDC 59762-1350-01 (59762135001)

    NDC Package Code 59762-1350-1
    Billing NDC 59762135001
    Package 100 CAPSULE in 1 BOTTLE (59762-1350-1)
    Marketing Start Date 2014-04-07
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 10.2709
    Pricing Unit EA
    Effective Date 2024-01-17
    NDC Description RIFABUTIN 150 MG CAPSULE
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 6
    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