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    NDC 59762-2322-01 Eletriptan 40 mg/1 Details

    Eletriptan 40 mg/1

    Eletriptan is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Greenstone LLC. The primary component is ELETRIPTAN HYDROBROMIDE.

    Product Information

    NDC 59762-2322
    Product ID 59762-2322_b0a8457a-1f2b-49cc-83e3-20a10096458f
    Associated GPIs 67406025100340
    GCN Sequence Number 049606
    GCN Sequence Number Description eletriptan hydrobromide TABLET 40 MG ORAL
    HIC3 H3F
    HIC3 Description ANTIMIGRAINE PREPARATIONS
    GCN 15174
    HICL Sequence Number 023093
    HICL Sequence Number Description ELETRIPTAN HYDROBROMIDE
    Brand/Generic Generic
    Proprietary Name Eletriptan
    Proprietary Name Suffix n/a
    Non-Proprietary Name eletriptan hydrobromide
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 40
    Active Ingredient Units mg/1
    Substance Name ELETRIPTAN HYDROBROMIDE
    Labeler Name Greenstone LLC
    Pharmaceutical Class Serotonin 1b Receptor Agonists [MoA], Serotonin 1d Receptor Agonists [MoA], Serotonin-1b and Serotonin-1d Receptor Agonist [EPC]
    DEA Schedule n/a
    Marketing Category NDA AUTHORIZED GENERIC
    Application Number NDA021016
    Listing Certified Through n/a

    Package

    NDC 59762-2322-01 (59762232201)

    NDC Package Code 59762-2322-1
    Billing NDC 59762232201
    Package 6 BLISTER PACK in 1 CARTON (59762-2322-1) / 1 TABLET, FILM COATED in 1 BLISTER PACK
    Marketing Start Date 2017-07-24
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 2.37315
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description ELETRIPTAN HBR 40 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 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