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    NDC 59762-5016-01 Fluconazole 100 mg/1 Details

    Fluconazole 100 mg/1

    Fluconazole is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Greenstone LLC. The primary component is FLUCONAZOLE.

    Product Information

    NDC 59762-5016
    Product ID 59762-5016_82a4842a-0afa-4450-aa0b-8b8bad45120b
    Associated GPIs 11407015000320
    GCN Sequence Number 013723
    GCN Sequence Number Description fluconazole TABLET 100 MG ORAL
    HIC3 W3B
    HIC3 Description ANTIFUNGAL AGENTS
    GCN 42190
    HICL Sequence Number 004868
    HICL Sequence Number Description FLUCONAZOLE
    Brand/Generic Generic
    Proprietary Name Fluconazole
    Proprietary Name Suffix n/a
    Non-Proprietary Name fluconazole
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 100
    Active Ingredient Units mg/1
    Substance Name FLUCONAZOLE
    Labeler Name Greenstone LLC
    Pharmaceutical Class Azole Antifungal [EPC], Azoles [CS], Cytochrome P450 2C19 Inhibitors [MoA], Cytochrome P450 2C9 Inhibitors [MoA], Cytochrome P450 3A4 Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category NDA AUTHORIZED GENERIC
    Application Number NDA019949
    Listing Certified Through 2024-12-31

    Package

    NDC 59762-5016-01 (59762501601)

    NDC Package Code 59762-5016-1
    Billing NDC 59762501601
    Package 30 TABLET in 1 BOTTLE (59762-5016-1)
    Marketing Start Date 1990-01-29
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.2877
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description FLUCONAZOLE 100 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