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    NDC 60687-0422-01 Amantadine 100 mg/1 Details

    Amantadine 100 mg/1

    Amantadine is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by American Health Packaging. The primary component is AMANTADINE HYDROCHLORIDE.

    Product Information

    NDC 60687-0422
    Product ID 60687-422_fa41e1f6-c168-ede8-e053-6294a90afdda
    Associated GPIs 73200010100105
    GCN Sequence Number 004575
    GCN Sequence Number Description amantadine HCl CAPSULE 100 MG ORAL
    HIC3 H6A
    HIC3 Description ANTIPARKINSONISM DRUGS,OTHER
    GCN 17520
    HICL Sequence Number 001898
    HICL Sequence Number Description AMANTADINE HCL
    Brand/Generic Generic
    Proprietary Name Amantadine
    Proprietary Name Suffix n/a
    Non-Proprietary Name Amantadine
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 100
    Active Ingredient Units mg/1
    Substance Name AMANTADINE HYDROCHLORIDE
    Labeler Name American Health Packaging
    Pharmaceutical Class Influenza A M2 Protein Inhibitor [EPC], M2 Protein Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA208966
    Listing Certified Through 2024-12-31

    Package

    NDC 60687-0422-01 (60687042201)

    NDC Package Code 60687-422-01
    Billing NDC 60687042201
    Package 100 BLISTER PACK in 1 BOX, UNIT-DOSE (60687-422-01) / 1 CAPSULE in 1 BLISTER PACK (60687-422-11)
    Marketing Start Date 2019-05-21
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.21229
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description AMANTADINE 100 MG CAPSULE
    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