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    NDC 61269-0460-90 Xenical 120 mg/1 Details

    Xenical 120 mg/1

    Xenical is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by H2-Pharma LLC. The primary component is ORLISTAT.

    Product Information

    NDC 61269-0460
    Product ID 61269-460_db470b78-cc2c-455f-a430-078a78a625df
    Associated GPIs 61253560000120
    GCN Sequence Number 040663
    GCN Sequence Number Description orlistat CAPSULE 120 MG ORAL
    HIC3 D5A
    HIC3 Description FAT ABSORPTION DECREASING AGENTS
    GCN 95213
    HICL Sequence Number 018751
    HICL Sequence Number Description ORLISTAT
    Brand/Generic Brand
    Proprietary Name Xenical
    Proprietary Name Suffix n/a
    Non-Proprietary Name orlistat
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 120
    Active Ingredient Units mg/1
    Substance Name ORLISTAT
    Labeler Name H2-Pharma LLC
    Pharmaceutical Class Intestinal Lipase Inhibitor [EPC], Lipase Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA020766
    Listing Certified Through 2024-12-31

    Package

    NDC 61269-0460-90 (61269046090)

    NDC Package Code 61269-460-90
    Billing NDC 61269046090
    Package 90 CAPSULE in 1 BOTTLE, PLASTIC (61269-460-90)
    Marketing Start Date 2010-12-17
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 8.02754
    Pricing Unit EA
    Effective Date 2022-09-16
    NDC Description XENICAL 120 MG CAPSULE
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    Classification for Rate Setting B
    As of Date 2022-11-23
    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