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    NDC 61269-0565-90 ORLISTAT 120 mg/1 Details

    ORLISTAT 120 mg/1

    ORLISTAT 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 61269-0565
    Product ID 61269-565_5b9dc5e8-fe64-4769-bd00-65987c88fa1a
    Associated GPIs
    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 Generic
    Proprietary Name ORLISTAT
    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 AUTHORIZED GENERIC
    Application Number NDA020766
    Listing Certified Through 2024-12-31

    Package

    NDC 61269-0565-90 (61269056590)

    NDC Package Code 61269-565-90
    Billing NDC 61269056590
    Package 90 CAPSULE in 1 BOTTLE, PLASTIC (61269-565-90)
    Marketing Start Date 2022-06-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 6.98994
    Pricing Unit EA
    Effective Date 2023-12-20
    NDC Description ORLISTAT 120 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