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    NDC 61958-2101-01 ODEFSEY 200; 25; 25 mg/1; mg/1; mg/1 Details

    ODEFSEY 200; 25; 25 mg/1; mg/1; mg/1

    ODEFSEY is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Gilead Sciences, Inc.. The primary component is EMTRICITABINE; RILPIVIRINE HYDROCHLORIDE; TENOFOVIR ALAFENAMIDE FUMARATE.

    Product Information

    NDC 61958-2101
    Product ID 61958-2101_2178fe00-9d08-4b76-bb2e-b4d8cbf33c43
    Associated GPIs 12109903390320
    GCN Sequence Number 075634
    GCN Sequence Number Description emtricitab/rilpiviri/tenof ala TABLET 200-25-25 ORAL
    HIC3 W5Q
    HIC3 Description ARTV NUCLEOSIDE,NUCLEOTIDE,NON-NUCLEOSIDE RTI COMB
    GCN 37633
    HICL Sequence Number 043121
    HICL Sequence Number Description EMTRICITABINE/RILPIVIRINE HCL/TENOFOVIR ALAFENAMIDE FUMARATE
    Brand/Generic Brand
    Proprietary Name ODEFSEY
    Proprietary Name Suffix n/a
    Non-Proprietary Name emtricitabine, rilpivirine hydrochloride, and tenofovir alafenamide
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 200; 25; 25
    Active Ingredient Units mg/1; mg/1; mg/1
    Substance Name EMTRICITABINE; RILPIVIRINE HYDROCHLORIDE; TENOFOVIR ALAFENAMIDE FUMARATE
    Labeler Name Gilead Sciences, Inc.
    Pharmaceutical Class Hepatitis B Virus Nucleoside Analog Reverse Transcriptase Inhibitor [EPC], Human Immunodeficiency Virus 1 Non-Nucleoside Analog Reverse Transcriptase Inhibitor [EPC], Human Immunodeficiency Virus Nucleoside Analog Reverse Transcriptase Inhibitor [EPC], Hu
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA208351
    Listing Certified Through 2024-12-31

    Package

    NDC 61958-2101-01 (61958210101)

    NDC Package Code 61958-2101-1
    Billing NDC 61958210101
    Package 30 TABLET in 1 BOTTLE, PLASTIC (61958-2101-1)
    Marketing Start Date 2016-03-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 117.513
    Pricing Unit EA
    Effective Date 2024-01-01
    NDC Description ODEFSEY TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    Classification for Rate Setting B
    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