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    NDC 62756-0429-86 Dalfampridine 10 mg/1 Details

    Dalfampridine 10 mg/1

    Dalfampridine is a ORAL TABLET, EXTENDED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Sun Pharmaceutical Industries, Inc.. The primary component is DALFAMPRIDINE.

    Product Information

    NDC 62756-0429
    Product ID 62756-429_c3c3b8ae-9dac-40fc-8569-b26d6befbf01
    Associated GPIs 62406030007420
    GCN Sequence Number 066066
    GCN Sequence Number Description dalfampridine TAB ER 12H 10 MG ORAL
    HIC3 H0F
    HIC3 Description AGTS TX NEUROMUSC TRANSMISSION DIS,POT-CHAN BLKR
    GCN 28246
    HICL Sequence Number 013907
    HICL Sequence Number Description DALFAMPRIDINE
    Brand/Generic Generic
    Proprietary Name Dalfampridine
    Proprietary Name Suffix n/a
    Non-Proprietary Name Dalfampridine
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, EXTENDED RELEASE
    Route ORAL
    Active Ingredient Strength 10
    Active Ingredient Units mg/1
    Substance Name DALFAMPRIDINE
    Labeler Name Sun Pharmaceutical Industries, Inc.
    Pharmaceutical Class Potassium Channel Antagonists [MoA], Potassium Channel Blocker [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA208292
    Listing Certified Through 2024-12-31

    Package

    NDC 62756-0429-86 (62756042986)

    NDC Package Code 62756-429-86
    Billing NDC 62756042986
    Package 60 TABLET, EXTENDED RELEASE in 1 BOTTLE (62756-429-86)
    Marketing Start Date 2019-05-22
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.53381
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description DALFAMPRIDINE ER 10 MG TABLET
    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