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    NDC 62856-0290-38 Fycompa 0.5 mg/mL Details

    Fycompa 0.5 mg/mL

    Fycompa is a ORAL SUSPENSION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Eisai Inc.. The primary component is PERAMPANEL.

    Product Information

    NDC 62856-0290
    Product ID 62856-290_9e5b8627-60ec-426b-92e5-fa459bc73484
    Associated GPIs 72550060001820
    GCN Sequence Number 076056
    GCN Sequence Number Description perampanel ORAL SUSP 0.5 MG/ML ORAL
    HIC3 H4B
    HIC3 Description ANTICONVULSANTS
    GCN 41309
    HICL Sequence Number 039628
    HICL Sequence Number Description PERAMPANEL
    Brand/Generic Brand
    Proprietary Name Fycompa
    Proprietary Name Suffix n/a
    Non-Proprietary Name perampanel
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SUSPENSION
    Route ORAL
    Active Ingredient Strength 0.5
    Active Ingredient Units mg/mL
    Substance Name PERAMPANEL
    Labeler Name Eisai Inc.
    Pharmaceutical Class AMPA Receptor Antagonists [MoA], Cytochrome P450 2C8 Inhibitors [MoA], Cytochrome P450 3A4 Inhibitors [MoA], Noncompetitive AMPA Glutamate Receptor Antagonist [EPC], UGT1A9 Inhibitors [MoA], UGT2B7 Inhibitors [MoA]
    DEA Schedule CIII
    Marketing Category NDA
    Application Number NDA208277
    Listing Certified Through 2024-12-31

    Package

    NDC 62856-0290-38 (62856029038)

    NDC Package Code 62856-290-38
    Billing NDC 62856029038
    Package 340 mL in 1 BOTTLE (62856-290-38)
    Marketing Start Date 2016-04-30
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 4.46642
    Pricing Unit ML
    Effective Date 2024-01-22
    NDC Description FYCOMPA 0.5 MG/ML ORAL SUSP
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 5
    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