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    NDC 63459-0201-30 Provigil 200 mg/1 Details

    Provigil 200 mg/1

    Provigil is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Cephalon, LLC. The primary component is MODAFINIL.

    Product Information

    NDC 63459-0201
    Product ID 63459-201_c3aa4adc-5366-42b9-9898-71047f28fa20
    Associated GPIs 61400024000320
    GCN Sequence Number 041478
    GCN Sequence Number Description modafinil TABLET 200 MG ORAL
    HIC3 H8Q
    HIC3 Description NARCOLEPSY AND SLEEP DISORDER THERAPY AGENTS
    GCN 26102
    HICL Sequence Number 010865
    HICL Sequence Number Description MODAFINIL
    Brand/Generic Brand
    Proprietary Name Provigil
    Proprietary Name Suffix n/a
    Non-Proprietary Name Modafinil
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 200
    Active Ingredient Units mg/1
    Substance Name MODAFINIL
    Labeler Name Cephalon, LLC
    Pharmaceutical Class Central Nervous System Stimulation [PE], Increased Sympathetic Activity [PE], Sympathomimetic-like Agent [EPC]
    DEA Schedule CIV
    Marketing Category NDA
    Application Number NDA020717
    Listing Certified Through 2024-12-31

    Package

    NDC 63459-0201-30 (63459020130)

    NDC Package Code 63459-201-30
    Billing NDC 63459020130
    Package 30 TABLET in 1 BOTTLE (63459-201-30)
    Marketing Start Date 2011-01-03
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 73.6671
    Pricing Unit EA
    Effective Date 2024-01-01
    NDC Description PROVIGIL 200 MG 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