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    NDC 63459-0404-30 GABITRIL 4 mg/1 Details

    GABITRIL 4 mg/1

    GABITRIL is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Cephalon, LLC. The primary component is TIAGABINE HYDROCHLORIDE.

    Product Information

    NDC 63459-0404
    Product ID 63459-404_d7af694a-3367-452e-aeaa-5a529d1dd364
    Associated GPIs 72170070100305
    GCN Sequence Number 034737
    GCN Sequence Number Description tiagabine HCl TABLET 4 MG ORAL
    HIC3 H4B
    HIC3 Description ANTICONVULSANTS
    GCN 37980
    HICL Sequence Number 015773
    HICL Sequence Number Description TIAGABINE HCL
    Brand/Generic Brand
    Proprietary Name GABITRIL
    Proprietary Name Suffix n/a
    Non-Proprietary Name Tiagabine Hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 4
    Active Ingredient Units mg/1
    Substance Name TIAGABINE HYDROCHLORIDE
    Labeler Name Cephalon, LLC
    Pharmaceutical Class Anti-epileptic Agent [EPC], Decreased Central Nervous System Disorganized Electrical Activity [PE]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA020646
    Listing Certified Through n/a

    Package

    NDC 63459-0404-30 (63459040430)

    NDC Package Code 63459-404-30
    Billing NDC 63459040430
    Package 30 TABLET, FILM COATED in 1 BOTTLE (63459-404-30)
    Marketing Start Date 2010-02-08
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 11.4103
    Pricing Unit EA
    Effective Date 2022-01-01
    NDC Description GABITRIL 4 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    Classification for Rate Setting B
    As of Date 2022-11-23
    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