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NDC 63739-0099-10 Mirtazapine 30 mg/1 Details
Mirtazapine 30 mg/1
Mirtazapine is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by McKesson Corporation dba SKY Packaging. The primary component is MIRTAZAPINE.
MedlinePlus Drug Summary
Mirtazapine is used to treat depression. Mirtazapine is in a class of medications called antidepressants. It works by increasing certain types of activity in the brain to maintain mental balance.
Related Packages: 63739-0099-10Last Updated: 12/01/2022
MedLinePlus Full Drug Details: Mirtazapine
Product Information
| NDC | 63739-0099 |
|---|---|
| Product ID | 63739-099_0c6cab2c-a68f-e1bb-e063-6394a90a9498 |
| Associated GPIs | 58030050000330 |
| GCN Sequence Number | 046451 |
| GCN Sequence Number Description | mirtazapine TABLET 30 MG ORAL |
| HIC3 | H7B |
| HIC3 Description | ALPHA-2 RECEPTOR ANTAGONIST ANTIDEPRESSANTS |
| GCN | 16733 |
| HICL Sequence Number | 011505 |
| HICL Sequence Number Description | MIRTAZAPINE |
| Brand/Generic | Generic |
| Proprietary Name | Mirtazapine |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Mirtazapine |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | TABLET, FILM COATED |
| Route | ORAL |
| Active Ingredient Strength | 30 |
| Active Ingredient Units | mg/1 |
| Substance Name | MIRTAZAPINE |
| Labeler Name | McKesson Corporation dba SKY Packaging |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA077666 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 63739-0099-10 (63739009910)
| NDC Package Code | 63739-099-10 |
|---|---|
| Billing NDC | 63739009910 |
| Package | 10 BLISTER PACK in 1 BOX (63739-099-10) / 10 TABLET, FILM COATED in 1 BLISTER PACK |
| Marketing Start Date | 2019-11-15 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.08372 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | MIRTAZAPINE 30 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