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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.

    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 0.09251
    Pricing Unit EA
    Effective Date 2022-11-23
    NDC Description MIRTAZAPINE 30 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    Classification for Rate Setting G
    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