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    NDC 64764-0171-30 Dexilant 30 mg/1 Details

    Dexilant 30 mg/1

    Dexilant is a ORAL CAPSULE, DELAYED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Takeda Pharmaceuticals America, Inc.. The primary component is DEXLANSOPRAZOLE.

    Product Information

    NDC 64764-0171
    Product ID 64764-171_c34971cf-0a79-428a-a456-20c48ee627e8
    Associated GPIs 49270020006520
    GCN Sequence Number 064793
    GCN Sequence Number Description dexlansoprazole CAP DR BP 30 MG ORAL
    HIC3 D4J
    HIC3 Description PROTON-PUMP INHIBITORS
    GCN 16305
    HICL Sequence Number 036085
    HICL Sequence Number Description DEXLANSOPRAZOLE
    Brand/Generic Brand
    Proprietary Name Dexilant
    Proprietary Name Suffix n/a
    Non-Proprietary Name dexlansoprazole
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE, DELAYED RELEASE
    Route ORAL
    Active Ingredient Strength 30
    Active Ingredient Units mg/1
    Substance Name DEXLANSOPRAZOLE
    Labeler Name Takeda Pharmaceuticals America, Inc.
    Pharmaceutical Class Proton Pump Inhibitor [EPC], Proton Pump Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA022287
    Listing Certified Through 2024-12-31

    Package

    NDC 64764-0171-30 (64764017130)

    NDC Package Code 64764-171-30
    Billing NDC 64764017130
    Package 30 CAPSULE, DELAYED RELEASE in 1 BOTTLE (64764-171-30)
    Marketing Start Date 2010-04-12
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 9.81915
    Pricing Unit EA
    Effective Date 2023-06-21
    NDC Description DEXILANT DR 30 MG CAPSULE
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 2
    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