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    NDC 64764-0543-11 Prevacid SoluTab 15 mg/1 Details

    Prevacid SoluTab 15 mg/1

    Prevacid SoluTab is a ORAL TABLET, ORALLY DISINTEGRATING, DELAYED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Takeda Pharmaceuticals America, Inc.. The primary component is LANSOPRAZOLE.

    Product Information

    NDC 64764-0543
    Product ID 64764-543_60f9d1bd-9e6f-4c09-86e7-f9e066ea439a
    Associated GPIs 4927004000H315
    GCN Sequence Number 051653
    GCN Sequence Number Description lansoprazole TAB RAP DR 15 MG ORAL
    HIC3 D4J
    HIC3 Description PROTON-PUMP INHIBITORS
    GCN 18992
    HICL Sequence Number 008993
    HICL Sequence Number Description LANSOPRAZOLE
    Brand/Generic Brand
    Proprietary Name Prevacid SoluTab
    Proprietary Name Suffix n/a
    Non-Proprietary Name lansoprazole
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, ORALLY DISINTEGRATING, DELAYED RELEASE
    Route ORAL
    Active Ingredient Strength 15
    Active Ingredient Units mg/1
    Substance Name LANSOPRAZOLE
    Labeler Name Takeda Pharmaceuticals America, Inc.
    Pharmaceutical Class Inhibition Gastric Acid Secretion [PE], Proton Pump Inhibitor [EPC], Proton Pump Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA021428
    Listing Certified Through 2024-12-31

    Package

    NDC 64764-0543-11 (64764054311)

    NDC Package Code 64764-543-11
    Billing NDC 64764054311
    Package 10 BLISTER PACK in 1 CARTON (64764-543-11) / 10 TABLET, ORALLY DISINTEGRATING, DELAYED RELEASE in 1 BLISTER PACK (64764-543-30)
    Marketing Start Date 2002-08-30
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 13.2379
    Pricing Unit EA
    Effective Date 2021-02-17
    NDC Description PREVACID 15 MG SOLUTAB
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    Classification for Rate Setting B
    As of Date 2022-02-16
    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