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    NDC 65038-0286-99 AZSTARYS 5.2; 26.1 mg/1; mg/1 Details

    AZSTARYS 5.2; 26.1 mg/1; mg/1

    AZSTARYS is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Corium, LLC.. The primary component is DEXMETHYLPHENIDATE HYDROCHLORIDE; SERDEXMETHYLPHENIDATE CHLORIDE.

    Product Information

    NDC 65038-0286
    Product ID 65038-286_bb5e8b93-0bd6-48fa-b9c5-80b76a200cbe
    Associated GPIs 61409802800120
    GCN Sequence Number 082022
    GCN Sequence Number Description serdexmethylphen/dexmethylphen CAPSULE 26.1-5.2MG ORAL
    HIC3 H2V
    HIC3 Description TX FOR ATTENTION DEFICIT-HYPERACT(ADHD)/NARCOLEPSY
    GCN 49319
    HICL Sequence Number 047187
    HICL Sequence Number Description SERDEXMETHYLPHENIDATE CHLORIDE/DEXMETHYLPHENIDATE HCL
    Brand/Generic Brand
    Proprietary Name AZSTARYS
    Proprietary Name Suffix n/a
    Non-Proprietary Name Serdexmethylphenidate and Dexmethylphenidate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 5.2; 26.1
    Active Ingredient Units mg/1; mg/1
    Substance Name DEXMETHYLPHENIDATE HYDROCHLORIDE; SERDEXMETHYLPHENIDATE CHLORIDE
    Labeler Name Corium, LLC.
    Pharmaceutical Class Central Nervous System Stimulant [EPC], Central Nervous System Stimulant [EPC], Central Nervous System Stimulation [PE], Central Nervous System Stimulation [PE]
    DEA Schedule CII
    Marketing Category NDA
    Application Number NDA212994
    Listing Certified Through 2024-12-31

    Package

    NDC 65038-0286-99 (65038028699)

    NDC Package Code 65038-286-99
    Billing NDC 65038028699
    Package 100 CAPSULE in 1 BOTTLE, PLASTIC (65038-286-99)
    Marketing Start Date 2021-07-16
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 13.3276
    Pricing Unit EA
    Effective Date 2024-01-01
    NDC Description AZSTARYS 26.1 MG-5.2 MG CAP
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    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