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    NDC 65162-0785-03 Memantine Hydrochloride 28 mg/1 Details

    Memantine Hydrochloride 28 mg/1

    Memantine Hydrochloride is a ORAL CAPSULE, EXTENDED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Amneal Pharmaceuticals LLC. The primary component is MEMANTINE HYDROCHLORIDE.

    Product Information

    NDC 65162-0785
    Product ID 65162-785_503233b9-e486-4228-85d9-9ea8fc74b80d
    Associated GPIs 62053550107050
    GCN Sequence Number 070870
    GCN Sequence Number Description memantine HCl CAP SPR 24 28 MG ORAL
    HIC3 H1A
    HIC3 Description ALZHEIMER'S THERAPY, NMDA RECEPTOR ANTAGONISTS
    GCN 34527
    HICL Sequence Number 013778
    HICL Sequence Number Description MEMANTINE HCL
    Brand/Generic Generic
    Proprietary Name Memantine Hydrochloride
    Proprietary Name Suffix n/a
    Non-Proprietary Name Memantine Hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE, EXTENDED RELEASE
    Route ORAL
    Active Ingredient Strength 28
    Active Ingredient Units mg/1
    Substance Name MEMANTINE HYDROCHLORIDE
    Labeler Name Amneal Pharmaceuticals LLC
    Pharmaceutical Class N-methyl-D-aspartate Receptor Antagonist [EPC], NMDA Receptor Antagonists [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA205825
    Listing Certified Through 2024-12-31

    Package

    NDC 65162-0785-03 (65162078503)

    NDC Package Code 65162-785-03
    Billing NDC 65162078503
    Package 30 CAPSULE, EXTENDED RELEASE in 1 BOTTLE (65162-785-03)
    Marketing Start Date 2017-12-22
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.77897
    Pricing Unit EA
    Effective Date 2022-11-23
    NDC Description MEMANTINE HCL ER 28 MG CAPSULE
    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