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    NDC 65862-0247-08 Levetiracetam 750 mg/1 Details

    Levetiracetam 750 mg/1

    Levetiracetam is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Aurobindo Pharma Limited. The primary component is LEVETIRACETAM.

    Product Information

    NDC 65862-0247
    Product ID 65862-247_49f7d231-f076-4298-9413-04e3607bf0fe
    Associated GPIs 72600043000340
    GCN Sequence Number 045652
    GCN Sequence Number Description levetiracetam TABLET 750 MG ORAL
    HIC3 H4B
    HIC3 Description ANTICONVULSANTS
    GCN 41586
    HICL Sequence Number 020952
    HICL Sequence Number Description LEVETIRACETAM
    Brand/Generic Generic
    Proprietary Name Levetiracetam
    Proprietary Name Suffix n/a
    Non-Proprietary Name Levetiracetam
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 750
    Active Ingredient Units mg/1
    Substance Name LEVETIRACETAM
    Labeler Name Aurobindo Pharma Limited
    Pharmaceutical Class Decreased Central Nervous System Disorganized Electrical Activity [PE]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA078993
    Listing Certified Through 2024-12-31

    Package

    NDC 65862-0247-08 (65862024708)

    NDC Package Code 65862-247-08
    Billing NDC 65862024708
    Package 120 TABLET, FILM COATED in 1 BOTTLE (65862-247-08)
    Marketing Start Date 2009-01-15
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.14036
    Pricing Unit EA
    Effective Date 2022-11-23
    NDC Description LEVETIRACETAM 750 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