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    NDC 65862-0692-01 Extended Phenytoin Sodium 100 mg/1 Details

    Extended Phenytoin Sodium 100 mg/1

    Extended Phenytoin Sodium is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Aurobindo Pharma Limited. The primary component is PHENYTOIN SODIUM.

    Product Information

    NDC 65862-0692
    Product ID 65862-692_8b54186e-7485-40f0-8fe0-58b417dfcb7e
    Associated GPIs 72200030200110
    GCN Sequence Number 004521
    GCN Sequence Number Description phenytoin sodium extended CAPSULE 100 MG ORAL
    HIC3 H4B
    HIC3 Description ANTICONVULSANTS
    GCN 17700
    HICL Sequence Number 001877
    HICL Sequence Number Description PHENYTOIN SODIUM EXTENDED
    Brand/Generic Generic
    Proprietary Name Extended Phenytoin Sodium
    Proprietary Name Suffix n/a
    Non-Proprietary Name Phenytoin Sodium
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 100
    Active Ingredient Units mg/1
    Substance Name PHENYTOIN SODIUM
    Labeler Name Aurobindo Pharma Limited
    Pharmaceutical Class Anti-epileptic Agent [EPC], Cytochrome P450 1A2 Inducers [MoA], Cytochrome P450 2B6 Inducers [MoA], Cytochrome P450 2C19 Inducers [MoA], Cytochrome P450 2C8 Inducers [MoA], Cytochrome P450 2C9 Inducers [MoA], Cytochrome P450 2D6 Inducers [MoA], Cytochrome
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA204309
    Listing Certified Through 2024-12-31

    Package

    NDC 65862-0692-01 (65862069201)

    NDC Package Code 65862-692-01
    Billing NDC 65862069201
    Package 100 CAPSULE in 1 BOTTLE (65862-692-01)
    Marketing Start Date 2015-06-10
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.13397
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description PHENYTOIN SOD EXT 100 MG CAP
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    Classification for Rate Setting G
    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