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    NDC 66689-0062-42 Atovaquone 750 mg/5mL Details

    Atovaquone 750 mg/5mL

    Atovaquone is a ORAL SUSPENSION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by VistaPharm, LLC. The primary component is ATOVAQUONE.

    Product Information

    NDC 66689-0062
    Product ID 66689-062_59c420ca-d2ea-4f83-a8c0-b0875ed95d75
    Associated GPIs 16400020001820
    GCN Sequence Number 023399
    GCN Sequence Number Description atovaquone ORAL SUSP 750 MG/5ML ORAL
    HIC3 W4K
    HIC3 Description ANTIPROTOZOAL DRUGS,MISCELLANEOUS
    GCN 34490
    HICL Sequence Number 006619
    HICL Sequence Number Description ATOVAQUONE
    Brand/Generic Generic
    Proprietary Name Atovaquone
    Proprietary Name Suffix n/a
    Non-Proprietary Name Atovaquone
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SUSPENSION
    Route ORAL
    Active Ingredient Strength 750
    Active Ingredient Units mg/5mL
    Substance Name ATOVAQUONE
    Labeler Name VistaPharm, LLC
    Pharmaceutical Class Antimalarial [EPC], Antiprotozoal [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA202960
    Listing Certified Through 2024-12-31

    Package

    NDC 66689-0062-42 (66689006242)

    NDC Package Code 66689-062-42
    Billing NDC 66689006242
    Package 42 POUCH in 1 CASE (66689-062-42) / 5 mL in 1 POUCH (66689-062-01)
    Marketing Start Date 2018-09-14
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 1.00753
    Pricing Unit ML
    Effective Date 2024-02-21
    NDC Description ATOVAQUONE 750 MG/5 ML SUSPENSION CUP
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 5
    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