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    NDC 68084-0915-25 Sirolimus 1 mg/1 Details

    Sirolimus 1 mg/1

    Sirolimus is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by American Health Packaging. The primary component is SIROLIMUS.

    Product Information

    NDC 68084-0915
    Product ID 68084-915_ea3f7a34-1113-ec11-e053-2a95a90acb17
    Associated GPIs 99404070000320
    GCN Sequence Number 048291
    GCN Sequence Number Description sirolimus TABLET 1 MG ORAL
    HIC3 Z2E
    HIC3 Description IMMUNOSUPPRESSIVES
    GCN 13696
    HICL Sequence Number 020519
    HICL Sequence Number Description SIROLIMUS
    Brand/Generic Generic
    Proprietary Name Sirolimus
    Proprietary Name Suffix n/a
    Non-Proprietary Name Sirolimus
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 1
    Active Ingredient Units mg/1
    Substance Name SIROLIMUS
    Labeler Name American Health Packaging
    Pharmaceutical Class Decreased Immunologic Activity [PE], Kinase Inhibitor [EPC], Protein Kinase Inhibitors [MoA], mTOR Inhibitor Immunosuppressant [EPC], mTOR Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA201578
    Listing Certified Through 2023-12-31

    Package

    NDC 68084-0915-25 (68084091525)

    NDC Package Code 68084-915-25
    Billing NDC 68084091525
    Package 30 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-915-25) / 1 TABLET in 1 BLISTER PACK (68084-915-95)
    Marketing Start Date 2015-11-05
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 2.10933
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description SIROLIMUS 1 MG TABLET
    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

    Standard Product Labeling (SPL)/Prescribing Information SPL 5df60452-2b16-4ce9-8c29-48798a59d718 Details

    Revised: 10/2022