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    NDC 68084-0918-25 Mycophenolic Acid 360 mg/1 Details

    Mycophenolic Acid 360 mg/1

    Mycophenolic Acid is a ORAL TABLET, DELAYED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by American Health Packaging. The primary component is MYCOPHENOLATE SODIUM.

    Product Information

    NDC 68084-0918
    Product ID 68084-918_0d20d8af-8af2-b292-e063-6394a90afc44
    Associated GPIs 99403030300630
    GCN Sequence Number 052120
    GCN Sequence Number Description mycophenolate sodium TABLET DR 360 MG ORAL
    HIC3 Z2E
    HIC3 Description IMMUNOSUPPRESSIVES
    GCN 19647
    HICL Sequence Number 025201
    HICL Sequence Number Description MYCOPHENOLATE SODIUM
    Brand/Generic Generic
    Proprietary Name Mycophenolic Acid
    Proprietary Name Suffix n/a
    Non-Proprietary Name Mycophenolic Acid
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, DELAYED RELEASE
    Route ORAL
    Active Ingredient Strength 360
    Active Ingredient Units mg/1
    Substance Name MYCOPHENOLATE SODIUM
    Labeler Name American Health Packaging
    Pharmaceutical Class Antimetabolite Immunosuppressant [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA091558
    Listing Certified Through 2024-12-31

    Package

    NDC 68084-0918-25 (68084091825)

    NDC Package Code 68084-918-25
    Billing NDC 68084091825
    Package 30 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-918-25) / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACK (68084-918-95)
    Marketing Start Date 2015-03-20
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.28027
    Pricing Unit EA
    Effective Date 2024-01-17
    NDC Description MYCOPHENOLIC ACID DR 360 MG TB
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    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