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    NDC 69087-0237-12 Jatenzo 237 mg/1 Details

    Jatenzo 237 mg/1

    Jatenzo is a ORAL CAPSULE, LIQUID FILLED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by TOLMAR Inc.. The primary component is TESTOSTERONE UNDECANOATE.

    Product Information

    NDC 69087-0237
    Product ID 69087-237_9d993a99-6347-4121-a2b9-51e90565161f
    Associated GPIs 23100030800140
    GCN Sequence Number 079611
    GCN Sequence Number Description testosterone undecanoate CAPSULE 237 MG ORAL
    HIC3 F1A
    HIC3 Description ANDROGENIC AGENTS
    GCN 46144
    HICL Sequence Number 007304
    HICL Sequence Number Description TESTOSTERONE UNDECANOATE
    Brand/Generic Brand
    Proprietary Name Jatenzo
    Proprietary Name Suffix n/a
    Non-Proprietary Name testosterone undecanoate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE, LIQUID FILLED
    Route ORAL
    Active Ingredient Strength 237
    Active Ingredient Units mg/1
    Substance Name TESTOSTERONE UNDECANOATE
    Labeler Name TOLMAR Inc.
    Pharmaceutical Class Androgen Receptor Agonists [MoA], Androgen [EPC], Androstanes [CS]
    DEA Schedule CIII
    Marketing Category NDA
    Application Number NDA206089
    Listing Certified Through 2024-12-31

    Package

    NDC 69087-0237-12 (69087023712)

    NDC Package Code 69087-237-12
    Billing NDC 69087023712
    Package 12 BOTTLE, PLASTIC in 1 BOX (69087-237-12) / 120 CAPSULE, LIQUID FILLED in 1 BOTTLE, PLASTIC
    Marketing Start Date 2019-08-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 15.3379
    Pricing Unit EA
    Effective Date 2022-01-03
    NDC Description JATENZO 237 MG CAPSULE
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    Classification for Rate Setting B
    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