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    NDC 69097-0322-89 DIMETHYL FUMARATE 120 mg/1 Details

    DIMETHYL FUMARATE 120 mg/1

    DIMETHYL FUMARATE is a ORAL CAPSULE, DELAYED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Cipla USA Inc.. The primary component is DIMETHYL FUMARATE.

    Product Information

    NDC 69097-0322
    Product ID 69097-322_6dfb9c9b-7f8a-49a4-8e01-4b214282412f
    Associated GPIs 62405525006520
    GCN Sequence Number 070786
    GCN Sequence Number Description dimethyl fumarate CAPSULE DR 120 MG ORAL
    HIC3 H0E
    HIC3 Description AGENTS TO TREAT MULTIPLE SCLEROSIS
    GCN 34434
    HICL Sequence Number 040168
    HICL Sequence Number Description DIMETHYL FUMARATE
    Brand/Generic Generic
    Proprietary Name DIMETHYL FUMARATE
    Proprietary Name Suffix n/a
    Non-Proprietary Name DIMETHYL FUMARATE
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE, DELAYED RELEASE
    Route ORAL
    Active Ingredient Strength 120
    Active Ingredient Units mg/1
    Substance Name DIMETHYL FUMARATE
    Labeler Name Cipla USA Inc.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA210305
    Listing Certified Through 2025-12-31

    Package

    NDC 69097-0322-89 (69097032289)

    NDC Package Code 69097-322-89
    Billing NDC 69097032289
    Package 1 BOTTLE, PLASTIC in 1 CARTON (69097-322-89) / 14 CAPSULE, DELAYED RELEASE in 1 BOTTLE, PLASTIC
    Marketing Start Date 2020-09-24
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 6.92871
    Pricing Unit EA
    Effective Date 2021-10-20
    NDC Description DIMETHYL FUMARATE DR 120 MG CP
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    Classification for Rate Setting G
    As of Date 2022-10-12
    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