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    NDC 69097-0865-17 Rizatriptan Benzoate 5 mg/1 Details

    Rizatriptan Benzoate 5 mg/1

    Rizatriptan Benzoate is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Cipla USA Inc.. The primary component is RIZATRIPTAN BENZOATE.

    Product Information

    NDC 69097-0865
    Product ID 69097-865_6ace7fac-e700-4a32-95ce-07ffbd0201ea
    Associated GPIs 67406060100310
    GCN Sequence Number 040221
    GCN Sequence Number Description rizatriptan benzoate TABLET 5 MG ORAL
    HIC3 H3F
    HIC3 Description ANTIMIGRAINE PREPARATIONS
    GCN 19591
    HICL Sequence Number 018535
    HICL Sequence Number Description RIZATRIPTAN BENZOATE
    Brand/Generic Generic
    Proprietary Name Rizatriptan Benzoate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Rizatriptan Benzoate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 5
    Active Ingredient Units mg/1
    Substance Name RIZATRIPTAN BENZOATE
    Labeler Name Cipla USA Inc.
    Pharmaceutical Class Serotonin 1b Receptor Agonists [MoA], Serotonin 1d Receptor Agonists [MoA], Serotonin-1b and Serotonin-1d Receptor Agonist [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA204339
    Listing Certified Through 2024-12-31

    Package

    NDC 69097-0865-17 (69097086517)

    NDC Package Code 69097-865-17
    Billing NDC 69097086517
    Package 6 TABLET in 1 BLISTER PACK (69097-865-17)
    Marketing Start Date 2016-07-22
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.51447
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description RIZATRIPTAN 5 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 f462a507-921c-41c2-93ba-36003b6e8914 Details

    Revised: 1/2022