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    NDC 69102-0105-01 Levetiracetam 500 mg/1 Details

    Levetiracetam 500 mg/1

    Levetiracetam is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by OWP Pharmaceuticals, Inc.. The primary component is LEVETIRACETAM.

    Product Information

    NDC 69102-0105
    Product ID 69102-105_14899d4b-b295-431e-b1d5-d8163bdadb87
    Associated GPIs 72600043000330
    GCN Sequence Number 044633
    GCN Sequence Number Description levetiracetam TABLET 500 MG ORAL
    HIC3 H4B
    HIC3 Description ANTICONVULSANTS
    GCN 41597
    HICL Sequence Number 020952
    HICL Sequence Number Description LEVETIRACETAM
    Brand/Generic Generic
    Proprietary Name Levetiracetam
    Proprietary Name Suffix n/a
    Non-Proprietary Name Levetiracetam
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 500
    Active Ingredient Units mg/1
    Substance Name LEVETIRACETAM
    Labeler Name OWP Pharmaceuticals, Inc.
    Pharmaceutical Class Decreased Central Nervous System Disorganized Electrical Activity [PE]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA078858
    Listing Certified Through 2024-12-31

    Package

    NDC 69102-0105-01 (69102010501)

    NDC Package Code 69102-105-01
    Billing NDC 69102010501
    Package 120 TABLET in 1 BOTTLE (69102-105-01)
    Marketing Start Date 2020-10-28
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.09468
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description ROWEEPRA 500 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