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NDC 69238-1017-03 Isotretinoin 30 mg/1 Details
Isotretinoin 30 mg/1
Isotretinoin is a ORAL CAPSULE, LIQUID FILLED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Amneal Pharmaceuticals NY LLC. The primary component is ISOTRETINOIN.
MedlinePlus Drug Summary
Isotretinoin is used to treat severe recalcitrant nodular acne (a certain type of severe acne) that has not been helped by other treatments, such as antibiotics. Isotretinoin is in a class of medications called retinoids. It works by slowing the production of certain natural substances that can cause acne.
Related Packages: 69238-1017-03Last Updated: 12/01/2022
MedLinePlus Full Drug Details: Isotretinoin
Product Information
| NDC | 69238-1017 |
|---|---|
| Product ID | 69238-1017_c2645360-e4a8-4737-9065-3dbbd4b6e6b7 |
| Associated GPIs | 90050013000130 |
| GCN Sequence Number | 053055 |
| GCN Sequence Number Description | isotretinoin CAPSULE 30 MG ORAL |
| HIC3 | L1B |
| HIC3 Description | ACNE AGENTS,SYSTEMIC |
| GCN | 20383 |
| HICL Sequence Number | 002476 |
| HICL Sequence Number Description | ISOTRETINOIN |
| Brand/Generic | Generic |
| Proprietary Name | Isotretinoin |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Isotretinoin |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | CAPSULE, LIQUID FILLED |
| Route | ORAL |
| Active Ingredient Strength | 30 |
| Active Ingredient Units | mg/1 |
| Substance Name | ISOTRETINOIN |
| Labeler Name | Amneal Pharmaceuticals NY LLC |
| Pharmaceutical Class | Retinoid [EPC], Retinoids [CS] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA207792 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 69238-1017-03 (69238101703)
| NDC Package Code | 69238-1017-3 |
|---|---|
| Billing NDC | 69238101703 |
| Package | 3 BLISTER PACK in 1 CARTON (69238-1017-3) / 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK (69238-1017-1) |
| Marketing Start Date | 2017-10-02 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 3.23068 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | ISOTRETINOIN 30 MG CAPSULE |
| 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