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    NDC 69238-1105-03 Tiagabine Hydrochloride 4 mg/1 Details

    Tiagabine Hydrochloride 4 mg/1

    Tiagabine Hydrochloride is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Amneal Pharmaceuticals NY LLC. The primary component is TIAGABINE HYDROCHLORIDE.

    Product Information

    NDC 69238-1105
    Product ID 69238-1105_6365c695-acda-442b-aca2-7fb3d0961bc3
    Associated GPIs 72170070100305
    GCN Sequence Number 034737
    GCN Sequence Number Description tiagabine HCl TABLET 4 MG ORAL
    HIC3 H4B
    HIC3 Description ANTICONVULSANTS
    GCN 37980
    HICL Sequence Number 015773
    HICL Sequence Number Description TIAGABINE HCL
    Brand/Generic Generic
    Proprietary Name Tiagabine Hydrochloride
    Proprietary Name Suffix n/a
    Non-Proprietary Name Tiagabine
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 4
    Active Ingredient Units mg/1
    Substance Name TIAGABINE HYDROCHLORIDE
    Labeler Name Amneal Pharmaceuticals NY LLC
    Pharmaceutical Class Anti-epileptic Agent [EPC], Decreased Central Nervous System Disorganized Electrical Activity [PE]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA208181
    Listing Certified Through 2025-12-31

    Package

    NDC 69238-1105-03 (69238110503)

    NDC Package Code 69238-1105-3
    Billing NDC 69238110503
    Package 30 TABLET in 1 BOTTLE (69238-1105-3)
    Marketing Start Date 2017-12-08
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 3.44676
    Pricing Unit EA
    Effective Date 2022-02-23
    NDC Description TIAGABINE HCL 4 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    Classification for Rate Setting G
    As of Date 2022-03-16
    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