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    NDC 69238-1539-09 Frovatriptan 2.5 mg/1 Details

    Frovatriptan 2.5 mg/1

    Frovatriptan is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Amneal Pharmaceuticals NY LLC. The primary component is FROVATRIPTAN SUCCINATE.

    Product Information

    NDC 69238-1539
    Product ID 69238-1539_17108066-165c-4ffa-ac20-53facca9a414
    Associated GPIs 67406030100320
    GCN Sequence Number 048986
    GCN Sequence Number Description frovatriptan succinate TABLET 2.5 MG ORAL
    HIC3 H3F
    HIC3 Description ANTIMIGRAINE PREPARATIONS
    GCN 14977
    HICL Sequence Number 022988
    HICL Sequence Number Description FROVATRIPTAN SUCCINATE
    Brand/Generic Generic
    Proprietary Name Frovatriptan
    Proprietary Name Suffix n/a
    Non-Proprietary Name Frovatriptan succinate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 2.5
    Active Ingredient Units mg/1
    Substance Name FROVATRIPTAN SUCCINATE
    Labeler Name Amneal Pharmaceuticals NY LLC
    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 ANDA211292
    Listing Certified Through 2024-12-31

    Package

    NDC 69238-1539-09 (69238153909)

    NDC Package Code 69238-1539-9
    Billing NDC 69238153909
    Package 1 BLISTER PACK in 1 CARTON (69238-1539-9) / 9 TABLET, FILM COATED in 1 BLISTER PACK
    Marketing Start Date 2018-11-13
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 6.02896
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description FROVATRIPTAN SUCC 2.5 MG TAB
    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