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    NDC 69315-0286-06 ETRAVIRINE 200 mg/1 Details

    ETRAVIRINE 200 mg/1

    ETRAVIRINE is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Leading Pharma, LLC. The primary component is ETRAVIRINE.

    Product Information

    NDC 69315-0286
    Product ID 69315-286_f356d1ba-3572-4a79-9846-94ee2030f04b
    Associated GPIs 12109035000340
    GCN Sequence Number 066982
    GCN Sequence Number Description etravirine TABLET 200 MG ORAL
    HIC3 W5K
    HIC3 Description ANTIVIRALS, HIV-SPECIFIC, NON-NUCLEOSIDE, RTI
    GCN 29424
    HICL Sequence Number 035342
    HICL Sequence Number Description ETRAVIRINE
    Brand/Generic Generic
    Proprietary Name ETRAVIRINE
    Proprietary Name Suffix n/a
    Non-Proprietary Name ETRAVIRINE
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 200
    Active Ingredient Units mg/1
    Substance Name ETRAVIRINE
    Labeler Name Leading Pharma, LLC
    Pharmaceutical Class Cytochrome P450 2C19 Inhibitors [MoA], Cytochrome P450 2C9 Inhibitors [MoA], Cytochrome P450 3A Inducers [MoA], Human Immunodeficiency Virus 1 Non-Nucleoside Analog Reverse Transcriptase Inhibitor [EPC], Non-Nucleoside Analog [EXT], Non-Nucleoside Reverse
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA215402
    Listing Certified Through 2025-12-31

    Package

    NDC 69315-0286-06 (69315028606)

    NDC Package Code 69315-286-06
    Billing NDC 69315028606
    Package 60 TABLET in 1 BOTTLE (69315-286-06)
    Marketing Start Date 2022-06-05
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 14.6491
    Pricing Unit EA
    Effective Date 2023-12-20
    NDC Description ETRAVIRINE 200 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    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