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    NDC 69784-0420-12 LOVAZA 1 g/1 Details

    LOVAZA 1 g/1

    LOVAZA is a ORAL CAPSULE, LIQUID FILLED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Woodward Pharma Services LLC. The primary component is OMEGA-3-ACID ETHYL ESTERS.

    Product Information

    NDC 69784-0420
    Product ID 69784-420_de927620-9977-4b52-9807-61fd73df8a20
    Associated GPIs 39500045200130
    GCN Sequence Number 058486
    GCN Sequence Number Description omega-3 acid ethyl esters CAPSULE 1 G ORAL
    HIC3 M4E
    HIC3 Description LIPOTROPICS
    GCN 23929
    HICL Sequence Number 026793
    HICL Sequence Number Description OMEGA-3 ACID ETHYL ESTERS
    Brand/Generic Brand
    Proprietary Name LOVAZA
    Proprietary Name Suffix n/a
    Non-Proprietary Name Omega-3-Acid Ethyl Esters
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE, LIQUID FILLED
    Route ORAL
    Active Ingredient Strength 1
    Active Ingredient Units g/1
    Substance Name OMEGA-3-ACID ETHYL ESTERS
    Labeler Name Woodward Pharma Services LLC
    Pharmaceutical Class Fatty Acids, Omega-3 [CS], Omega-3 Fatty Acid [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA204940
    Listing Certified Through 2024-12-31

    Package

    NDC 69784-0420-12 (69784042012)

    NDC Package Code 69784-420-12
    Billing NDC 69784042012
    Package 120 CAPSULE, LIQUID FILLED in 1 BOTTLE (69784-420-12)
    Marketing Start Date 2015-11-30
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 7.49158
    Pricing Unit EA
    Effective Date 2024-01-17
    NDC Description LOVAZA 1 GM CAPSULE
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 6
    Classification for Rate Setting B
    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