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    NDC 70700-0116-85 ALTAVERA Details

    ALTAVERA

    ALTAVERA is a KIT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Xiromed, LLC.. The primary component is .

    Product Information

    NDC 70700-0116
    Product ID 70700-116_cd0fbf86-78dd-a8f2-7399-112a042ab767
    Associated GPIs 25990002400310
    GCN Sequence Number 003314
    GCN Sequence Number Description levonorgestrel/ethin.estradiol TABLET 0.15-0.03 ORAL
    HIC3 G8A
    HIC3 Description CONTRACEPTIVES,ORAL
    GCN 11530
    HICL Sequence Number 001460
    HICL Sequence Number Description LEVONORGESTREL/ETHINYL ESTRADIOL
    Brand/Generic Generic
    Proprietary Name ALTAVERA
    Proprietary Name Suffix n/a
    Non-Proprietary Name Levonorgestrel and Ethinyl Estradiol
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form KIT
    Route n/a
    Active Ingredient Strength n/a
    Active Ingredient Units n/a
    Substance Name n/a
    Labeler Name Xiromed, LLC.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA079102
    Listing Certified Through 2024-12-31

    Package

    NDC 70700-0116-85 (70700011685)

    NDC Package Code 70700-116-85
    Billing NDC 70700011685
    Package 3 BLISTER PACK in 1 CARTON (70700-116-85) / 1 KIT in 1 BLISTER PACK
    Marketing Start Date 2023-03-02
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.14463
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description ALTAVERA-28 TABLET
    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