Search by Drug Name or NDC
NDC 70756-0202-12 Amitriptyline Hydrochloride 25 mg/1 Details
Amitriptyline Hydrochloride 25 mg/1
Amitriptyline Hydrochloride is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Lifestar Pharma LLC. The primary component is AMITRIPTYLINE HYDROCHLORIDE.
MedlinePlus Drug Summary
Amitriptyline is used to treat symptoms of depression. Amitriptyline is in a class of medications called tricyclic antidepressants. It works by increasing the amounts of certain natural substances in the brain that are needed to maintain mental balance.
Related Packages: 70756-0202-12Last Updated: 12/01/2022
MedLinePlus Full Drug Details: Amitriptyline
Product Information
| NDC | 70756-0202 |
|---|---|
| Product ID | 70756-202_7a7b6c33-050f-4ea4-aee4-d6e1f275ce4e |
| Associated GPIs | 58200010100310 |
| GCN Sequence Number | 046046 |
| GCN Sequence Number Description | amitriptyline HCl TABLET 25 MG ORAL |
| HIC3 | H2U |
| HIC3 Description | TRICYCLIC ANTIDEPRESSANTS,REL.NON-SEL.REUPT-INHIB |
| GCN | 16515 |
| HICL Sequence Number | 001643 |
| HICL Sequence Number Description | AMITRIPTYLINE HCL |
| Brand/Generic | Generic |
| Proprietary Name | Amitriptyline Hydrochloride |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Amitriptyline Hydrochloride |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | TABLET, FILM COATED |
| Route | ORAL |
| Active Ingredient Strength | 25 |
| Active Ingredient Units | mg/1 |
| Substance Name | AMITRIPTYLINE HYDROCHLORIDE |
| Labeler Name | Lifestar Pharma LLC |
| Pharmaceutical Class | Tricyclic Antidepressant [EPC] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA213999 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 70756-0202-12 (70756020212)
| NDC Package Code | 70756-202-12 |
|---|---|
| Billing NDC | 70756020212 |
| Package | 1000 TABLET, FILM COATED in 1 BOTTLE (70756-202-12) |
| Marketing Start Date | 2021-02-23 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.06101 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | AMITRIPTYLINE HCL 25 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