Search by Drug Name or NDC

    NDC 71858-0160-05 Tirosint 200 ug/mL Details

    Tirosint 200 ug/mL

    Tirosint is a ORAL SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by IBSA Pharma Inc.. The primary component is LEVOTHYROXINE SODIUM.

    Product Information

    NDC 71858-0160
    Product ID 71858-0160_0a4370a8-688c-7d96-e063-6294a90a18b8
    Associated GPIs 28100010102080
    GCN Sequence Number 076972
    GCN Sequence Number Description levothyroxine sodium SOLUTION 200 MCG/ML ORAL
    HIC3 P3A
    HIC3 Description THYROID HORMONES
    GCN 42832
    HICL Sequence Number 002849
    HICL Sequence Number Description LEVOTHYROXINE SODIUM
    Brand/Generic Brand
    Proprietary Name Tirosint
    Proprietary Name Suffix SOL
    Non-Proprietary Name Levothyroxine Sodium
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SOLUTION
    Route ORAL
    Active Ingredient Strength 200
    Active Ingredient Units ug/mL
    Substance Name LEVOTHYROXINE SODIUM
    Labeler Name IBSA Pharma Inc.
    Pharmaceutical Class Thyroxine [CS], l-Thyroxine [EPC]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA206977
    Listing Certified Through 2024-12-31

    Package

    NDC 71858-0160-05 (71858016005)

    NDC Package Code 71858-0160-5
    Billing NDC 71858016005
    Package 6 POUCH in 1 CARTON (71858-0160-5) / 5 AMPULE in 1 POUCH (71858-0160-4) / 1 mL in 1 AMPULE (71858-0160-6)
    Marketing Start Date 2019-03-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 4.41876
    Pricing Unit ML
    Effective Date 2023-07-01
    NDC Description TIROSINT-SOL 200 MCG/ML SOLN
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 5
    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