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NDC 72888-0096-19 Dihydroergotamine mesylate 4 mg/mL Details
Dihydroergotamine mesylate 4 mg/mL
Dihydroergotamine mesylate is a NASAL SPRAY in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Advagen Pharma Ltd. The primary component is DIHYDROERGOTAMINE MESYLATE.
MedlinePlus Drug Summary
Dihydroergotamine is used to treat migraine headaches (severe, throbbing headaches that sometimes are accompanied by nausea and sensitivity to sound and light). Dihydroergotamine is in a class of medications called ergot alkaloids. It works by tightening blood vessels in the brain and by stopping the release of natural substances in the brain that cause swelling.
Related Packages: 72888-0096-19Last Updated: 05/26/2024
MedLinePlus Full Drug Details: Dihydroergotamine Nasal Spray
Product Information
| NDC | 72888-0096 |
|---|---|
| Product ID | 72888-096_ffbd246d-7dde-08b9-e053-6294a90a2d95 |
| Associated GPIs | |
| GCN Sequence Number | 059189 |
| GCN Sequence Number Description | dihydroergotamine mesylate SPRAY/PUMP 0.5MG/SPRY NASAL |
| HIC3 | H3F |
| HIC3 Description | ANTIMIGRAINE PREPARATIONS |
| GCN | 24732 |
| HICL Sequence Number | 000155 |
| HICL Sequence Number Description | DIHYDROERGOTAMINE MESYLATE |
| Brand/Generic | Generic |
| Proprietary Name | Dihydroergotamine mesylate |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Dihydroergotamine mesylate |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | SPRAY |
| Route | NASAL |
| Active Ingredient Strength | 4 |
| Active Ingredient Units | mg/mL |
| Substance Name | DIHYDROERGOTAMINE MESYLATE |
| Labeler Name | Advagen Pharma Ltd |
| Pharmaceutical Class | Ergotamine Derivative [EPC], Ergotamines [CS] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA216881 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 72888-0096-19 (72888009619)
| NDC Package Code | 72888-096-19 |
|---|---|
| Billing NDC | 72888009619 |
| Package | 8 KIT in 1 KIT (72888-096-19) / 1 VIAL, GLASS in 1 KIT (72888-096-18) / 1 mL in 1 VIAL, GLASS |
| Marketing Start Date | 2023-06-23 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 34.2118 |
| Pricing Unit | ML |
| Effective Date | 2023-12-06 |
| NDC Description | DIHYDROERGOTAMINE MESYLATE 4 MG/ML NASAL SPRAY |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4, 5 |
| 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
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