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    NDC 00023-5992-30 Androderm 4 mg/d Details

    Androderm 4 mg/d

    Androderm is a TRANSDERMAL PATCH in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Allergan, Inc.. The primary component is TESTOSTERONE.

    Product Information

    NDC 00023-5992
    Product ID 0023-5992_cd69eaab-a8ad-412a-a56e-2feaa59c5639
    Associated GPIs 23100030008510
    GCN Sequence Number 021606
    GCN Sequence Number Description testosterone PATCH TD24 4 MG/24 HR TRANSDERM
    HIC3 F1A
    HIC3 Description ANDROGENIC AGENTS
    GCN 29171
    HICL Sequence Number 001403
    HICL Sequence Number Description TESTOSTERONE
    Brand/Generic Brand
    Proprietary Name Androderm
    Proprietary Name Suffix n/a
    Non-Proprietary Name Testosterone
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form PATCH
    Route TRANSDERMAL
    Active Ingredient Strength 4
    Active Ingredient Units mg/d
    Substance Name TESTOSTERONE
    Labeler Name Allergan, Inc.
    Pharmaceutical Class Androgen Receptor Agonists [MoA], Androgen [EPC], Androstanes [CS]
    DEA Schedule CIII
    Marketing Category NDA
    Application Number NDA020489
    Listing Certified Through n/a

    Package

    NDC 00023-5992-30 (00023599230)

    NDC Package Code 0023-5992-30
    Billing NDC 00023599230
    Package 30 POUCH in 1 CARTON (0023-5992-30) / 1 PATCH in 1 POUCH / 1 d in 1 PATCH
    Marketing Start Date 1995-09-29
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 19.6219
    Pricing Unit EA
    Effective Date 2023-02-22
    NDC Description ANDRODERM 4 MG/24HR PATCH
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    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