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    NDC 00046-2575-12 Premphase Details

    Premphase

    Premphase is a KIT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc.. The primary component is .

    Product Information

    NDC 00046-2575
    Product ID 0046-2575_bec19a55-9af8-4a30-8c06-e51b896aea30
    Associated GPIs 24993002040370
    GCN Sequence Number 040906
    GCN Sequence Number Description estrogen,con/m-progest acet TABLET 0.625 (14) ORAL
    HIC3 G1A
    HIC3 Description ESTROGENIC AGENTS
    GCN 55733
    HICL Sequence Number 009649
    HICL Sequence Number Description ESTROGENS, CONJUGATED/MEDROXYPROGESTERONE ACETATE
    Brand/Generic Brand
    Proprietary Name Premphase
    Proprietary Name Suffix n/a
    Non-Proprietary Name conjugated estrogens and medroxyprogesterone acetate
    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 Wyeth Pharmaceuticals LLC, a subsidiary of Pfizer Inc.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA020527
    Listing Certified Through 2024-12-31

    Package

    NDC 00046-2575-12 (00046257512)

    NDC Package Code 0046-2575-12
    Billing NDC 00046257512
    Package 1 BLISTER PACK in 1 CARTON (0046-2575-12) / 1 KIT in 1 BLISTER PACK
    Marketing Start Date 2012-03-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 8.2849
    Pricing Unit EA
    Effective Date 2024-01-01
    NDC Description PREMPHASE 0.625-5 MG TABLET
    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
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