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    NDC 00054-0244-25 Codeine sulfate 30 mg/1 Details

    Codeine sulfate 30 mg/1

    Codeine sulfate is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Hikma Pharmaceuticals USA Inc.. The primary component is CODEINE SULFATE.

    Product Information

    NDC 00054-0244
    Product ID 0054-0244_98a36372-b8c6-4717-8e49-ed62329404e6
    Associated GPIs 65100020200310
    GCN Sequence Number 004186
    GCN Sequence Number Description codeine sulfate TABLET 30 MG ORAL
    HIC3 H3A
    HIC3 Description OPIOID ANALGESICS
    GCN 16241
    HICL Sequence Number 001722
    HICL Sequence Number Description CODEINE SULFATE
    Brand/Generic Generic
    Proprietary Name Codeine sulfate
    Proprietary Name Suffix n/a
    Non-Proprietary Name codeine sulfate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 30
    Active Ingredient Units mg/1
    Substance Name CODEINE SULFATE
    Labeler Name Hikma Pharmaceuticals USA Inc.
    Pharmaceutical Class Full Opioid Agonists [MoA], Opioid Agonist [EPC]
    DEA Schedule CII
    Marketing Category NDA
    Application Number NDA022402
    Listing Certified Through 2024-12-31

    Package

    NDC 00054-0244-25 (00054024425)

    NDC Package Code 0054-0244-25
    Billing NDC 00054024425
    Package 100 TABLET in 1 BOTTLE (0054-0244-25)
    Marketing Start Date 2009-07-16
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.64921
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description CODEINE SULFATE 30 MG TABLET
    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