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    NDC 00054-3000-01 Butalbital, Acetaminophen, Caffeine and Codeine Phosphate 325; 50; 40; 30 mg/1; mg/1; mg/1; mg/1 Details

    Butalbital, Acetaminophen, Caffeine and Codeine Phosphate 325; 50; 40; 30 mg/1; mg/1; mg/1; mg/1

    Butalbital, Acetaminophen, Caffeine and Codeine Phosphate is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Hikma Pharmaceuticals USA Inc.. The primary component is ACETAMINOPHEN; BUTALBITAL; CAFFEINE; CODEINE PHOSPHATE.

    Product Information

    NDC 00054-3000
    Product ID 0054-3000_604e214c-d5fb-4061-9a88-b582d3a45f28
    Associated GPIs 65991004100115
    GCN Sequence Number 004149
    GCN Sequence Number Description butalbit/acetamin/caff/codeine CAPSULE 50-325-30 ORAL
    HIC3 H3M
    HIC3 Description OPIOID,NON-SALICYL.ANALGESIC,BARBITURATE,XANTHINE
    GCN 70140
    HICL Sequence Number 001713
    HICL Sequence Number Description BUTALBITAL/ACETAMINOPHEN/CAFFEINE/CODEINE PHOSPHATE
    Brand/Generic Generic
    Proprietary Name Butalbital, Acetaminophen, Caffeine and Codeine Phosphate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Butalbital, Acetaminophen, Caffeine and Codeine Phosphate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 325; 50; 40; 30
    Active Ingredient Units mg/1; mg/1; mg/1; mg/1
    Substance Name ACETAMINOPHEN; BUTALBITAL; CAFFEINE; CODEINE PHOSPHATE
    Labeler Name Hikma Pharmaceuticals USA Inc.
    Pharmaceutical Class Barbiturate [EPC], Barbiturates [CS], Central Nervous System Stimulant [EPC], Central Nervous System Stimulation [PE], Full Opioid Agonists [MoA], Methylxanthine [EPC], Opioid Agonist [EPC], Xanthines [CS]
    DEA Schedule CIII
    Marketing Category ANDA
    Application Number ANDA215138
    Listing Certified Through 2024-12-31

    Package

    NDC 00054-3000-01 (00054300001)

    NDC Package Code 0054-3000-01
    Billing NDC 00054300001
    Package 100 CAPSULE in 1 BOTTLE (0054-3000-01)
    Marketing Start Date 2022-05-09
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.92241
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description BUTALBITAL-ACETAMINOPHEN-CAFFEINE-CODEINE 50-325-40-30 MG CP
    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