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    NDC 00065-0474-01 Systane 3 mg/g Details

    Systane 3 mg/g

    Systane is a OPHTHALMIC GEL in the HUMAN OTC DRUG category. It is labeled and distributed by Alcon Laboratories, Inc.. The primary component is HYPROMELLOSE 2910 (4000 MPA.S).

    Product Information

    NDC 00065-0474
    Product ID 0065-0474_634b9bdb-004a-462e-ba48-1ab306157e02
    Associated GPIs 86200025004020
    GCN Sequence Number 065846
    GCN Sequence Number Description hypromellose GEL (GRAM) 0.3 % OPHTHALMIC
    HIC3 Q6T
    HIC3 Description ARTIFICIAL TEARS
    GCN 27956
    HICL Sequence Number 008840
    HICL Sequence Number Description HYPROMELLOSE
    Brand/Generic Brand
    Proprietary Name Systane
    Proprietary Name Suffix n/a
    Non-Proprietary Name hypromellose
    Product Type HUMAN OTC DRUG
    Dosage Form GEL
    Route OPHTHALMIC
    Active Ingredient Strength 3
    Active Ingredient Units mg/g
    Substance Name HYPROMELLOSE 2910 (4000 MPA.S)
    Labeler Name Alcon Laboratories, Inc.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category OTC MONOGRAPH DRUG
    Application Number M018
    Listing Certified Through 2024-12-31

    Package

    NDC 00065-0474-01 (00065047401)

    NDC Package Code 0065-0474-01
    Billing NDC 00065047401
    Package 1 TUBE in 1 CARTON (0065-0474-01) / 10 g in 1 TUBE
    Marketing Start Date 2012-12-15
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.75733
    Pricing Unit GM
    Effective Date 2024-02-21
    NDC Description SYSTANE 0.3% EYE GEL
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 1, 5, 6
    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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