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NDC 00116-1061-04 ANTISEPTIC SKIN CLEANSER 4 g/100mL Details
ANTISEPTIC SKIN CLEANSER 4 g/100mL
ANTISEPTIC SKIN CLEANSER is a TOPICAL SOLUTION in the HUMAN OTC DRUG category. It is labeled and distributed by Xttrium Laboratories, Inc.. The primary component is CHLORHEXIDINE GLUCONATE.
Product Information
| NDC | 00116-1061 |
|---|---|
| Product ID | 0116-1061_0c7b142b-4001-6cfb-e063-6294a90a345f |
| Associated GPIs | 92100030102020 |
| GCN Sequence Number | 007254 |
| GCN Sequence Number Description | chlorhexidine gluconate LIQUID 4 % TOPICAL |
| HIC3 | Q5B |
| HIC3 Description | TOPICAL PREPARATIONS,ANTIBACTERIALS |
| GCN | 30011 |
| HICL Sequence Number | 004297 |
| HICL Sequence Number Description | CHLORHEXIDINE GLUCONATE |
| Brand/Generic | Brand |
| Proprietary Name | ANTISEPTIC SKIN CLEANSER |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Chlorhexidine Gluconate |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | SOLUTION |
| Route | TOPICAL |
| Active Ingredient Strength | 4 |
| Active Ingredient Units | g/100mL |
| Substance Name | CHLORHEXIDINE GLUCONATE |
| Labeler Name | Xttrium Laboratories, Inc. |
| Pharmaceutical Class | Decreased Cell Wall Integrity [PE] |
| DEA Schedule | n/a |
| Marketing Category | NDA |
| Application Number | NDA019125 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00116-1061-04 (00116106104)
| NDC Package Code | 0116-1061-04 |
|---|---|
| Billing NDC | 00116106104 |
| Package | 118 mL in 1 BOTTLE, PLASTIC (0116-1061-04) |
| Marketing Start Date | 2011-08-31 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.02722 |
| Pricing Unit | ML |
| Effective Date | 2024-01-17 |
| NDC Description | DYNA-HEX 4% LIQUID |
| Pharmacy Type Indicator | C/I |
| OTC | Y |
| Explanation Code | 4, 5 |
| 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