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    NDC 00121-0759-08 Prednisolone Sodium Phosphate 15 mg/5mL Details

    Prednisolone Sodium Phosphate 15 mg/5mL

    Prednisolone Sodium Phosphate is a ORAL SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by PAI Holdings, LLC. The primary component is PREDNISOLONE SODIUM PHOSPHATE.

    Product Information

    NDC 00121-0759
    Product ID 0121-0759_a1edb13f-edeb-4916-8aed-dc0b9d341030
    Associated GPIs 22100040202020
    GCN Sequence Number 047282
    GCN Sequence Number Description prednisolone sodium phosphate SOLUTION 15 MG/5 ML ORAL
    HIC3 P5A
    HIC3 Description GLUCOCORTICOIDS
    GCN 33806
    HICL Sequence Number 002871
    HICL Sequence Number Description PREDNISOLONE SODIUM PHOSPHATE
    Brand/Generic Generic
    Proprietary Name Prednisolone Sodium Phosphate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Prednisolone Sodium Phosphate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SOLUTION
    Route ORAL
    Active Ingredient Strength 15
    Active Ingredient Units mg/5mL
    Substance Name PREDNISOLONE SODIUM PHOSPHATE
    Labeler Name PAI Holdings, LLC
    Pharmaceutical Class Corticosteroid Hormone Receptor Agonists [MoA], Corticosteroid [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA076913
    Listing Certified Through 2024-12-31

    Package

    NDC 00121-0759-08 (00121075908)

    NDC Package Code 0121-0759-08
    Billing NDC 00121075908
    Package 237 mL in 1 BOTTLE (0121-0759-08)
    Marketing Start Date 2005-04-25
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.13263
    Pricing Unit ML
    Effective Date 2024-02-21
    NDC Description PREDNISOLONE 15 MG/5 ML SOLN
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 5
    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