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    NDC 00121-0854-16 SULFATRIM 200; 40 mg/5mL; mg/5mL Details

    SULFATRIM 200; 40 mg/5mL; mg/5mL

    SULFATRIM is a ORAL SUSPENSION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by PAI Holdings, LLC. The primary component is SULFAMETHOXAZOLE; TRIMETHOPRIM.

    Product Information

    NDC 00121-0854
    Product ID 0121-0854_c12524e1-2c97-49c2-b2d9-35366f72907c
    Associated GPIs 16990002301810
    GCN Sequence Number 009394
    GCN Sequence Number Description sulfamethoxazole/trimethoprim ORAL SUSP 200-40MG/5 ORAL
    HIC3 W2A
    HIC3 Description ABSORBABLE SULFONAMIDE ANTIBACTERIAL AGENTS
    GCN 90150
    HICL Sequence Number 004071
    HICL Sequence Number Description SULFAMETHOXAZOLE/TRIMETHOPRIM
    Brand/Generic Generic
    Proprietary Name SULFATRIM
    Proprietary Name Suffix n/a
    Non-Proprietary Name Sulfamethoxazole and Trimethoprim
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SUSPENSION
    Route ORAL
    Active Ingredient Strength 200; 40
    Active Ingredient Units mg/5mL; mg/5mL
    Substance Name SULFAMETHOXAZOLE; TRIMETHOPRIM
    Labeler Name PAI Holdings, LLC
    Pharmaceutical Class Cytochrome P450 2C8 Inhibitors [MoA], Cytochrome P450 2C9 Inhibitors [MoA], Dihydrofolate Reductase Inhibitor Antibacterial [EPC], Dihydrofolate Reductase Inhibitors [MoA], Organic Cation Transporter 2 Inhibitors [MoA], Sulfonamide Antimicrobial [EPC], Su
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA018615
    Listing Certified Through 2024-12-31

    Package

    NDC 00121-0854-16 (00121085416)

    NDC Package Code 0121-0854-16
    Billing NDC 00121085416
    Package 473 mL in 1 BOTTLE (0121-0854-16)
    Marketing Start Date 1983-07-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.06097
    Pricing Unit ML
    Effective Date 2024-02-21
    NDC Description SULFATRIM PEDIATRIC SUSPENSION
    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