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    NDC 00187-5170-45 Retin-A 0.25 mg/g Details

    Retin-A 0.25 mg/g

    Retin-A is a TOPICAL GEL in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Bausch Health US, LLC. The primary component is TRETINOIN.

    Product Information

    NDC 00187-5170
    Product ID 0187-5170_6f752d3c-6368-444a-8ca6-6c937b04dfb8
    Associated GPIs 90050030004010
    GCN Sequence Number 005798
    GCN Sequence Number Description tretinoin GEL (GRAM) 0.025 % TOPICAL
    HIC3 L9B
    HIC3 Description VITAMIN A DERIVATIVES
    GCN 22871
    HICL Sequence Number 002468
    HICL Sequence Number Description TRETINOIN
    Brand/Generic Brand
    Proprietary Name Retin-A
    Proprietary Name Suffix n/a
    Non-Proprietary Name Tretinoin
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form GEL
    Route TOPICAL
    Active Ingredient Strength 0.25
    Active Ingredient Units mg/g
    Substance Name TRETINOIN
    Labeler Name Bausch Health US, LLC
    Pharmaceutical Class Retinoid [EPC], Retinoids [CS]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA017579
    Listing Certified Through 2024-12-31

    Package

    NDC 00187-5170-45 (00187517045)

    NDC Package Code 0187-5170-45
    Billing NDC 00187517045
    Package 1 TUBE in 1 CARTON (0187-5170-45) / 45 g in 1 TUBE
    Marketing Start Date 1975-07-30
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 1.69071
    Pricing Unit GM
    Effective Date 2021-06-23
    NDC Description RETIN-A 0.025% GEL
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 5
    Classification for Rate Setting B
    As of Date 2022-06-15
    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

    Standard Product Labeling (SPL)/Prescribing Information SPL 9556d73d-c573-4e0a-9feb-764ce2d1107b Details

    Revised: 9/2019