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    NDC 00254-1011-96 Sucralfate 1 g/10mL Details

    Sucralfate 1 g/10mL

    Sucralfate is a ORAL SUSPENSION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Par Pharmaceutical Inc.. The primary component is SUCRALFATE.

    Product Information

    NDC 00254-1011
    Product ID 0254-1011_afd960c2-2c06-4f64-b895-ff24401b5090
    Associated GPIs 49300010001820
    GCN Sequence Number 016133
    GCN Sequence Number Description sucralfate ORAL SUSP 1 G/10 ML ORAL
    HIC3 D4E
    HIC3 Description ANTI-ULCER PREPARATIONS
    GCN 07651
    HICL Sequence Number 001186
    HICL Sequence Number Description SUCRALFATE
    Brand/Generic Generic
    Proprietary Name Sucralfate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Sucralfate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SUSPENSION
    Route ORAL
    Active Ingredient Strength 1
    Active Ingredient Units g/10mL
    Substance Name SUCRALFATE
    Labeler Name Par Pharmaceutical Inc.
    Pharmaceutical Class Aluminum Complex [EPC], Organometallic Compounds [CS]
    DEA Schedule n/a
    Marketing Category NDA AUTHORIZED GENERIC
    Application Number NDA019183
    Listing Certified Through 2024-12-31

    Package

    NDC 00254-1011-96 (00254101196)

    NDC Package Code 0254-1011-96
    Billing NDC 00254101196
    Package 420 mL in 1 BOTTLE (0254-1011-96)
    Marketing Start Date 2020-01-27
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.32935
    Pricing Unit ML
    Effective Date 2022-11-23
    NDC Description SUCRALFATE 1 GM/10 ML SUSP
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 5, 6
    Classification for Rate Setting G
    As of Date 2022-11-23
    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 267056de-a8ac-4ec7-81a0-3d5231239d97 Details

    Revised: 6/2018