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    NDC 00299-5980-35 Mirvaso 5 mg/g Details

    Mirvaso 5 mg/g

    Mirvaso is a TOPICAL GEL in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Galderma Laboratories, L.P.. The primary component is BRIMONIDINE TARTRATE.

    Product Information

    NDC 00299-5980
    Product ID 0299-5980_fda53493-1917-4c14-988b-bec8814c37c8
    Associated GPIs 90060020104020
    GCN Sequence Number 071362
    GCN Sequence Number Description brimonidine tartrate GEL (GRAM) 0.33 % TOPICAL
    HIC3 L5G
    HIC3 Description ROSACEA AGENTS, TOPICAL
    GCN 35124
    HICL Sequence Number 011786
    HICL Sequence Number Description BRIMONIDINE TARTRATE
    Brand/Generic Brand
    Proprietary Name Mirvaso
    Proprietary Name Suffix n/a
    Non-Proprietary Name brimonidine tartrate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form GEL
    Route TOPICAL
    Active Ingredient Strength 5
    Active Ingredient Units mg/g
    Substance Name BRIMONIDINE TARTRATE
    Labeler Name Galderma Laboratories, L.P.
    Pharmaceutical Class Adrenergic alpha-Agonists [MoA], alpha-Adrenergic Agonist [EPC]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA204708
    Listing Certified Through 2024-12-31

    Package

    NDC 00299-5980-35 (00299598035)

    NDC Package Code 0299-5980-35
    Billing NDC 00299598035
    Package 1 BOTTLE, PUMP in 1 CARTON (0299-5980-35) / 30 g in 1 BOTTLE, PUMP
    Marketing Start Date 2013-08-23
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 18.4754
    Pricing Unit GM
    Effective Date 2022-04-04
    NDC Description MIRVASO 0.33% GEL PUMP
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 2, 5
    Classification for Rate Setting B
    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
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