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NDC 00406-9112-76 FENTANYL TRANSDERMAL 12.5 ug/h Details
FENTANYL TRANSDERMAL 12.5 ug/h
FENTANYL TRANSDERMAL is a TRANSDERMAL PATCH, EXTENDED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by SpecGx LLC. The primary component is FENTANYL.
MedlinePlus Drug Summary
Fentanyl patches are used to relieve severe pain in people who are expected to need pain medication around the clock for a long time and who cannot be treated with other medications. Fentanyl is in a class of medications called opiate (narcotic) analgesics. It works by changing the way the brain and nervous system respond to pain.
Related Packages: 00406-9112-76Last Updated: 11/30/2022
MedLinePlus Full Drug Details: Fentanyl Transdermal Patch
Product Information
| NDC | 00406-9112 |
|---|---|
| Product ID | 0406-9112_cf625b15-abc9-464c-af66-5cad02a4c502 |
| Associated GPIs | 65100025008610 |
| GCN Sequence Number | 059102 |
| GCN Sequence Number Description | fentanyl PATCH TD72 12 MCG/HR TRANSDERM |
| HIC3 | H3A |
| HIC3 Description | OPIOID ANALGESICS |
| GCN | 24635 |
| HICL Sequence Number | 006438 |
| HICL Sequence Number Description | FENTANYL |
| Brand/Generic | Generic |
| Proprietary Name | FENTANYL TRANSDERMAL |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | fentanyl transdermal |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | PATCH, EXTENDED RELEASE |
| Route | TRANSDERMAL |
| Active Ingredient Strength | 12.5 |
| Active Ingredient Units | ug/h |
| Substance Name | FENTANYL |
| Labeler Name | SpecGx LLC |
| Pharmaceutical Class | Full Opioid Agonists [MoA], Opioid Agonist [EPC] |
| DEA Schedule | CII |
| Marketing Category | ANDA |
| Application Number | ANDA077154 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00406-9112-76 (00406911276)
| NDC Package Code | 0406-9112-76 |
|---|---|
| Billing NDC | 00406911276 |
| Package | 5 POUCH in 1 CARTON (0406-9112-76) / 1 PATCH in 1 POUCH / 72 h in 1 PATCH |
| Marketing Start Date | 2020-05-06 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 9.03681 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | FENTANYL 12 MCG/HR PATCH |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 1 |
| 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
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