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NDC 00409-4887-20 Sterile Water 1 mL/mL Details
Sterile Water 1 mL/mL
Sterile Water is a INTRAMUSCULAR; INTRAVENOUS; SUBCUTANEOUS INJECTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Hospira, Inc.. The primary component is WATER.
Product Information
| NDC | 00409-4887 |
|---|---|
| Product ID | 0409-4887_900859c0-a075-4fb1-98ce-0e329acc009a |
| Associated GPIs | 98401010002000 |
| GCN Sequence Number | 001167 |
| GCN Sequence Number Description | water for injection,sterile VIAL INJECTION |
| HIC3 | C0B |
| HIC3 Description | WATER |
| GCN | 02709 |
| HICL Sequence Number | 000517 |
| HICL Sequence Number Description | WATER FOR INJECTION,STERILE |
| Brand/Generic | Generic |
| Proprietary Name | Sterile Water |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | WATER |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | INJECTION |
| Route | INTRAMUSCULAR; INTRAVENOUS; SUBCUTANEOUS |
| Active Ingredient Strength | 1 |
| Active Ingredient Units | mL/mL |
| Substance Name | WATER |
| Labeler Name | Hospira, Inc. |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | NDA |
| Application Number | NDA018801 |
| Listing Certified Through | 2025-12-31 |
Package
NDC 00409-4887-20 (00409488720)
| NDC Package Code | 0409-4887-20 |
|---|---|
| Billing NDC | 00409488720 |
| Package | 25 VIAL, PLASTIC in 1 TRAY (0409-4887-20) / 20 mL in 1 VIAL, PLASTIC (0409-4887-23) |
| Marketing Start Date | 2005-06-16 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.06107 |
| Pricing Unit | ML |
| Effective Date | 2023-10-18 |
| NDC Description | WATER FOR INJECTION VIAL |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4, 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