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NDC 00430-0420-14 Lo Loestrin Fe Details
Lo Loestrin Fe
Lo Loestrin Fe is a KIT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Allergan, Inc.. The primary component is .
Product Information
| NDC | 00430-0420 |
|---|---|
| Product ID | 0430-0420_9d46a77b-7a76-4e8c-baac-2b12fc535dfd |
| Associated GPIs | 25991003500320 |
| GCN Sequence Number | 066854 |
| GCN Sequence Number Description | norethindrone-e.estradiol-iron TABLET 1MG-10(24) ORAL |
| HIC3 | G8A |
| HIC3 Description | CONTRACEPTIVES,ORAL |
| GCN | 29264 |
| HICL Sequence Number | 001454 |
| HICL Sequence Number Description | NORETHINDRONE ACETATE-ETHINYL ESTRADIOL/FERROUS FUMARATE |
| Brand/Generic | Brand |
| Proprietary Name | Lo Loestrin Fe |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | norethindrone acetate and ethinyl estradiol, ethinyl estradiol and ferrous fumarate |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | KIT |
| Route | n/a |
| Active Ingredient Strength | n/a |
| Active Ingredient Units | n/a |
| Substance Name | n/a |
| Labeler Name | Allergan, Inc. |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | NDA |
| Application Number | NDA022501 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00430-0420-14 (00430042014)
| NDC Package Code | 0430-0420-14 |
|---|---|
| Billing NDC | 00430042014 |
| Package | 5 BLISTER PACK in 1 CARTON (0430-0420-14) / 1 KIT in 1 BLISTER PACK |
| Marketing Start Date | 2010-12-01 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 6.1492 |
| Pricing Unit | EA |
| Effective Date | 2024-01-02 |
| NDC Description | LO LOESTRIN FE 1-10 TABLET |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4 |
| Classification for Rate Setting | B |
| 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