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NDC 00536-1379-04 Cold Sore Fever Blister Treatment 100 mg/g Details
Cold Sore Fever Blister Treatment 100 mg/g
Cold Sore Fever Blister Treatment is a TOPICAL CREAM in the HUMAN OTC DRUG category. It is labeled and distributed by Rugby Laboratories, Inc.. The primary component is DOCOSANOL.
Product Information
| NDC | 00536-1379 |
|---|---|
| Product ID | 0536-1379_2d766360-3ed9-4c32-8709-3f65f9ba05ee |
| Associated GPIs | |
| GCN Sequence Number | 047524 |
| GCN Sequence Number Description | docosanol CREAM (G) 10 % TOPICAL |
| HIC3 | Q5V |
| HIC3 Description | TOPICAL ANTIVIRALS |
| GCN | 12866 |
| HICL Sequence Number | 021956 |
| HICL Sequence Number Description | DOCOSANOL |
| Brand/Generic | Generic |
| Proprietary Name | Cold Sore Fever Blister Treatment |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Docosanol |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | CREAM |
| Route | TOPICAL |
| Active Ingredient Strength | 100 |
| Active Ingredient Units | mg/g |
| Substance Name | DOCOSANOL |
| Labeler Name | Rugby Laboratories, Inc. |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA208754 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00536-1379-04 (00536137904)
| NDC Package Code | 0536-1379-04 |
|---|---|
| Billing NDC | 00536137904 |
| Package | 1 TUBE in 1 PACKAGE (0536-1379-04) / 2 g in 1 TUBE |
| Marketing Start Date | 2023-01-01 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 5.94619 |
| Pricing Unit | GM |
| Effective Date | 2024-02-21 |
| NDC Description | DOCOSANOL 10% CREAM |
| Pharmacy Type Indicator | C/I |
| OTC | Y |
| Explanation Code | 1, 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