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NDC 00574-0167-12 DICLOFENAC SODIUM 20 mg/g Details
DICLOFENAC SODIUM 20 mg/g
DICLOFENAC SODIUM is a TOPICAL SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Padagis US LLC. The primary component is DICLOFENAC SODIUM.
Product Information
| NDC | 00574-0167 |
|---|---|
| Product ID | 0574-0167_9e86e2de-4a4d-4e0c-a003-843f0064afc4 |
| Associated GPIs | |
| GCN Sequence Number | 071910 |
| GCN Sequence Number Description | diclofenac sodium SOL MD PMP 20MG/G(2%) TOPICAL |
| HIC3 | Q5E |
| HIC3 Description | TOPICAL ANTI-INFLAMMATORY, NSAIDS |
| GCN | 35936 |
| HICL Sequence Number | 003733 |
| HICL Sequence Number Description | DICLOFENAC SODIUM |
| Brand/Generic | Generic |
| Proprietary Name | DICLOFENAC SODIUM |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | diclofenac sodium |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | SOLUTION |
| Route | TOPICAL |
| Active Ingredient Strength | 20 |
| Active Ingredient Units | mg/g |
| Substance Name | DICLOFENAC SODIUM |
| Labeler Name | Padagis US LLC |
| Pharmaceutical Class | Anti-Inflammatory Agents, Non-Steroidal [CS], Cyclooxygenase Inhibitors [MoA], Decreased Prostaglandin Production [PE], Nonsteroidal Anti-inflammatory Drug [EPC] |
| DEA Schedule | n/a |
| Marketing Category | NDA AUTHORIZED GENERIC |
| Application Number | NDA204623 |
| Listing Certified Through | n/a |
Package
NDC 00574-0167-12 (00574016712)
| NDC Package Code | 0574-0167-12 |
|---|---|
| Billing NDC | 00574016712 |
| Package | 1 BOTTLE in 1 CARTON (0574-0167-12) / 112 g in 1 BOTTLE |
| Marketing Start Date | 2022-11-22 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 1.788 |
| Pricing Unit | GM |
| Effective Date | 2024-02-21 |
| NDC Description | DICLOFENAC 2% SOLUTION PUMP |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 1, 5, 6 |
| 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