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NDC 00641-6027-25 Fentanyl Citrate 50 ug/mL Details
Fentanyl Citrate 50 ug/mL
Fentanyl Citrate is a INTRAMUSCULAR; INTRAVENOUS INJECTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Hikma Pharmaceuticals USA Inc.. The primary component is FENTANYL CITRATE.
Product Information
| NDC | 00641-6027 |
|---|---|
| Product ID | 0641-6027_90765191-e0c4-4ab2-a1e9-7a6a178fcee5 |
| Associated GPIs | 65100025102012 |
| GCN Sequence Number | 041385 |
| GCN Sequence Number Description | fentanyl citrate/PF VIAL 50 MCG/ML INJECTION |
| HIC3 | H3H |
| HIC3 Description | OPIOID ANALGESIC, ANESTHETIC ADJUNCT AGENTS |
| GCN | 32807 |
| HICL Sequence Number | 025386 |
| HICL Sequence Number Description | FENTANYL CITRATE/PF |
| Brand/Generic | Generic |
| Proprietary Name | Fentanyl Citrate |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Fentanyl Citrate |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | INJECTION |
| Route | INTRAMUSCULAR; INTRAVENOUS |
| Active Ingredient Strength | 50 |
| Active Ingredient Units | ug/mL |
| Substance Name | FENTANYL CITRATE |
| Labeler Name | Hikma Pharmaceuticals USA Inc. |
| Pharmaceutical Class | Full Opioid Agonists [MoA], Opioid Agonist [EPC] |
| DEA Schedule | CII |
| Marketing Category | NDA |
| Application Number | NDA019101 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00641-6027-25 (00641602725)
| NDC Package Code | 0641-6027-25 |
|---|---|
| Billing NDC | 00641602725 |
| Package | 25 VIAL in 1 CARTON (0641-6027-25) / 2 mL in 1 VIAL (0641-6027-01) |
| Marketing Start Date | 1984-07-11 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.62644 |
| Pricing Unit | ML |
| Effective Date | 2022-04-20 |
| NDC Description | FENTANYL 100 MCG/2 ML VIAL |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4, 5, 6 |
| Classification for Rate Setting | G |
| As of Date | 2022-11-23 |
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