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NDC 00904-1103-09 povidone iodine 100 mg/mL Details
povidone iodine 100 mg/mL
povidone iodine is a TOPICAL SOLUTION in the HUMAN OTC DRUG category. It is labeled and distributed by Major Pharmaceuticals. The primary component is POVIDONE-IODINE.
Product Information
| NDC | 00904-1103 |
|---|---|
| Product ID | 0904-1103_0ac2bc01-90a6-7492-e063-6294a90a4532 |
| Associated GPIs | 92200040002015 |
| GCN Sequence Number | 007233 |
| GCN Sequence Number Description | povidone-iodine SOLUTION 10 % TOPICAL |
| HIC3 | Q5B |
| HIC3 Description | TOPICAL PREPARATIONS,ANTIBACTERIALS |
| GCN | 45334 |
| HICL Sequence Number | 004265 |
| HICL Sequence Number Description | POVIDONE-IODINE |
| Brand/Generic | Generic |
| Proprietary Name | povidone iodine |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | povidone iodine |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | SOLUTION |
| Route | TOPICAL |
| Active Ingredient Strength | 100 |
| Active Ingredient Units | mg/mL |
| Substance Name | POVIDONE-IODINE |
| Labeler Name | Major Pharmaceuticals |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | OTC MONOGRAPH DRUG |
| Application Number | M003 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00904-1103-09 (00904110309)
| NDC Package Code | 0904-1103-09 |
|---|---|
| Billing NDC | 00904110309 |
| Package | 237 mL in 1 BOTTLE (0904-1103-09) |
| Marketing Start Date | 2011-12-21 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.01239 |
| Pricing Unit | ML |
| Effective Date | 2024-02-21 |
| NDC Description | POVIDONE-IODINE 10% SOLUTION |
| 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