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NDC 00904-5415-01 Miconazole 3 Combination Pack Details
Miconazole 3 Combination Pack
Miconazole 3 Combination Pack is a VAGINAL KIT in the HUMAN OTC DRUG category. It is labeled and distributed by Major Pharmaceuticals. The primary component is .
MedlinePlus Drug Summary
Vaginal miconazole is used to treat vaginal yeast infections in adults and children 12 years of age and older. Miconazole is in a class of antifungal medications called imidazoles. It works by stopping the growth of fungi that cause infection.
Related Packages: 00904-5415-01Last Updated: 11/30/2022
MedLinePlus Full Drug Details: Miconazole Vaginal
Product Information
| NDC | 00904-5415 |
|---|---|
| Product ID | 0904-5415_93c58543-e10e-4ff9-82d9-09b3be152677 |
| Associated GPIs | 55104050106410 |
| GCN Sequence Number | 007006 |
| GCN Sequence Number Description | miconazole nitrate KIT 200 MG-2 % VAGINAL |
| HIC3 | Q4F |
| HIC3 Description | VAGINAL ANTIFUNGALS |
| GCN | 69380 |
| HICL Sequence Number | 003031 |
| HICL Sequence Number Description | MICONAZOLE NITRATE |
| Brand/Generic | Generic |
| Proprietary Name | Miconazole 3 Combination Pack |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | miconazole nitrate |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | KIT |
| Route | VAGINAL |
| Active Ingredient Strength | n/a |
| Active Ingredient Units | n/a |
| Substance Name | n/a |
| Labeler Name | Major Pharmaceuticals |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA074926 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00904-5415-01 (00904541501)
| NDC Package Code | 0904-5415-01 |
|---|---|
| Billing NDC | 00904541501 |
| Package | 1 KIT in 1 PACKAGE, COMBINATION (0904-5415-01) * 3 SUPPOSITORY in 1 BLISTER PACK * 9 g in 1 TUBE |
| Marketing Start Date | 2002-12-02 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 8.12647 |
| Pricing Unit | EA |
| Effective Date | 2024-01-17 |
| NDC Description | MICONAZOLE 3 COMBO PACK |
| Pharmacy Type Indicator | C/I |
| OTC | Y |
| Explanation Code | 4 |
| 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