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NDC 00904-5675-16 FIBER THERAPY 2 g/19g Details
FIBER THERAPY 2 g/19g
FIBER THERAPY is a ORAL POWDER, FOR SOLUTION in the HUMAN OTC DRUG category. It is labeled and distributed by Major Pharmaceuticals. The primary component is METHYLCELLULOSE (4000 MPA.S).
Product Information
| NDC | 00904-5675 |
|---|---|
| Product ID | 0904-5675_30635d66-a6f0-4b15-b007-526f56c1afd0 |
| Associated GPIs | 46300010002900 |
| GCN Sequence Number | 068137 |
| GCN Sequence Number Description | methylcellulose (with sugar) POWDER 2 G/19 G ORAL |
| HIC3 | D6S |
| HIC3 Description | LAXATIVES AND CATHARTICS |
| GCN | 30848 |
| HICL Sequence Number | 034504 |
| HICL Sequence Number Description | METHYLCELLULOSE (WITH SUGAR) |
| Brand/Generic | Brand |
| Proprietary Name | FIBER THERAPY |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | methylcellulose |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | POWDER, FOR SOLUTION |
| Route | ORAL |
| Active Ingredient Strength | 2 |
| Active Ingredient Units | g/19g |
| Substance Name | METHYLCELLULOSE (4000 MPA.S) |
| Labeler Name | Major Pharmaceuticals |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | OTC MONOGRAPH DRUG |
| Application Number | M007 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00904-5675-16 (00904567516)
| NDC Package Code | 0904-5675-16 |
|---|---|
| Billing NDC | 00904567516 |
| Package | 454 g in 1 BOTTLE (0904-5675-16) |
| Marketing Start Date | 2008-04-18 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.01275 |
| Pricing Unit | GM |
| Effective Date | 2022-07-20 |
| NDC Description | FIBER THERAPY POWDER |
| Pharmacy Type Indicator | C/I |
| OTC | Y |
| Explanation Code | 4, 5 |
| 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