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NDC 00904-6488-38 Major LubriFresh PM 150; 830 mg/g; mg/g Details
Major LubriFresh PM 150; 830 mg/g; mg/g
Major LubriFresh PM is a OPHTHALMIC OINTMENT in the HUMAN OTC DRUG category. It is labeled and distributed by Major Pharmaceuticals. The primary component is MINERAL OIL; PETROLATUM.
Product Information
| NDC | 00904-6488 |
|---|---|
| Product ID | 0904-6488_0c017b10-29be-e30f-e063-6294a90a8a3c |
| Associated GPIs | 86209902904220 |
| GCN Sequence Number | 063178 |
| GCN Sequence Number Description | mineral oil/petrolatum,white OINT. (G) 15 %-83 % OPHTHALMIC |
| HIC3 | Q6Y |
| HIC3 Description | EYE PREPARATIONS, MISCELLANEOUS (OTC) |
| GCN | 98935 |
| HICL Sequence Number | 002215 |
| HICL Sequence Number Description | MINERAL OIL/PETROLATUM,WHITE |
| Brand/Generic | Generic |
| Proprietary Name | Major LubriFresh PM |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Mineral oil and White petrolatum |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | OINTMENT |
| Route | OPHTHALMIC |
| Active Ingredient Strength | 150; 830 |
| Active Ingredient Units | mg/g; mg/g |
| Substance Name | MINERAL OIL; PETROLATUM |
| Labeler Name | Major Pharmaceuticals |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | OTC MONOGRAPH DRUG |
| Application Number | M018 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 00904-6488-38 (00904648838)
| NDC Package Code | 0904-6488-38 |
|---|---|
| Billing NDC | 00904648838 |
| Package | 1 TUBE in 1 CARTON (0904-6488-38) / 3.5 g in 1 TUBE |
| Marketing Start Date | 2015-09-11 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 1.51657 |
| Pricing Unit | GM |
| Effective Date | 2023-08-23 |
| NDC Description | LUBRIFRESH PM EYE OINTMENT |
| Pharmacy Type Indicator | C/I |
| OTC | Y |
| Explanation Code | 4, 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