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NDC 11980-0228-05 FML FORTE 2.5 mg/mL Details
FML FORTE 2.5 mg/mL
FML FORTE is a OPHTHALMIC SUSPENSION/ DROPS in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Allergan, Inc.. The primary component is FLUOROMETHOLONE.
Product Information
| NDC | 11980-0228 |
|---|---|
| Product ID | 11980-228_594fb227-1276-4db8-aeee-858d47eafec8 |
| Associated GPIs | 86300020001820 |
| GCN Sequence Number | 007903 |
| GCN Sequence Number Description | fluorometholone DROPS SUSP 0.25 % OPHTHALMIC |
| HIC3 | Q6P |
| HIC3 Description | EYE ANTI-INFLAMMATORY AGENTS |
| GCN | 33251 |
| HICL Sequence Number | 003316 |
| HICL Sequence Number Description | FLUOROMETHOLONE |
| Brand/Generic | Brand |
| Proprietary Name | FML FORTE |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | fluorometholone |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | SUSPENSION/ DROPS |
| Route | OPHTHALMIC |
| Active Ingredient Strength | 2.5 |
| Active Ingredient Units | mg/mL |
| Substance Name | FLUOROMETHOLONE |
| Labeler Name | Allergan, Inc. |
| Pharmaceutical Class | Corticosteroid Hormone Receptor Agonists [MoA], Corticosteroid [EPC] |
| DEA Schedule | n/a |
| Marketing Category | NDA |
| Application Number | NDA019216 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 11980-0228-05 (11980022805)
| NDC Package Code | 11980-228-05 |
|---|---|
| Billing NDC | 11980022805 |
| Package | 1 BOTTLE, DROPPER in 1 CARTON (11980-228-05) / 5 mL in 1 BOTTLE, DROPPER |
| Marketing Start Date | 1986-05-01 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 32.3677 |
| Pricing Unit | ML |
| Effective Date | 2021-10-20 |
| NDC Description | FML FORTE 0.25% EYE DROPS |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4, 5 |
| Classification for Rate Setting | B |
| As of Date | 2022-10-12 |
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