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    NDC 13925-0166-04 Prednisolone Sodium Phosphate 5 mg/5mL Details

    Prednisolone Sodium Phosphate 5 mg/5mL

    Prednisolone Sodium Phosphate is a ORAL SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Seton Pharmaceuticals, LLC. The primary component is PREDNISOLONE SODIUM PHOSPHATE.

    Product Information

    NDC 13925-0166
    Product ID 13925-166_1fab17bb-9557-46af-a588-bc865575ad70
    Associated GPIs 22100040202040
    GCN Sequence Number 038375
    GCN Sequence Number Description prednisolone sodium phosphate SOLUTION 5 MG/5 ML ORAL
    HIC3 P5A
    HIC3 Description GLUCOCORTICOIDS
    GCN 09115
    HICL Sequence Number 002871
    HICL Sequence Number Description PREDNISOLONE SODIUM PHOSPHATE
    Brand/Generic Generic
    Proprietary Name Prednisolone Sodium Phosphate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Prednisolone Sodium Phosphate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SOLUTION
    Route ORAL
    Active Ingredient Strength 5
    Active Ingredient Units mg/5mL
    Substance Name PREDNISOLONE SODIUM PHOSPHATE
    Labeler Name Seton Pharmaceuticals, LLC
    Pharmaceutical Class Corticosteroid Hormone Receptor Agonists [MoA], Corticosteroid [EPC]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA019157
    Listing Certified Through 2024-12-31

    Package

    NDC 13925-0166-04 (13925016604)

    NDC Package Code 13925-166-04
    Billing NDC 13925016604
    Package 120 mL in 1 BOTTLE (13925-166-04)
    Marketing Start Date 2013-10-18
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.55508
    Pricing Unit ML
    Effective Date 2024-01-17
    NDC Description PREDNISOLONE 5 MG/5 ML SOLN
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 5, 6
    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