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    NDC 16571-0815-60 DentaGel 1.1 g/100g Details

    DentaGel 1.1 g/100g

    DentaGel is a ORAL GEL in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Rising Pharma Holdings, Inc.. The primary component is SODIUM FLUORIDE.

    Product Information

    NDC 16571-0815
    Product ID 16571-815_6ff13596-e232-4e07-bb60-b1d88a01b503
    Associated GPIs
    GCN Sequence Number 002607
    GCN Sequence Number Description fluoride (sodium) GEL (GRAM) 1.1 % DENTAL
    HIC3 D2A
    HIC3 Description FLUORIDE PREPARATIONS
    GCN 07358
    HICL Sequence Number 001127
    HICL Sequence Number Description FLUORIDE (SODIUM)
    Brand/Generic Generic
    Proprietary Name DentaGel
    Proprietary Name Suffix n/a
    Non-Proprietary Name Sodium fluoride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form GEL
    Route ORAL
    Active Ingredient Strength 1.1
    Active Ingredient Units g/100g
    Substance Name SODIUM FLUORIDE
    Labeler Name Rising Pharma Holdings, Inc.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category UNAPPROVED DRUG OTHER
    Application Number n/a
    Listing Certified Through 2024-12-31

    Package

    NDC 16571-0815-60 (16571081560)

    NDC Package Code 16571-815-60
    Billing NDC 16571081560
    Package 56 g in 1 TUBE (16571-815-60)
    Marketing Start Date 2023-05-09
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.13416
    Pricing Unit GM
    Effective Date 2024-02-21
    NDC Description DENTAGEL 1.1% GEL
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 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