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    NDC 24208-0504-05 Vyzulta 0.24 mg/mL Details

    Vyzulta 0.24 mg/mL

    Vyzulta is a OPHTHALMIC SOLUTION/ DROPS in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Bausch & Lomb Incorporated. The primary component is LATANOPROSTENE BUNOD.

    Product Information

    NDC 24208-0504
    Product ID 24208-504_06204573-97d3-4253-8685-87273ea08d58
    Associated GPIs 86330052102020
    GCN Sequence Number 077915
    GCN Sequence Number Description latanoprostene bunod DROPS 0.024 % OPHTHALMIC
    HIC3 Q6G
    HIC3 Description MIOTICS AND OTHER INTRAOCULAR PRESSURE REDUCERS
    GCN 44085
    HICL Sequence Number 044631
    HICL Sequence Number Description LATANOPROSTENE BUNOD
    Brand/Generic Brand
    Proprietary Name Vyzulta
    Proprietary Name Suffix n/a
    Non-Proprietary Name latanoprostene bunod
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SOLUTION/ DROPS
    Route OPHTHALMIC
    Active Ingredient Strength 0.24
    Active Ingredient Units mg/mL
    Substance Name LATANOPROSTENE BUNOD
    Labeler Name Bausch & Lomb Incorporated
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA207795
    Listing Certified Through 2024-12-31

    Package

    NDC 24208-0504-05 (24208050405)

    NDC Package Code 24208-504-05
    Billing NDC 24208050405
    Package 1 BOTTLE in 1 CARTON (24208-504-05) / 5 mL in 1 BOTTLE
    Marketing Start Date 2017-11-02
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 98.0088
    Pricing Unit ML
    Effective Date 2024-01-01
    NDC Description VYZULTA 0.024% OPHTH SOLUTION
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 5
    Classification for Rate Setting B
    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

    Standard Product Labeling (SPL)/Prescribing Information SPL 60ce7900-a677-4fc2-88d0-1603baa9dbd4 Details

    Revised: 5/2019