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NDC 24689-0124-01 Lidocaine 5% 5 g/100g Details
Lidocaine 5% 5 g/100g
Lidocaine 5% is a RECTAL; TOPICAL CREAM in the HUMAN OTC DRUG category. It is labeled and distributed by Apnar Pharma LP. The primary component is LIDOCAINE.
Product Information
NDC | 24689-0124 |
---|---|
Product ID | 24689-124_0836052f-6382-9f0f-e063-6294a90a1e98 |
Associated GPIs | 89200025003720 |
GCN Sequence Number | 040261 |
GCN Sequence Number Description | lidocaine CREAM (G) 5 % TOPICAL |
HIC3 | Q3H |
HIC3 Description | HEMORRHOIDALS, LOCAL RECTAL ANESTHETICS |
GCN | 95404 |
HICL Sequence Number | 010705 |
HICL Sequence Number Description | LIDOCAINE |
Brand/Generic | Generic |
Proprietary Name | Lidocaine 5% |
Proprietary Name Suffix | n/a |
Non-Proprietary Name | Lidocaine |
Product Type | HUMAN OTC DRUG |
Dosage Form | CREAM |
Route | RECTAL; TOPICAL |
Active Ingredient Strength | 5 |
Active Ingredient Units | g/100g |
Substance Name | LIDOCAINE |
Labeler Name | Apnar Pharma LP |
Pharmaceutical Class | Amide Local Anesthetic [EPC], Amides [CS], Antiarrhythmic [EPC], Local Anesthesia [PE] |
DEA Schedule | n/a |
Marketing Category | OTC MONOGRAPH DRUG |
Application Number | M015 |
Listing Certified Through | 2024-12-31 |
Package
NDC 24689-0124-01 (24689012401)
NDC Package Code | 24689-124-01 |
---|---|
Billing NDC | 24689012401 |
Package | 1 TUBE in 1 CARTON (24689-124-01) / 30 g in 1 TUBE |
Marketing Start Date | 2021-11-01 |
NDC Exclude Flag | N |
Pricing Information | |
Price Per Unit | 0.42577 |
Pricing Unit | GM |
Effective Date | 2022-11-23 |
NDC Description | LIDOCAINE ANORECTAL 5% CREAM |
Pharmacy Type Indicator | C/I |
OTC | Y |
Explanation Code | 1, 5 |
Classification for Rate Setting | G |
As of Date | 2022-11-23 |
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