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    NDC 27808-0065-02 Promethazine Hydrochloride and Codeine Phosphate 10; 6.25 mg/5mL; mg/5mL Details

    Promethazine Hydrochloride and Codeine Phosphate 10; 6.25 mg/5mL; mg/5mL

    Promethazine Hydrochloride and Codeine Phosphate is a ORAL SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Tris Pharma Inc. The primary component is CODEINE PHOSPHATE; PROMETHAZINE HYDROCHLORIDE.

    Product Information

    NDC 27808-0065
    Product ID 27808-065_3939b644-17f0-49ea-ae75-ae6a98d4a3ef
    Associated GPIs 43995202341210
    GCN Sequence Number 048489
    GCN Sequence Number Description promethazine HCl/codeine SYRUP 6.25-10/5 ORAL
    HIC3 B4D
    HIC3 Description OPIOID ANTITUSSIVE-1ST GENERATION ANTIHISTAMINE
    GCN 13971
    HICL Sequence Number 000345
    HICL Sequence Number Description PROMETHAZINE HCL/CODEINE
    Brand/Generic Generic
    Proprietary Name Promethazine Hydrochloride and Codeine Phosphate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Promethazine Hydrochloride and Codeine Phosphate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SOLUTION
    Route ORAL
    Active Ingredient Strength 10; 6.25
    Active Ingredient Units mg/5mL; mg/5mL
    Substance Name CODEINE PHOSPHATE; PROMETHAZINE HYDROCHLORIDE
    Labeler Name Tris Pharma Inc
    Pharmaceutical Class Full Opioid Agonists [MoA], Opioid Agonist [EPC], Phenothiazine [EPC], Phenothiazines [CS]
    DEA Schedule CV
    Marketing Category ANDA
    Application Number ANDA200386
    Listing Certified Through 2024-12-31

    Package

    NDC 27808-0065-02 (27808006502)

    NDC Package Code 27808-065-02
    Billing NDC 27808006502
    Package 473 mL in 1 BOTTLE, PLASTIC (27808-065-02)
    Marketing Start Date 2018-03-12
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.04178
    Pricing Unit ML
    Effective Date 2024-02-21
    NDC Description PROMETHAZINE-CODEINE SOLUTION
    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