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    NDC 42806-0270-95 CHOLESTYRAMINE LIGHT 4 g/5.7g Details

    CHOLESTYRAMINE LIGHT 4 g/5.7g

    CHOLESTYRAMINE LIGHT is a ORAL POWDER, FOR SUSPENSION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by EPIC PHARMA, LLC. The primary component is CHOLESTYRAMINE.

    Product Information

    NDC 42806-0270
    Product ID 42806-270_0e42f2cf-8083-4437-83d6-09335203e778
    Associated GPIs 39100010103005
    GCN Sequence Number 003100
    GCN Sequence Number Description cholestyramine/aspartame POWD PACK 4 G ORAL
    HIC3 D7L
    HIC3 Description BILE SALT SEQUESTRANTS
    GCN 09850
    HICL Sequence Number 001373
    HICL Sequence Number Description CHOLESTYRAMINE/ASPARTAME
    Brand/Generic Generic
    Proprietary Name CHOLESTYRAMINE LIGHT
    Proprietary Name Suffix n/a
    Non-Proprietary Name cholestyramine light
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form POWDER, FOR SUSPENSION
    Route ORAL
    Active Ingredient Strength 4
    Active Ingredient Units g/5.7g
    Substance Name CHOLESTYRAMINE
    Labeler Name EPIC PHARMA, LLC
    Pharmaceutical Class Bile Acid Sequestrant [EPC], Bile-acid Binding Activity [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA074558
    Listing Certified Through 2024-12-31

    Package

    NDC 42806-0270-95 (42806027095)

    NDC Package Code 42806-270-95
    Billing NDC 42806027095
    Package 60 POUCH in 1 CARTON (42806-270-95) / 5.7 g in 1 POUCH (42806-270-98)
    Marketing Start Date 2021-12-15
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.97041
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description CHOLESTYRAMINE LIGHT PACKET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    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