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    NDC 42858-0304-16 Hydromorphone Hydrochloride 5 mg/5mL Details

    Hydromorphone Hydrochloride 5 mg/5mL

    Hydromorphone Hydrochloride is a ORAL SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Rhodes Pharmaceuticals L.P.. The primary component is HYDROMORPHONE HYDROCHLORIDE.

    Product Information

    NDC 42858-0304
    Product ID 42858-304_a297f2f1-2b57-4eed-8ddd-8f3387010e74
    Associated GPIs 65100035100920
    GCN Sequence Number 016156
    GCN Sequence Number Description hydromorphone HCl LIQUID 1 MG/ML ORAL
    HIC3 H3A
    HIC3 Description OPIOID ANALGESICS
    GCN 20251
    HICL Sequence Number 001695
    HICL Sequence Number Description HYDROMORPHONE HCL
    Brand/Generic Generic
    Proprietary Name Hydromorphone Hydrochloride
    Proprietary Name Suffix n/a
    Non-Proprietary Name Hydromorphone Hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SOLUTION
    Route ORAL
    Active Ingredient Strength 5
    Active Ingredient Units mg/5mL
    Substance Name HYDROMORPHONE HYDROCHLORIDE
    Labeler Name Rhodes Pharmaceuticals L.P.
    Pharmaceutical Class Full Opioid Agonists [MoA], Opioid Agonist [EPC]
    DEA Schedule CII
    Marketing Category NDA AUTHORIZED GENERIC
    Application Number NDA019891
    Listing Certified Through 2024-12-31

    Package

    NDC 42858-0304-16 (42858030416)

    NDC Package Code 42858-304-16
    Billing NDC 42858030416
    Package 473 mL in 1 BOTTLE, PLASTIC (42858-304-16)
    Marketing Start Date 2012-07-20
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.29013
    Pricing Unit ML
    Effective Date 2024-01-17
    NDC Description HYDROMORPHONE 5 MG/5 ML SOLN
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 5, 6
    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