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    NDC 43386-0090-19 GAVILYTE G 236; 2.97; 6.74; 5.86; 22.74 g/274.31g; g/274.31g; g/274.31g; g/274.31g; g/274.31g Details

    GAVILYTE G 236; 2.97; 6.74; 5.86; 22.74 g/274.31g; g/274.31g; g/274.31g; g/274.31g; g/274.31g

    GAVILYTE G is a ORAL POWDER, FOR SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Lupin Pharmaceuticals,Inc.. The primary component is POLYETHYLENE GLYCOL 3350; POTASSIUM CHLORIDE; SODIUM BICARBONATE; SODIUM CHLORIDE; SODIUM SULFATE ANHYDROUS.

    Product Information

    NDC 43386-0090
    Product ID 43386-090_cccea25c-6192-418e-a9ee-d97be10e7c69
    Associated GPIs 46992005302130
    GCN Sequence Number 062533
    GCN Sequence Number Description peg3350/sod sulf,bicarb,Cl/KCl SOLN RECON 236-22.74G ORAL
    HIC3 D6S
    HIC3 Description LAXATIVES AND CATHARTICS
    GCN 98308
    HICL Sequence Number 034667
    HICL Sequence Number Description PEG 3350/SOD SULF/SOD BICARB/SOD CHLORIDE/POTASSIUM CHLORIDE
    Brand/Generic Generic
    Proprietary Name GAVILYTE G
    Proprietary Name Suffix TM
    Non-Proprietary Name polyethylene glycol-3350 and Electrolytes
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form POWDER, FOR SOLUTION
    Route ORAL
    Active Ingredient Strength 236; 2.97; 6.74; 5.86; 22.74
    Active Ingredient Units g/274.31g; g/274.31g; g/274.31g; g/274.31g; g/274.31g
    Substance Name POLYETHYLENE GLYCOL 3350; POTASSIUM CHLORIDE; SODIUM BICARBONATE; SODIUM CHLORIDE; SODIUM SULFATE ANHYDROUS
    Labeler Name Lupin Pharmaceuticals,Inc.
    Pharmaceutical Class Increased Large Intestinal Motility [PE], Increased Large Intestinal Motility [PE], Increased Large Intestinal Motility [PE], Inhibition Large Intestine Fluid/Electrolyte Absorption [PE], Inhibition Large Intestine Fluid/Electrolyte Absorption [PE], Inhib
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA090231
    Listing Certified Through 2024-12-31

    Package

    NDC 43386-0090-19 (43386009019)

    NDC Package Code 43386-090-19
    Billing NDC 43386009019
    Package 274.31 g in 1 BOTTLE (43386-090-19)
    Marketing Start Date 2009-06-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.00436
    Pricing Unit ML
    Effective Date 2024-02-21
    NDC Description GAVILYTE-G 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