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NDC 45802-0078-30 BRIMONIDINE 5 mg/g Details
BRIMONIDINE 5 mg/g
BRIMONIDINE is a TOPICAL GEL in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Padagis Israel Pharmaceuticals Ltd. The primary component is BRIMONIDINE TARTRATE.
Product Information
| NDC | 45802-0078 |
|---|---|
| Product ID | 45802-078_a2c74527-fc36-4141-a382-02fb06d6c0c8 |
| Associated GPIs | |
| GCN Sequence Number | 076045 |
| GCN Sequence Number Description | brimonidine tartrate GEL W/PUMP 0.33 % TOPICAL |
| HIC3 | L5G |
| HIC3 Description | ROSACEA AGENTS, TOPICAL |
| GCN | 41249 |
| HICL Sequence Number | 011786 |
| HICL Sequence Number Description | BRIMONIDINE TARTRATE |
| Brand/Generic | Generic |
| Proprietary Name | BRIMONIDINE |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | brimonidine |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | GEL |
| Route | TOPICAL |
| Active Ingredient Strength | 5 |
| Active Ingredient Units | mg/g |
| Substance Name | BRIMONIDINE TARTRATE |
| Labeler Name | Padagis Israel Pharmaceuticals Ltd |
| Pharmaceutical Class | Adrenergic alpha-Agonists [MoA], alpha-Adrenergic Agonist [EPC] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA209158 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 45802-0078-30 (45802007830)
| NDC Package Code | 45802-078-30 |
|---|---|
| Billing NDC | 45802007830 |
| Package | 1 BOTTLE, PUMP in 1 CARTON (45802-078-30) / 30 g in 1 BOTTLE, PUMP |
| Marketing Start Date | 2023-01-01 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 14.6308 |
| Pricing Unit | GM |
| Effective Date | 2023-12-20 |
| NDC Description | BRIMONIDINE 0.33% GEL PUMP |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4, 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