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    NDC 45802-0758-30 Promethazine Hydrochloride 12.5 mg/1 Details

    Promethazine Hydrochloride 12.5 mg/1

    Promethazine Hydrochloride is a RECTAL SUPPOSITORY in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Padagis Israel Pharmaceuticals Ltd. The primary component is PROMETHAZINE HYDROCHLORIDE.

    Product Information

    NDC 45802-0758
    Product ID 45802-758_7925cce4-282f-4445-a4d7-2803d2c7f749
    Associated GPIs 41400020105205
    GCN Sequence Number 003872
    GCN Sequence Number Description promethazine HCl SUPP.RECT 12.5 MG RECTAL
    HIC3 H6J
    HIC3 Description ANTIEMETIC/ANTIVERTIGO AGENTS
    GCN 15003
    HICL Sequence Number 012014
    HICL Sequence Number Description PROMETHAZINE HCL
    Brand/Generic Generic
    Proprietary Name Promethazine Hydrochloride
    Proprietary Name Suffix n/a
    Non-Proprietary Name Promethazine Hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SUPPOSITORY
    Route RECTAL
    Active Ingredient Strength 12.5
    Active Ingredient Units mg/1
    Substance Name PROMETHAZINE HYDROCHLORIDE
    Labeler Name Padagis Israel Pharmaceuticals Ltd
    Pharmaceutical Class Phenothiazine [EPC], Phenothiazines [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA040500
    Listing Certified Through 2024-12-31

    Package

    NDC 45802-0758-30 (45802075830)

    NDC Package Code 45802-758-30
    Billing NDC 45802075830
    Package 12 BLISTER PACK in 1 CARTON (45802-758-30) / 1 SUPPOSITORY in 1 BLISTER PACK (45802-758-00)
    Marketing Start Date 2006-06-27
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 3.5226
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description PROMETHAZINE 12.5 MG SUPPOS
    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