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    NDC 46122-0172-25 Good Neighbor Pharmacy Nicotine 4 mg/1 Details

    Good Neighbor Pharmacy Nicotine 4 mg/1

    Good Neighbor Pharmacy Nicotine is a ORAL GUM, CHEWING in the HUMAN OTC DRUG category. It is labeled and distributed by Amerisource Bergen. The primary component is NICOTINE.

    Product Information

    NDC 46122-0172
    Product ID 46122-172_fabf5910-e360-4a50-aade-8c4fcea428be
    Associated GPIs 62100010002820
    GCN Sequence Number 013486
    GCN Sequence Number Description nicotine polacrilex GUM 4 MG BUCCAL
    HIC3 J3A
    HIC3 Description SMOKING DETERRENT AGENTS (GANGLIONIC STIM,OTHERS)
    GCN 03201
    HICL Sequence Number 002049
    HICL Sequence Number Description NICOTINE POLACRILEX
    Brand/Generic Generic
    Proprietary Name Good Neighbor Pharmacy Nicotine
    Proprietary Name Suffix n/a
    Non-Proprietary Name Nicotine Polacrilex
    Product Type HUMAN OTC DRUG
    Dosage Form GUM, CHEWING
    Route ORAL
    Active Ingredient Strength 4
    Active Ingredient Units mg/1
    Substance Name NICOTINE
    Labeler Name Amerisource Bergen
    Pharmaceutical Class Cholinergic Nicotinic Agonist [EPC], Nicotine [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA078326
    Listing Certified Through 2024-12-31

    Package

    NDC 46122-0172-25 (46122017225)

    NDC Package Code 46122-172-25
    Billing NDC 46122017225
    Package 110 BLISTER PACK in 1 CARTON (46122-172-25) / 1 GUM, CHEWING in 1 BLISTER PACK
    Marketing Start Date 2014-01-23
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.31287
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description NICOTINE 4 MG CHEWING GUM
    Pharmacy Type Indicator C/I
    OTC Y
    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

    Standard Product Labeling (SPL)/Prescribing Information SPL c6067ce8-dd2f-4f4e-90f0-b5355c639763 Details

    Revised: 4/2021