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NDC 46122-0222-63 Glycerin 1.2 g/1 Details
Glycerin 1.2 g/1
Glycerin is a RECTAL SUPPOSITORY in the HUMAN OTC DRUG category. It is labeled and distributed by Amerisource Bergen/Good Neighbor Pharmacy. The primary component is GLYCERIN.
Product Information
| NDC | 46122-0222 |
|---|---|
| Product ID | 46122-222_0c006801-5c14-68ae-e063-6294a90aa1b5 |
| Associated GPIs | 46600010005209 |
| GCN Sequence Number | 011729 |
| GCN Sequence Number Description | glycerin SUPP.RECT PEDIATRIC RECTAL |
| HIC3 | Q3S |
| HIC3 Description | LAXATIVES, LOCAL/RECTAL |
| GCN | 08861 |
| HICL Sequence Number | 001312 |
| HICL Sequence Number Description | GLYCERIN |
| Brand/Generic | Generic |
| Proprietary Name | Glycerin |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Glycerin |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | SUPPOSITORY |
| Route | RECTAL |
| Active Ingredient Strength | 1.2 |
| Active Ingredient Units | g/1 |
| Substance Name | GLYCERIN |
| Labeler Name | Amerisource Bergen/Good Neighbor Pharmacy |
| Pharmaceutical Class | Allergens [CS], Cell-mediated Immunity [PE], Glycerol [CS], Increased Histamine Release [PE], Increased IgG Production [PE], Non-Standardized Chemical Allergen [EPC] |
| DEA Schedule | n/a |
| Marketing Category | OTC MONOGRAPH DRUG |
| Application Number | M007 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 46122-0222-63 (46122022263)
| NDC Package Code | 46122-222-63 |
|---|---|
| Billing NDC | 46122022263 |
| Package | 25 SUPPOSITORY in 1 JAR (46122-222-63) |
| Marketing Start Date | 2013-09-12 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.08326 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | GLYCERIN SUPPOSITORY |
| 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