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NDC 46122-0555-28 Burn Relief 0.64 g/127g Details
Burn Relief 0.64 g/127g
Burn Relief is a TOPICAL AEROSOL, SPRAY in the HUMAN OTC DRUG category. It is labeled and distributed by AmerisourceBergen Drug Corporation. The primary component is LIDOCAINE.
Product Information
| NDC | 46122-0555 |
|---|---|
| Product ID | 46122-555_f28b9230-315b-8c78-e053-2995a90a7c40 |
| Associated GPIs | 90850060003220 |
| GCN Sequence Number | 016027 |
| GCN Sequence Number Description | lidocaine/aloe vera SPRAY 0.5 % TOPICAL |
| HIC3 | Q5H |
| HIC3 Description | TOPICAL LOCAL ANESTHETICS |
| GCN | 75200 |
| HICL Sequence Number | 006110 |
| HICL Sequence Number Description | LIDOCAINE/ALOE VERA |
| Brand/Generic | Generic |
| Proprietary Name | Burn Relief |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Lidocaine |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | AEROSOL, SPRAY |
| Route | TOPICAL |
| Active Ingredient Strength | 0.64 |
| Active Ingredient Units | g/127g |
| Substance Name | LIDOCAINE |
| Labeler Name | AmerisourceBergen Drug Corporation |
| Pharmaceutical Class | Amide Local Anesthetic [EPC], Amides [CS], Antiarrhythmic [EPC], Local Anesthesia [PE] |
| DEA Schedule | n/a |
| Marketing Category | OTC MONOGRAPH NOT FINAL |
| Application Number | part348 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 46122-0555-28 (46122055528)
| NDC Package Code | 46122-555-28 |
|---|---|
| Billing NDC | 46122055528 |
| Package | 127 g in 1 CAN (46122-555-28) |
| Marketing Start Date | 2018-10-25 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.03497 |
| Pricing Unit | GM |
| Effective Date | 2023-11-22 |
| NDC Description | BURN RELIEF 0.5% SPRAY |
| Pharmacy Type Indicator | C/I |
| OTC | Y |
| 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