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NDC 46122-0681-07 Docosanol 100 mg/g Details
Docosanol 100 mg/g
Docosanol is a TOPICAL CREAM in the HUMAN OTC DRUG category. It is labeled and distributed by AmerisourceBergen (Good Neighbor Pharmacy) 46122. The primary component is DOCOSANOL.
Product Information
NDC | 46122-0681 |
---|---|
Product ID | 46122-681_01816c02-c228-4380-a4dc-8baa382a636c |
Associated GPIs | 90350022003720 |
GCN Sequence Number | 047524 |
GCN Sequence Number Description | docosanol CREAM (G) 10 % TOPICAL |
HIC3 | Q5V |
HIC3 Description | TOPICAL ANTIVIRALS |
GCN | 12866 |
HICL Sequence Number | 021956 |
HICL Sequence Number Description | DOCOSANOL |
Brand/Generic | Generic |
Proprietary Name | Docosanol |
Proprietary Name Suffix | n/a |
Non-Proprietary Name | Docosanol |
Product Type | HUMAN OTC DRUG |
Dosage Form | CREAM |
Route | TOPICAL |
Active Ingredient Strength | 100 |
Active Ingredient Units | mg/g |
Substance Name | DOCOSANOL |
Labeler Name | AmerisourceBergen (Good Neighbor Pharmacy) 46122 |
Pharmaceutical Class | n/a |
DEA Schedule | n/a |
Marketing Category | ANDA |
Application Number | ANDA208754 |
Listing Certified Through | 2024-12-31 |
Package
NDC 46122-0681-07 (46122068107)
NDC Package Code | 46122-681-07 |
---|---|
Billing NDC | 46122068107 |
Package | 1 TUBE in 1 PACKAGE (46122-681-07) / 2 g in 1 TUBE |
Marketing Start Date | 2021-05-28 |
NDC Exclude Flag | N |
Pricing Information | |
Price Per Unit | 5.94619 |
Pricing Unit | GM |
Effective Date | 2024-02-21 |
NDC Description | GNP DOCOSANOL 10% CREAM |
Pharmacy Type Indicator | C/I |
OTC | Y |
Explanation Code | 1, 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