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    NDC 47781-0423-47 Fentanyl system 12.5 ug/1 Details

    Fentanyl system 12.5 ug/1

    Fentanyl system is a TRANSDERMAL PATCH in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by ALVOGEN. The primary component is FENTANYL.

    Product Information

    NDC 47781-0423
    Product ID 47781-423_fd7b3810-c7b5-4e37-e053-6294a90aa338
    Associated GPIs 65100025008610
    GCN Sequence Number 059102
    GCN Sequence Number Description fentanyl PATCH TD72 12 MCG/HR TRANSDERM
    HIC3 H3A
    HIC3 Description OPIOID ANALGESICS
    GCN 24635
    HICL Sequence Number 006438
    HICL Sequence Number Description FENTANYL
    Brand/Generic Generic
    Proprietary Name Fentanyl system
    Proprietary Name Suffix n/a
    Non-Proprietary Name Fentanyl
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form PATCH
    Route TRANSDERMAL
    Active Ingredient Strength 12.5
    Active Ingredient Units ug/1
    Substance Name FENTANYL
    Labeler Name ALVOGEN
    Pharmaceutical Class Full Opioid Agonists [MoA], Opioid Agonist [EPC]
    DEA Schedule CII
    Marketing Category ANDA
    Application Number ANDA202097
    Listing Certified Through 2024-12-31

    Package

    NDC 47781-0423-47 (47781042347)

    NDC Package Code 47781-423-47
    Billing NDC 47781042347
    Package 1 POUCH in 1 CARTON (47781-423-47) / 5 PATCH in 1 POUCH (47781-423-11)
    Marketing Start Date 2016-11-04
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 9.03681
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description FENTANYL 12 MCG/HR PATCH
    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