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NDC 50261-0104-18 IMVEXXY 4 ug/1 Details
IMVEXXY 4 ug/1
IMVEXXY is a VAGINAL INSERT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Mayne Pharma LLC. The primary component is ESTRADIOL.
Product Information
| NDC | 50261-0104 |
|---|---|
| Product ID | 50261-104_b33c36b2-f0a2-4525-a841-75c3ba011961 |
| Associated GPIs | 55350020009920 55350020009910 |
| GCN Sequence Number | 078478 |
| GCN Sequence Number Description | estradiol INSERT 4 MCG VAGINAL |
| HIC3 | Q4D |
| HIC3 Description | VAGINAL ESTROGEN FOR SEXUAL DYSFUNCTION |
| GCN | 44814 |
| HICL Sequence Number | 001421 |
| HICL Sequence Number Description | ESTRADIOL |
| Brand/Generic | Brand |
| Proprietary Name | IMVEXXY |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | estradiol |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | INSERT |
| Route | VAGINAL |
| Active Ingredient Strength | 4 |
| Active Ingredient Units | ug/1 |
| Substance Name | ESTRADIOL |
| Labeler Name | Mayne Pharma LLC |
| Pharmaceutical Class | Estradiol Congeners [CS], Estrogen Receptor Agonists [MoA], Estrogen [EPC] |
| DEA Schedule | n/a |
| Marketing Category | NDA |
| Application Number | NDA208564 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 50261-0104-18 (50261010418)
| NDC Package Code | 50261-104-18 |
|---|---|
| Billing NDC | 50261010418 |
| Package | 1 BLISTER PACK in 1 CARTON (50261-104-18) / 18 INSERT in 1 BLISTER PACK |
| Marketing Start Date | 2018-08-10 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 25.3147 |
| Pricing Unit | EA |
| Effective Date | 2023-10-18 |
| NDC Description | IMVEXXY 4 MCG STARTER PACK |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4 |
| Classification for Rate Setting | B |
| 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