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    NDC 51079-0306-30 Polyethylene Glycol (3350) 17 g/17g Details

    Polyethylene Glycol (3350) 17 g/17g

    Polyethylene Glycol (3350) is a ORAL POWDER, FOR SOLUTION in the HUMAN OTC DRUG category. It is labeled and distributed by Mylan Institutional Inc.. The primary component is POLYETHYLENE GLYCOL 3500.

    Product Information

    NDC 51079-0306
    Product ID 51079-306_08a2221c-381a-8f50-e063-6294a90a36f1
    Associated GPIs 46600033003020
    GCN Sequence Number 034313
    GCN Sequence Number Description polyethylene glycol 3350 POWD PACK 17 G ORAL
    HIC3 D6S
    HIC3 Description LAXATIVES AND CATHARTICS
    GCN 86211
    HICL Sequence Number 022819
    HICL Sequence Number Description POLYETHYLENE GLYCOL 3350
    Brand/Generic Generic
    Proprietary Name Polyethylene Glycol (3350)
    Proprietary Name Suffix n/a
    Non-Proprietary Name polyethylene glycol (3350)
    Product Type HUMAN OTC DRUG
    Dosage Form POWDER, FOR SOLUTION
    Route ORAL
    Active Ingredient Strength 17
    Active Ingredient Units g/17g
    Substance Name POLYETHYLENE GLYCOL 3500
    Labeler Name Mylan Institutional Inc.
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA078915
    Listing Certified Through 2024-12-31

    Package

    NDC 51079-0306-30 (51079030630)

    NDC Package Code 51079-306-30
    Billing NDC 51079030630
    Package 30 POUCH in 1 CARTON (51079-306-30) / 17 g in 1 POUCH (51079-306-01)
    Marketing Start Date 2009-10-12
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 1.13705
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description POLYETHYLENE GLYCOL 3350 POWD
    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