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NDC 51754-5060-01 Betamethasone Sodium Phosphate and Betamethasone Acetate 3; 3 mg/mL; mg/mL Details
Betamethasone Sodium Phosphate and Betamethasone Acetate 3; 3 mg/mL; mg/mL
Betamethasone Sodium Phosphate and Betamethasone Acetate is a INTRA-ARTICULAR; INTRALESIONAL; INTRAMUSCULAR; SOFT TISSUE INJECTION, SUSPENSION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Exela Pharma Sciences, LLC. The primary component is BETAMETHASONE ACETATE; BETAMETHASONE SODIUM PHOSPHATE.
Product Information
| NDC | 51754-5060 |
|---|---|
| Product ID | 51754-5060_622efc66-cdc6-4560-8fc6-d66aeda93421 |
| Associated GPIs | 22109902101810 |
| GCN Sequence Number | 006758 |
| GCN Sequence Number Description | betamethasone acetate,sod phos VIAL 6 MG/ML INJECTION |
| HIC3 | P5A |
| HIC3 Description | GLUCOCORTICOIDS |
| GCN | 82300 |
| HICL Sequence Number | 002881 |
| HICL Sequence Number Description | BETAMETHASONE ACETATE/BETAMETHASONE SODIUM PHOSPHATE |
| Brand/Generic | Generic |
| Proprietary Name | Betamethasone Sodium Phosphate and Betamethasone Acetate |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Betamethasone Sodium Phosphate and Betamethasone Acetate |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | INJECTION, SUSPENSION |
| Route | INTRA-ARTICULAR; INTRALESIONAL; INTRAMUSCULAR; SOFT TISSUE |
| Active Ingredient Strength | 3; 3 |
| Active Ingredient Units | mg/mL; mg/mL |
| Substance Name | BETAMETHASONE ACETATE; BETAMETHASONE SODIUM PHOSPHATE |
| Labeler Name | Exela Pharma Sciences, LLC |
| Pharmaceutical Class | Corticosteroid Hormone Receptor Agonists [MoA], Corticosteroid Hormone Receptor Agonists [MoA], Corticosteroid [EPC], Corticosteroid [EPC] |
| DEA Schedule | n/a |
| Marketing Category | NDA AUTHORIZED GENERIC |
| Application Number | NDA014602 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 51754-5060-01 (51754506001)
| NDC Package Code | 51754-5060-1 |
|---|---|
| Billing NDC | 51754506001 |
| Package | 1 VIAL, MULTI-DOSE in 1 BOX (51754-5060-1) / 5 mL in 1 VIAL, MULTI-DOSE |
| Marketing Start Date | 2021-06-01 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 8.1356 |
| Pricing Unit | ML |
| Effective Date | 2023-06-21 |
| NDC Description | BETAMETHASONE SP-AC 30 MG/5 ML |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4, 5, 6 |
| 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