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    NDC 58657-0161-10 Sodium Fluoride Chewable 0.5 mg/1 Details

    Sodium Fluoride Chewable 0.5 mg/1

    Sodium Fluoride Chewable is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Method Pharmaceuticals, LLC. The primary component is SODIUM FLUORIDE.

    Product Information

    NDC 58657-0161
    Product ID 58657-161_0c1dd419-8c73-b9f3-e063-6394a90aebee
    Associated GPIs 79300020000510
    GCN Sequence Number 002622
    GCN Sequence Number Description fluoride (sodium) TAB CHEW 0.5(1.1)MG ORAL
    HIC3 D2A
    HIC3 Description FLUORIDE PREPARATIONS
    GCN 07511
    HICL Sequence Number 001127
    HICL Sequence Number Description FLUORIDE (SODIUM)
    Brand/Generic Generic
    Proprietary Name Sodium Fluoride Chewable
    Proprietary Name Suffix n/a
    Non-Proprietary Name Sodium Fluoride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 0.5
    Active Ingredient Units mg/1
    Substance Name SODIUM FLUORIDE
    Labeler Name Method Pharmaceuticals, LLC
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category UNAPPROVED DRUG OTHER
    Application Number n/a
    Listing Certified Through 2024-12-31

    Package

    NDC 58657-0161-10 (58657016110)

    NDC Package Code 58657-161-10
    Billing NDC 58657016110
    Package 1000 TABLET in 1 BOTTLE (58657-161-10)
    Marketing Start Date 2018-08-17
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.0647
    Pricing Unit EA
    Effective Date 2024-01-17
    NDC Description SODIUM FLUORIDE 0.5 MG(1.1 MG)
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    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