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NDC 58914-0301-80 Rectiv 4 mg/g Details
Rectiv 4 mg/g
Rectiv is a RECTAL OINTMENT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Allergan, Inc.. The primary component is NITROGLYCERIN.
Product Information
| NDC | 58914-0301 |
|---|---|
| Product ID | 58914-301_3b37d47a-55a8-4d71-bd48-c9494caeb546 |
| Associated GPIs | 89254060004220 |
| GCN Sequence Number | 059201 |
| GCN Sequence Number Description | nitroglycerin OINT. (G) 0.4% (W/W) RECTAL |
| HIC3 | Q3T |
| HIC3 Description | LOCAL ANORECTAL NITRATE PREPARATIONS |
| GCN | 24745 |
| HICL Sequence Number | 000159 |
| HICL Sequence Number Description | NITROGLYCERIN |
| Brand/Generic | Brand |
| Proprietary Name | Rectiv |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | nitroglycerin |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | OINTMENT |
| Route | RECTAL |
| Active Ingredient Strength | 4 |
| Active Ingredient Units | mg/g |
| Substance Name | NITROGLYCERIN |
| Labeler Name | Allergan, Inc. |
| Pharmaceutical Class | Nitrate Vasodilator [EPC], Nitrates [CS], Vasodilation [PE] |
| DEA Schedule | n/a |
| Marketing Category | NDA |
| Application Number | NDA021359 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 58914-0301-80 (58914030180)
| NDC Package Code | 58914-301-80 |
|---|---|
| Billing NDC | 58914030180 |
| Package | 1 TUBE in 1 CARTON (58914-301-80) / 30 g in 1 TUBE |
| Marketing Start Date | 2011-06-21 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 20.4639 |
| Pricing Unit | GM |
| Effective Date | 2023-12-20 |
| NDC Description | RECTIV 0.4% OINTMENT |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 2, 5 |
| 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