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    NDC 59088-0104-73 Fluoride 0.25 mg/1 Details

    Fluoride 0.25 mg/1

    Fluoride is a ORAL TABLET, CHEWABLE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by PureTek Corporation. The primary component is SODIUM FLUORIDE.

    Product Information

    NDC 59088-0104
    Product ID 59088-104_cd86c009-e9ca-4b68-b85d-28b0bdcfbef7
    Associated GPIs 79300020000505
    GCN Sequence Number 002621
    GCN Sequence Number Description fluoride (sodium) TAB CHEW 0.25(0.55) ORAL
    HIC3 D2A
    HIC3 Description FLUORIDE PREPARATIONS
    GCN 07510
    HICL Sequence Number 001127
    HICL Sequence Number Description FLUORIDE (SODIUM)
    Brand/Generic Generic
    Proprietary Name Fluoride
    Proprietary Name Suffix n/a
    Non-Proprietary Name Sodium Fluoride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, CHEWABLE
    Route ORAL
    Active Ingredient Strength 0.25
    Active Ingredient Units mg/1
    Substance Name SODIUM FLUORIDE
    Labeler Name PureTek Corporation
    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 59088-0104-73 (59088010473)

    NDC Package Code 59088-104-73
    Billing NDC 59088010473
    Package 120 TABLET, CHEWABLE in 1 BOTTLE, PLASTIC (59088-104-73)
    Marketing Start Date 2011-06-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.05772
    Pricing Unit EA
    Effective Date 2023-10-18
    NDC Description FLUORIDE 0.25 MG TABLET CHEW
    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

    Standard Product Labeling (SPL)/Prescribing Information SPL c868e459-33b6-47e9-af4d-3d421d91772d Details

    Revised: 12/2018