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    NDC 59762-5030-01 Fluconazole 40 mg/mL Details

    Fluconazole 40 mg/mL

    Fluconazole is a ORAL POWDER, FOR SUSPENSION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Greenstone LLC. The primary component is FLUCONAZOLE.

    Product Information

    NDC 59762-5030
    Product ID 59762-5030_82a4842a-0afa-4450-aa0b-8b8bad45120b
    Associated GPIs 11407015001940
    GCN Sequence Number 018636
    GCN Sequence Number Description fluconazole SUSP RECON 40 MG/ML ORAL
    HIC3 W3B
    HIC3 Description ANTIFUNGAL AGENTS
    GCN 60821
    HICL Sequence Number 004868
    HICL Sequence Number Description FLUCONAZOLE
    Brand/Generic Generic
    Proprietary Name Fluconazole
    Proprietary Name Suffix n/a
    Non-Proprietary Name fluconazole
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form POWDER, FOR SUSPENSION
    Route ORAL
    Active Ingredient Strength 40
    Active Ingredient Units mg/mL
    Substance Name FLUCONAZOLE
    Labeler Name Greenstone LLC
    Pharmaceutical Class Azole Antifungal [EPC], Azoles [CS], Cytochrome P450 2C19 Inhibitors [MoA], Cytochrome P450 2C9 Inhibitors [MoA], Cytochrome P450 3A4 Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category NDA AUTHORIZED GENERIC
    Application Number NDA020090
    Listing Certified Through 2024-12-31

    Package

    NDC 59762-5030-01 (59762503001)

    NDC Package Code 59762-5030-1
    Billing NDC 59762503001
    Package 1 BOTTLE in 1 CARTON (59762-5030-1) / 35 mL in 1 BOTTLE
    Marketing Start Date 1993-12-23
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.6396
    Pricing Unit ML
    Effective Date 2024-02-21
    NDC Description FLUCONAZOLE 40 MG/ML SUSP
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 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