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NDC 63459-0548-28 FENTORA 800 ug/1 Details
FENTORA 800 ug/1
FENTORA is a BUCCAL; SUBLINGUAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Cephalon, LLC. The primary component is FENTANYL CITRATE.
Product Information
| NDC | 63459-0548 |
|---|---|
| Product ID | 63459-548_0241b137-cfa8-4101-b05b-da1938a22963 |
| Associated GPIs | 65100025100350 |
| GCN Sequence Number | 061497 |
| GCN Sequence Number Description | fentanyl citrate TABLET EFF 800 MCG BUCCAL |
| HIC3 | H3A |
| HIC3 Description | OPIOID ANALGESICS |
| GCN | 97285 |
| HICL Sequence Number | 001747 |
| HICL Sequence Number Description | FENTANYL CITRATE |
| Brand/Generic | Brand |
| Proprietary Name | FENTORA |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Fentanyl |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | TABLET |
| Route | BUCCAL; SUBLINGUAL |
| Active Ingredient Strength | 800 |
| Active Ingredient Units | ug/1 |
| Substance Name | FENTANYL CITRATE |
| Labeler Name | Cephalon, LLC |
| Pharmaceutical Class | Full Opioid Agonists [MoA], Opioid Agonist [EPC] |
| DEA Schedule | CII |
| Marketing Category | NDA |
| Application Number | NDA021947 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 63459-0548-28 (63459054828)
| NDC Package Code | 63459-548-28 |
|---|---|
| Billing NDC | 63459054828 |
| Package | 28 BLISTER PACK in 1 CARTON (63459-548-28) / 1 TABLET in 1 BLISTER PACK (63459-548-04) |
| Marketing Start Date | 2006-10-02 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 223.952 |
| Pricing Unit | EA |
| Effective Date | 2024-01-01 |
| NDC Description | FENTORA 800 MCG BUCCAL TABLET |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4 |
| 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