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    NDC 63481-0687-06 LIDODERM 50 mg/g Details

    LIDODERM 50 mg/g

    LIDODERM is a CUTANEOUS PATCH in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Endo Pharmaceuticals Inc.. The primary component is LIDOCAINE.

    Product Information

    NDC 63481-0687
    Product ID 63481-687_e3bb80f5-e881-4c0f-87bd-21cac3e07281
    Associated GPIs 90850060005930
    GCN Sequence Number 043256
    GCN Sequence Number Description lidocaine ADH. PATCH 5 % TOPICAL
    HIC3 Q5H
    HIC3 Description TOPICAL LOCAL ANESTHETICS
    GCN 50272
    HICL Sequence Number 010705
    HICL Sequence Number Description LIDOCAINE
    Brand/Generic Brand
    Proprietary Name LIDODERM
    Proprietary Name Suffix n/a
    Non-Proprietary Name lidocaine
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form PATCH
    Route CUTANEOUS
    Active Ingredient Strength 50
    Active Ingredient Units mg/g
    Substance Name LIDOCAINE
    Labeler Name Endo Pharmaceuticals Inc.
    Pharmaceutical Class Amide Local Anesthetic [EPC], Amides [CS], Antiarrhythmic [EPC], Local Anesthesia [PE]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA020612
    Listing Certified Through n/a

    Package

    NDC 63481-0687-06 (63481068706)

    NDC Package Code 63481-687-06
    Billing NDC 63481068706
    Package 30 POUCH in 1 CARTON (63481-687-06) / 1 g in 1 POUCH (63481-687-01)
    Marketing Start Date 1999-03-20
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 23.1661
    Pricing Unit EA
    Effective Date 2022-01-01
    NDC Description LIDODERM 5% PATCH
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 2
    Classification for Rate Setting B
    As of Date 2022-11-23
    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