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NDC 63868-0208-12 Hemorrhoidal 1768.8; 5 mg/1; mg/1 Details
Hemorrhoidal 1768.8; 5 mg/1; mg/1
Hemorrhoidal is a RECTAL SUPPOSITORY in the HUMAN OTC DRUG category. It is labeled and distributed by Chain Drug Marketing Association, Inc.. The primary component is COCOA BUTTER; PHENYLEPHRINE HYDROCHLORIDE.
Product Information
NDC | 63868-0208 |
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Product ID | 63868-208_c2b05115-160d-7c65-e053-2995a90a13fd |
Associated GPIs | 89994002335225 |
GCN Sequence Number | 071662 |
GCN Sequence Number Description | phenylephrine HCl/cocoa butter SUPP.RECT 0.25-88.44 RECTAL |
HIC3 | Q3D |
HIC3 Description | HEMORRHOIDAL PREPARATIONS |
GCN | 35585 |
HICL Sequence Number | 040185 |
HICL Sequence Number Description | PHENYLEPHRINE HCL/COCOA BUTTER |
Brand/Generic | Generic |
Proprietary Name | Hemorrhoidal |
Proprietary Name Suffix | n/a |
Non-Proprietary Name | COCOA BUTTER, PHENYLEPHRINE HYDROCHLORIDE |
Product Type | HUMAN OTC DRUG |
Dosage Form | SUPPOSITORY |
Route | RECTAL |
Active Ingredient Strength | 1768.8; 5 |
Active Ingredient Units | mg/1; mg/1 |
Substance Name | COCOA BUTTER; PHENYLEPHRINE HYDROCHLORIDE |
Labeler Name | Chain Drug Marketing Association, Inc. |
Pharmaceutical Class | Adrenergic alpha1-Agonists [MoA], alpha-1 Adrenergic Agonist [EPC] |
DEA Schedule | n/a |
Marketing Category | OTC MONOGRAPH FINAL |
Application Number | part346 |
Listing Certified Through | 2023-12-31 |
Package
Package Images


NDC 63868-0208-12 (63868020812)
NDC Package Code | 63868-208-12 |
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Billing NDC | 63868020812 |
Package | 12 BLISTER PACK in 1 BOX (63868-208-12) / 1 SUPPOSITORY in 1 BLISTER PACK |
Marketing Start Date | 2021-05-18 |
NDC Exclude Flag | N |
Pricing Information | |
Price Per Unit | 0.18976 |
Pricing Unit | EA |
Effective Date | 2022-11-23 |
NDC Description | QC HEMORRHOIDAL SUPPOSITORIES |
Pharmacy Type Indicator | C/I |
OTC | Y |
Explanation Code | 1 |
Classification for Rate Setting | G |
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
Standard Product Labeling (SPL)/Prescribing Information SPL a01ee29d-02ca-4473-aa90-c2e8174dba26 Details
Active Ingredients
SPL UNCLASSIFIED SECTION
Uses
Ask a doctor or pharmacist before use if you are
Ask a doctor before use if you have
When using this product
Directions Adults
INGREDIENTS AND APPEARANCE
HEMORRHOIDAL
cocoa butter, phenylephrine hydrochloride suppository |
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Labeler - Chain Drug Marketing Association, Inc. (011920774) |
Registrant - Acino Products, LLC. (019385518) |
Establishment | |||
Name | Address | ID/FEI | Business Operations |
---|---|---|---|
Acino Products, LLC. | 019385518 | manufacture(63868-208) |
Revised: 5/2021
Document Id: c2b05115-160d-7c65-e053-2995a90a13fd
Set id: a01ee29d-02ca-4473-aa90-c2e8174dba26
Version: 3
Effective Time: 20210519