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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
    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

    NDC 63868-0208-12 (63868020812)

    NDC Package Code 63868-208-12
    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

    Revised: 5/2021