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NDC 65628-0272-10 Konvomep Details
Konvomep
Konvomep is a KIT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Azurity Pharmaceuticals, Inc.. The primary component is .
Product Information
| NDC | 65628-0272 |
|---|---|
| Product ID | 65628-272_6fc0a7c7-babb-4ab2-8e18-8a212803ce2d |
| Associated GPIs | |
| GCN Sequence Number | 083784 |
| GCN Sequence Number Description | omeprazole/sodium bicarbonate SUSP RECON 2-84 MG/ML ORAL |
| HIC3 | D4J |
| HIC3 Description | PROTON-PUMP INHIBITORS |
| GCN | 52842 |
| HICL Sequence Number | 033512 |
| HICL Sequence Number Description | OMEPRAZOLE/SODIUM BICARBONATE |
| Brand/Generic | Brand |
| Proprietary Name | Konvomep |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | omeprazole and sodium bicarbonate |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | KIT |
| Route | n/a |
| Active Ingredient Strength | n/a |
| Active Ingredient Units | n/a |
| Substance Name | n/a |
| Labeler Name | Azurity Pharmaceuticals, Inc. |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | NDA |
| Application Number | NDA213593 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 65628-0272-10 (65628027210)
| NDC Package Code | 65628-272-10 |
|---|---|
| Billing NDC | 65628027210 |
| Package | 1 KIT in 1 CARTON (65628-272-10) * 150 mL in 1 BOTTLE (65628-270-05) * 300 mL in 1 BOTTLE (65628-270-10) * 150 mL in 1 BOTTLE (65628-271-05) * 300 mL in 1 BOTTLE (65628-271-10) * 90 mL in 1 BOTTLE (65628-271-03) * 90 mL in 1 BOTTLE (65628-270- |
| Marketing Start Date | 2023-02-15 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 1.12607 |
| Pricing Unit | ML |
| Effective Date | 2023-11-22 |
| NDC Description | KONVOMEP 2-84 MG/ML ORAL SUSP |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 2, 5 |
| 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