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NDC 65649-0400-01 Plenvu Details
Plenvu
Plenvu is a KIT in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Salix Pharmaceuticals, Inc. The primary component is .
Product Information
| NDC | 65649-0400 |
|---|---|
| Product ID | 65649-400_c23688c3-a0ff-40bd-aa0c-9ebee4f69119 |
| Associated GPIs | 46992006302135 |
| GCN Sequence Number | 078699 |
| GCN Sequence Number Description | peg3350/sod sul/NaCl/KCl/asb/C POWD PK SQ 140-9-5.2G ORAL |
| HIC3 | D6S |
| HIC3 Description | LAXATIVES AND CATHARTICS |
| GCN | 43893 |
| HICL Sequence Number | 034026 |
| HICL Sequence Number Description | PEG 3350/SODIUM SULFATE/SOD CHLORIDE/KCL/ASCORBATE SOD/VIT C |
| Brand/Generic | Brand |
| Proprietary Name | Plenvu |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | POLYETHYLENE GLYCOL 3350, SODIUM SULFATE, SODIUM CHLORIDE, POTASSIUM CHLORIDE, ASCORBIC ACID, SODIUM ASCORBATE |
| 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 | Salix Pharmaceuticals, Inc |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | NDA |
| Application Number | NDA209381 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 65649-0400-01 (65649040001)
| NDC Package Code | 65649-400-01 |
|---|---|
| Billing NDC | 65649040001 |
| Package | 1 KIT in 1 CARTON (65649-400-01) * 46.26 POWDER, FOR SOLUTION in 1 POUCH * 55.65 POWDER, FOR SOLUTION in 1 POUCH * 115.96 POWDER, FOR SOLUTION in 1 POUCH |
| Marketing Start Date | 2018-05-04 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 45.135 |
| Pricing Unit | EA |
| Effective Date | 2024-01-01 |
| NDC Description | PLENVU POWDER PACKETS |
| 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