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    NDC 66689-0305-16 Sucralfate 1 g/10mL Details

    Sucralfate 1 g/10mL

    Sucralfate is a ORAL SUSPENSION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by VistaPharm, LLC. The primary component is SUCRALFATE.

    Product Information

    NDC 66689-0305
    Product ID 66689-305_f133ac10-0969-47cb-932a-7b100b05105c
    Associated GPIs 49300010001820
    GCN Sequence Number 016133
    GCN Sequence Number Description sucralfate ORAL SUSP 1 G/10 ML ORAL
    HIC3 D4E
    HIC3 Description ANTI-ULCER PREPARATIONS
    GCN 07651
    HICL Sequence Number 001186
    HICL Sequence Number Description SUCRALFATE
    Brand/Generic Generic
    Proprietary Name Sucralfate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Sucralfate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SUSPENSION
    Route ORAL
    Active Ingredient Strength 1
    Active Ingredient Units g/10mL
    Substance Name SUCRALFATE
    Labeler Name VistaPharm, LLC
    Pharmaceutical Class Aluminum Complex [EPC], Organometallic Compounds [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA211884
    Listing Certified Through 2024-12-31

    Package

    NDC 66689-0305-16 (66689030516)

    NDC Package Code 66689-305-16
    Billing NDC 66689030516
    Package 1 BOTTLE, PLASTIC in 1 CARTON (66689-305-16) / 414 mL in 1 BOTTLE, PLASTIC
    Marketing Start Date 2022-03-15
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.34854
    Pricing Unit ML
    Effective Date 2022-11-23
    NDC Description SUCRALFATE 1 GM/10 ML SUSP
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 5
    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