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    NDC 67877-0422-60 Choleystyramine Light 4 g/5.718g Details

    Choleystyramine Light 4 g/5.718g

    Choleystyramine Light is a ORAL POWDER, FOR SUSPENSION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Ascend Laboratories, LLC. The primary component is CHOLESTYRAMINE.

    Product Information

    NDC 67877-0422
    Product ID 67877-422_a07c3c73-7408-40a1-9c2d-36d47ade8b0e
    Associated GPIs
    GCN Sequence Number 003100
    GCN Sequence Number Description cholestyramine/aspartame POWD PACK 4 G ORAL
    HIC3 D7L
    HIC3 Description BILE SALT SEQUESTRANTS
    GCN 09850
    HICL Sequence Number 001373
    HICL Sequence Number Description CHOLESTYRAMINE/ASPARTAME
    Brand/Generic Generic
    Proprietary Name Choleystyramine Light
    Proprietary Name Suffix n/a
    Non-Proprietary Name Choleystyramine Light
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form POWDER, FOR SUSPENSION
    Route ORAL
    Active Ingredient Strength 4
    Active Ingredient Units g/5.718g
    Substance Name CHOLESTYRAMINE
    Labeler Name Ascend Laboratories, LLC
    Pharmaceutical Class Bile Acid Sequestrant [EPC], Bile-acid Binding Activity [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA211799
    Listing Certified Through 2024-12-31

    Package

    NDC 67877-0422-60 (67877042260)

    NDC Package Code 67877-422-60
    Billing NDC 67877042260
    Package 60 POUCH in 1 CARTON (67877-422-60) / 5.718 g in 1 POUCH (67877-422-57)
    Marketing Start Date 2021-10-20
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.97041
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description CHOLESTYRAMINE LIGHT PACKET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    Classification for Rate Setting G
    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

    Standard Product Labeling (SPL)/Prescribing Information SPL 4c9d4561-d5b5-463b-ac57-1bc4d84d135d Details

    Revised: 7/2022