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    NDC 68001-0505-55 Polyethylene Glycol 17 g/17g Details

    Polyethylene Glycol 17 g/17g

    Polyethylene Glycol is a ORAL POWDER, FOR SUSPENSION in the HUMAN OTC DRUG category. It is labeled and distributed by BluePoint Laboratories. The primary component is POLYETHYLENE GLYCOL 3350.

    Product Information

    NDC 68001-0505
    Product ID 68001-505_cc6e2865-14e2-1ac7-e053-2a95a90acbc0
    Associated GPIs 46600033002910
    GCN Sequence Number 041843
    GCN Sequence Number Description polyethylene glycol 3350 POWDER 17 G/DOSE ORAL
    HIC3 D6S
    HIC3 Description LAXATIVES AND CATHARTICS
    GCN 86212
    HICL Sequence Number 022819
    HICL Sequence Number Description POLYETHYLENE GLYCOL 3350
    Brand/Generic Generic
    Proprietary Name Polyethylene Glycol
    Proprietary Name Suffix n/a
    Non-Proprietary Name Polyethylene Glycol
    Product Type HUMAN OTC DRUG
    Dosage Form POWDER, FOR SUSPENSION
    Route ORAL
    Active Ingredient Strength 17
    Active Ingredient Units g/17g
    Substance Name POLYETHYLENE GLYCOL 3350
    Labeler Name BluePoint Laboratories
    Pharmaceutical Class Osmotic Activity [MoA], Osmotic Laxative [EPC], Stimulation Large Intestine Fluid/Electrolyte Secretion [PE]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA091077
    Listing Certified Through 2024-12-31

    Package

    NDC 68001-0505-55 (68001050555)

    NDC Package Code 68001-505-55
    Billing NDC 68001050555
    Package 238 g in 1 BOTTLE (68001-505-55)
    Marketing Start Date 2021-06-18
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.02425
    Pricing Unit GM
    Effective Date 2024-02-21
    NDC Description POLYETHYLENE GLYCOL 3350 POWD
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 1, 5
    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 c4cae70c-68da-0bbc-e053-2a95a90a395a Details

    Revised: 9/2021