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NDC 69238-1993-01 Butalbital, Aspirin, Caffeine and Codeine Phosphate 325; 50; 40; 30 mg/1; mg/1; mg/1; mg/1 Details
Butalbital, Aspirin, Caffeine and Codeine Phosphate 325; 50; 40; 30 mg/1; mg/1; mg/1; mg/1
Butalbital, Aspirin, Caffeine and Codeine Phosphate is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Amneal Pharmaceuticals NY LLC. The primary component is ASPIRIN; BUTALBITAL; CAFFEINE; CODEINE PHOSPHATE.
Product Information
| NDC | 69238-1993 |
|---|---|
| Product ID | 69238-1993_c5c722ff-80b5-448e-9cee-8fe3f786f4ae |
| Associated GPIs | 65991004300115 |
| GCN Sequence Number | 004120 |
| GCN Sequence Number Description | codeine/butalbital/ASA/caffein CAPSULE 30-50-325 ORAL |
| HIC3 | H3R |
| HIC3 Description | OPIOID AND SALICYLATE ANALGESICS,BARBIT,XANTHINE |
| GCN | 69500 |
| HICL Sequence Number | 001699 |
| HICL Sequence Number Description | CODEINE PHOSPHATE/BUTALBITAL/ASPIRIN/CAFFEINE |
| Brand/Generic | Generic |
| Proprietary Name | Butalbital, Aspirin, Caffeine and Codeine Phosphate |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Butalbital, Aspirin, Caffeine and Codeine Phosphate |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | CAPSULE |
| Route | ORAL |
| Active Ingredient Strength | 325; 50; 40; 30 |
| Active Ingredient Units | mg/1; mg/1; mg/1; mg/1 |
| Substance Name | ASPIRIN; BUTALBITAL; CAFFEINE; CODEINE PHOSPHATE |
| Labeler Name | Amneal Pharmaceuticals NY LLC |
| Pharmaceutical Class | Anti-Inflammatory Agents, Non-Steroidal [CS], Barbiturate [EPC], Barbiturates [CS], Central Nervous System Stimulant [EPC], Central Nervous System Stimulation [PE], Cyclooxygenase Inhibitors [MoA], Decreased Platelet Aggregation [PE], Decreased Prostaglan |
| DEA Schedule | CIII |
| Marketing Category | ANDA |
| Application Number | ANDA074951 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 69238-1993-01 (69238199301)
| NDC Package Code | 69238-1993-1 |
|---|---|
| Billing NDC | 69238199301 |
| Package | 100 CAPSULE in 1 BOTTLE (69238-1993-1) |
| Marketing Start Date | 2019-04-01 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 1.37682 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | ASA-BUTALB-CAFF-COD #3 CAPSULE |
| 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