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NDC 69238-2122-09 Prednisolone Sodium Phosphate 15 mg/5mL Details
Prednisolone Sodium Phosphate 15 mg/5mL
Prednisolone Sodium Phosphate is a ORAL SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Amneal Pharmaceuticals NY LLC. The primary component is PREDNISOLONE SODIUM PHOSPHATE.
Product Information
| NDC | 69238-2122 |
|---|---|
| Product ID | 69238-2122_8e99cf23-8172-4781-9ae0-856dee87a74e |
| Associated GPIs | |
| GCN Sequence Number | 047282 |
| GCN Sequence Number Description | prednisolone sodium phosphate SOLUTION 15 MG/5 ML ORAL |
| HIC3 | P5A |
| HIC3 Description | GLUCOCORTICOIDS |
| GCN | 33806 |
| HICL Sequence Number | 002871 |
| HICL Sequence Number Description | PREDNISOLONE SODIUM PHOSPHATE |
| Brand/Generic | Generic |
| Proprietary Name | Prednisolone Sodium Phosphate |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Prednisolone Sodium Phosphate |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | SOLUTION |
| Route | ORAL |
| Active Ingredient Strength | 15 |
| Active Ingredient Units | mg/5mL |
| Substance Name | PREDNISOLONE SODIUM PHOSPHATE |
| Labeler Name | Amneal Pharmaceuticals NY LLC |
| Pharmaceutical Class | Corticosteroid Hormone Receptor Agonists [MoA], Corticosteroid [EPC] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA216715 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 69238-2122-09 (69238212209)
| NDC Package Code | 69238-2122-9 |
|---|---|
| Billing NDC | 69238212209 |
| Package | 237 mL in 1 BOTTLE (69238-2122-9) |
| Marketing Start Date | 2022-10-27 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.13263 |
| Pricing Unit | ML |
| Effective Date | 2024-02-21 |
| NDC Description | PREDNISOLONE 15 MG/5 ML SOLN |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| 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