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NDC 69367-0183-16 chlophedianol hydrochloride, dexchlorpheniramine maleate, and pseudoephedrine hydrochloride 12.5; 1; 30 mg/5mL; mg/5mL; mg/5mL Details
chlophedianol hydrochloride, dexchlorpheniramine maleate, and pseudoephedrine hydrochloride 12.5; 1; 30 mg/5mL; mg/5mL; mg/5mL
chlophedianol hydrochloride, dexchlorpheniramine maleate, and pseudoephedrine hydrochloride is a ORAL LIQUID in the HUMAN OTC DRUG category. It is labeled and distributed by Westminster Pharmaceuticals, LLC. The primary component is CHLOPHEDIANOL HYDROCHLORIDE; DEXCHLORPHENIRAMINE MALEATE; PSEUDOEPHEDRINE HYDROCHLORIDE.
Product Information
| NDC | 69367-0183 |
|---|---|
| Product ID | 69367-183_96d9744b-983e-49ca-8be6-0d2fa89a8e4f |
| Associated GPIs | 43995803630920 |
| GCN Sequence Number | 064077 |
| GCN Sequence Number Description | dexchlorphenir/pse/chlophedian LIQUID 1-30-12.5 ORAL |
| HIC3 | B3R |
| HIC3 Description | NON-OPIOID ANTITUS-1ST GEN.ANTIHISTAMINE-DECONGEST |
| GCN | 99788 |
| HICL Sequence Number | 035643 |
| HICL Sequence Number Description | DEXCHLORPHENIRAMINE MALEATE/PSEUDOEPHEDRINE/CHLOPHEDIANOL |
| Brand/Generic | Generic |
| Proprietary Name | chlophedianol hydrochloride, dexchlorpheniramine maleate, and pseudoephedrine hydrochloride |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | chlophedianol hydrochloride, dexchlorpheniramine maleate, and pseudoephedrine hydrochloride |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | LIQUID |
| Route | ORAL |
| Active Ingredient Strength | 12.5; 1; 30 |
| Active Ingredient Units | mg/5mL; mg/5mL; mg/5mL |
| Substance Name | CHLOPHEDIANOL HYDROCHLORIDE; DEXCHLORPHENIRAMINE MALEATE; PSEUDOEPHEDRINE HYDROCHLORIDE |
| Labeler Name | Westminster Pharmaceuticals, LLC |
| Pharmaceutical Class | Adrenergic alpha-Agonists [MoA], alpha-Adrenergic Agonist [EPC] |
| DEA Schedule | n/a |
| Marketing Category | OTC MONOGRAPH DRUG |
| Application Number | M012 |
| Listing Certified Through | n/a |
Package
NDC 69367-0183-16 (69367018316)
| NDC Package Code | 69367-183-16 |
|---|---|
| Billing NDC | 69367018316 |
| Package | 473 mL in 1 BOTTLE (69367-183-16) |
| Marketing Start Date | 2021-07-29 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.09755 |
| Pricing Unit | ML |
| Effective Date | 2022-05-18 |
| NDC Description | CHLOPHEDIANOL-DEXCHLORP-PSE LQ |
| Pharmacy Type Indicator | C/I |
| OTC | Y |
| Explanation Code | 4, 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