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NDC 69367-0310-56 Sodium Fluoride 1.1% Gel 5 mg/g Details
Sodium Fluoride 1.1% Gel 5 mg/g
Sodium Fluoride 1.1% Gel is a DENTAL GEL in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Westminster Pharmaceuticals, LLC. The primary component is SODIUM FLUORIDE.
MedlinePlus Drug Summary
Fluoride is used to prevent tooth decay. It is taken up by teeth and helps to strengthen teeth, resist acid, and block the cavity-forming action of bacteria. Fluoride usually is prescribed for children and adults whose homes have water that is not fluoridated (already has fluoride added). This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
Related Packages: 69367-0310-56Last Updated: 12/01/2022
MedLinePlus Full Drug Details: Fluoride
Product Information
| NDC | 69367-0310 |
|---|---|
| Product ID | 69367-310_4251b577-cd67-4556-a1cc-207aea831860 |
| Associated GPIs | 88402020004020 |
| GCN Sequence Number | 002607 |
| GCN Sequence Number Description | fluoride (sodium) GEL (GRAM) 1.1 % DENTAL |
| HIC3 | D2A |
| HIC3 Description | FLUORIDE PREPARATIONS |
| GCN | 07358 |
| HICL Sequence Number | 001127 |
| HICL Sequence Number Description | FLUORIDE (SODIUM) |
| Brand/Generic | Generic |
| Proprietary Name | Sodium Fluoride 1.1% Gel |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Sodium Fluoride |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | GEL |
| Route | DENTAL |
| Active Ingredient Strength | 5 |
| Active Ingredient Units | mg/g |
| Substance Name | SODIUM FLUORIDE |
| Labeler Name | Westminster Pharmaceuticals, LLC |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | UNAPPROVED DRUG OTHER |
| Application Number | n/a |
| Listing Certified Through | 2024-12-31 |
Package
NDC 69367-0310-56 (69367031056)
| NDC Package Code | 69367-310-56 |
|---|---|
| Billing NDC | 69367031056 |
| Package | 1 TUBE in 1 CARTON (69367-310-56) / 56 g in 1 TUBE |
| Marketing Start Date | 2021-03-09 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.13416 |
| Pricing Unit | GM |
| Effective Date | 2024-02-21 |
| NDC Description | SODIUM FLUORIDE 1.1% GEL |
| 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