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    NDC 69367-0311-01 Sodium Fluoride 5000 PPM 6 mg/mL Details

    Sodium Fluoride 5000 PPM 6 mg/mL

    Sodium Fluoride 5000 PPM is a DENTAL PASTE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Westminster Pharmaceuticals, LLC. The primary component is SODIUM FLUORIDE.

    Product Information

    NDC 69367-0311
    Product ID 69367-311_84c383e6-b936-4ab2-a099-900f5b05b541
    Associated GPIs 88402020004418
    GCN Sequence Number 060583
    GCN Sequence Number Description fluoride (sodium) PASTE (ML) 1.1 % DENTAL
    HIC3 D2A
    HIC3 Description FLUORIDE PREPARATIONS
    GCN 26755
    HICL Sequence Number 001127
    HICL Sequence Number Description FLUORIDE (SODIUM)
    Brand/Generic Generic
    Proprietary Name Sodium Fluoride 5000 PPM
    Proprietary Name Suffix n/a
    Non-Proprietary Name Sodium Fluoride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form PASTE
    Route DENTAL
    Active Ingredient Strength 6
    Active Ingredient Units mg/mL
    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 69367-0311-01 (69367031101)

    NDC Package Code 69367-311-01
    Billing NDC 69367031101
    Package 100 mL in 1 TUBE (69367-311-01)
    Marketing Start Date 2021-06-16
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.11436
    Pricing Unit ML
    Effective Date 2024-02-21
    NDC Description SODIUM FLUORIDE 5000 PPM PASTE
    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