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    NDC 69751-0100-12 Phexxi 50; 90; 20 mg/5g; mg/5g; mg/5g Details

    Phexxi 50; 90; 20 mg/5g; mg/5g; mg/5g

    Phexxi is a VAGINAL GEL in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Evofem, Inc.. The primary component is CITRIC ACID MONOHYDRATE; LACTIC ACID, L-; POTASSIUM BITARTRATE.

    Product Information

    NDC 69751-0100
    Product ID 69751-100_11e3cfeb-3ae2-4e97-88f9-3e4cdf770659
    Associated GPIs 55329903404020
    GCN Sequence Number 081105
    GCN Sequence Number Description lactic acid/citric/potassium GEL/PF APP 1.8-1-0.4% VAGINAL
    HIC3 G9A
    HIC3 Description CONTRACEPTIVES,INTRAVAGINAL
    GCN 48142
    HICL Sequence Number 046568
    HICL Sequence Number Description LACTIC ACID/CITRIC ACID/POTASSIUM BITARTRATE
    Brand/Generic Brand
    Proprietary Name Phexxi
    Proprietary Name Suffix n/a
    Non-Proprietary Name lactic acid, L-, citric acid monohydrate, and potassium bitartrate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form GEL
    Route VAGINAL
    Active Ingredient Strength 50; 90; 20
    Active Ingredient Units mg/5g; mg/5g; mg/5g
    Substance Name CITRIC ACID MONOHYDRATE; LACTIC ACID, L-; POTASSIUM BITARTRATE
    Labeler Name Evofem, Inc.
    Pharmaceutical Class Acidifying Activity [MoA], Anti-coagulant [EPC], Calcium Chelating Activity [MoA], Calculi Dissolution Agent [EPC], Decreased Coagulation Factor Activity [PE]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA208352
    Listing Certified Through 2024-12-31

    Package

    NDC 69751-0100-12 (69751010012)

    NDC Package Code 69751-100-12
    Billing NDC 69751010012
    Package 12 APPLICATOR in 1 BOX (69751-100-12) / 5 g in 1 APPLICATOR (69751-100-01)
    Marketing Start Date 2020-09-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 5.56494
    Pricing Unit GM
    Effective Date 2024-01-01
    NDC Description PHEXXI 1.8-1-0.4% VAGINAL GEL
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 5
    Classification for Rate Setting B
    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