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MILK OF MAGNESIA MINT magnesium hydroxide 1200 mg/15mL Suspension, 355 mL — NDC 70000-0065-1 (Billing 70000-0065-01)

by CARDINAL HEALTH · 355 mL in 1 BOTTLE

This is a package of 355 mL of MILK OF MAGNESIA MINT magnesium hydroxide 1200 mg/15mL Suspension from CARDINAL HEALTH, marketed since Aug 2020 and currently FDA-listed; retail pharmacies pay about $0.0095 per mL (NADAC). It is this product's only package size.

NDC 70000-0065-01
🏷️ FDA NDC (as labeled) 70000-0065-1 billing pads the package segment with a zero
OTC On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Oct 1, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 70000-0065-1
Product NDC 70000-0065
11-digit billing NDC 70000006501
NCPDP billing unit ML — per mL (volume)
RxCUI 253017
UNII NBZ3QY004S
Application # M007
SPL Set ID af4b6b64-97c9-a794-e053-2a95a90aaf0b
Established class (EPC) Calculi Dissolution Agent; Osmotic Activity
Mechanism of action Magnesium Ion Exchange Activity
Physiologic effect Increased Large Intestinal Motility; Inhibition Large Intestine Fluid/Electrolyte Absorption; Inhibition Small Intestine Fluid/Electrolyte Absorption
DEA schedule Non-controlled
Marketing category OTC MONOGRAPH DRUG
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2020-08-01
Route ORAL
Dosage form SUSPENSION
Substance MAGNESIUM HYDROXIDE

Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification

GPI-14 46100010101820
GPI class Milk of Magnesia
GCN Seq No 003026
GCN 07950
HICL code 001329
Ingredient (HICL) Magnesium Hydroxide
HIC1 code D
Therapeutic class — broad (HIC1) Biliary System/Gastro-Intestinal System
HIC2 code D6
Therapeutic class — intermediate (HIC2) Drugs Acting Principally On The Colon
HIC3 code D6S
Therapeutic class — specific (HIC3) Laxatives And Cathartics
AHFS code 56:12.00.00
AHFS class Cathartics And Laxatives
FDB label name MILK OF MAGNESIA SUSPENSION
FDB brand name Milk Of Magnesia
Legend status O — Over-the-counter (OTC) drug or device
Quick answers
  • GSN (GCN sequence number): 003026
  • GCN: 07950
  • GPI-14 (Medi-Span): 46100010101820
  • HICL (First Databank): 001329
  • AHFS class code: 56:12.00.00
  • RxCUI (RxNorm): 253017
Why two NDCs? The FDA registers this code as 70000-0065-1 — a 5-4-1 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the package segment → 70000-0065-01. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

RxNorm drug class

This medicine belongs to the Magnesium compounds class.

Drug family (ATC) Magnesium compounds, Other urologicals
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

Clinical

Label name MILK OF MAGNESIA SUSPENSION Ingredient Magnesium Hydroxide
📗 Our plain-language guide HelloPharmacist
  • It depends on the product you pick up. Most magnesium hydroxide products — like Dulcolax liquid, Colace Fast-Acting Saline Laxative, MiraFAST soft chews, and many Milk of Magnesia...
  • What is magnesium hydroxide actually used for?
  • Yes, a few things matter here. If you're taking a liquid or suspension, shake it well before every use. Whatever form you take, follow it with a full 8-ounce glass of water or anot...
  • How should I take it — does it matter when or how I drink it?
📖 Read our full Magnesium Hydroxide guide →
3
Nutrient depletion considerations

Magnesium Hydroxide (OTC drug) may be associated with lower levels of 3 nutrients — worth a chat with your pharmacist, not a cause for alarm.

🧪 Full Magnesium Hydroxide (OTC drug) nutrient depletion report →
An association is not a deficiency. Educational only — don't start or stop anything without professional guidance.
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer mLPer package
Retail pharmacies payNADAC · weekly $0.010 $3.37 / 355 ml
Medicaid paysCMS SDUD · 12 mo $0.0363 $12.89 / 355 ml
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
NADAC price history (per mL) — tap or hover for the price & month
Jan 2022 Aug 2022 Jan 2026 Sep 2026 $0.010 $0.007
▲ Up 38% over the last 24 months.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

Packaging — all sizes for this product

Package NDCDescription Marketing startMarketing endStatus
70000-0065-01 You're viewing this Main listing 355 mL in 1 BOTTLE 2020-08-01 — Active

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Milk Of Magnesia Mint 1200 mg/15mL 00536-2470-85 Rugby 473 ml $0.006 — Availability likely save 32%
Milk Of Magnesia Original 1200 mg/15mL 00904-0788-16 MAJOR 473 ml $0.006 — Availability likely save 32%
Milk Of Magnesia Cherry 1200 mg/15mL 63868-0310-12 Chain 355 ml $0.009 — FDA listed save 6%
Milk Of Magnesia 1200 mg/15mL 00536-1319-83 RUGBY 355 ml $0.010 — Availability likely —
Milk Of Magnesia Cherry 1200 mg/15mL 46122-0435-40 AMERISOURCEBERGEN 355 ml $0.010 — Availability likely —
Milk Of Magnesia Mint 1200 mg/15mL 46122-0436-40 AMERISOURCEBERGEN 355 ml $0.010 — Availability likely —
Milk Of Magnesia 1200 mg/15mL 46122-0437-40 AMERISOURCEBERGEN 355 ml $0.010 — Availability likely —
Milk Of Magnesia 1200 mg/15mL 70000-0061-01 CARDINAL 355 ml $0.010 — Availability likely —
Milk Of Magnesia Mint 1200 mg/15mLthis 70000-0065-01 CARDINAL 355 ml $0.010 — Availability likely —
Milk Of Magnesia 1200 mg/15mL 70677-1072-01 Strategic 355 ml $0.010 — Availability likely —
Milk Of Magnesia 1200 mg/15mL 70677-1073-01 STRATEGIC 355 ml $0.010 — Availability likely —
Milk Of Magnesia 1200 mg/15mL 70677-1074-01 STRATEGIC 355 ml $0.010 — Availability likely —
Milk of Magnesia 2400 mg/30mL 00121-0431-30 PAI 10 cups — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 00363-0647-12 WALGREEN 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 00363-0649-12 WALGREEN 355 ml — — FDA listed —
Gentle Laxative 1200 mg/15mL 00363-1634-12 WALGREEN 355 ml — — FDA listed —
Milk Of Magnesia Cherry 1200 mg/15mL 00363-1648-12 WALGREEN 355 ml — — FDA listed —
Humco Milk of Magnesia 80 mg/mL 00395-1672-16 Humco 473 ml — — FDA listed —
Milk of Magnesia 2400 mg/30mL 00904-7564-73 Major 10 cups — — FDA listed —
Milk Of Magnesia Cherry 1200 mg/15mL 11822-0399-04 RITE 355 ml — — Discontinued —
Milk Of Magnesia 1200 mg/15mL 11822-3329-08 RITE 355 ml — — Discontinued —
Milk Of Magnesia Original 1200 mg/15mL 17856-0788-01 ATLANTIC 10 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 21130-0649-12 BETTER 355 ml — — FDA listed —
Milk of Magnesia 1200 mg/15mL 30142-0547-12 KROGER 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 30142-0649-12 KROGER 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 36800-0649-12 TOP 355 ml — — FDA listed —
Milk of Magnesia mint 1200 mg/15mL 36800-0674-12 TOP 355 ml — — FDA listed —
Milk Of Magnesia Cherry 1200 mg/15mL 36800-0684-12 TOP 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 37808-0064-12 H 355 ml — — FDA listed —
Milk Of Magnesia Mint 1200 mg/15mL 37808-0889-12 H 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 37808-0901-12 H 355 ml — — FDA listed —
Dulcolax Liquid 1200 mg/15mL 41167-0291-00 Chattem, 354 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 49035-0636-12 Wal-Mart 355 ml — — Discontinued —
Milk Of Magnesia 1200 mg/15mL 49035-0649-26 Wal-Mart 769 ml — — FDA listed —
Milk Of Magnesia Mint 1200 mg/15mL 50804-0647-12 GOOD 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 50804-0648-12 GOODSENSE 355 ml — — FDA listed —
Milk Of Magnesia Original 1200 mg/15mL 50804-0649-12 GOODSENSE 355 ml — — FDA listed —
Milk of Magnesia 400 mg/5mL 55154-9403-05 Cardinal 5 cups — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 55319-0647-12 FAMILY 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 55319-0648-12 FAMILY 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 55910-0649-12 DOLGENCORP, 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 56062-0649-12 Publix 355 ml — — FDA listed —
Milk of Magnesia 2400 mg/30mL 57237-0314-31 Rising 100 cups — — FDA listed —
Gentle Laxative 1200 mg/15mL 57896-0615-12 GERI-CARE 355 ml — — FDA listed —
Milk Of Magnesia Mint 1200 mg/15mL 57896-0647-12 Geri-Care 355 ml — — FDA listed —
Milk Of Magnesia Cherry 1200 mg/15mL 57896-0648-12 Geri-Care 355 ml — — FDA listed —
Milk Of Magnesia Original 1200 mg/15mL 57896-0649-12 Geri-Care 355 ml — — FDA listed —
milk of magnesia 1200 mg/15mL 59779-0332-35 CVS 769 ml — — Discontinued —
Milk Of Magnesia Original 1200 mg/15mL 60687-0429-76 American 10 cups — — FDA listed —
Milk of Magnesia 400 mg/5mL 63739-0196-10 McKesson 10 cups — — Discontinued —
Milk Of Magnesia Original 1200 mg/15mL 63868-0787-57 Chain 355 ml — — FDA listed —
Milk Of Magnesia Mint 1200 mg/15mL 63868-0788-57 Chain 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 63941-0647-12 VALU 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 63941-0648-12 VALU 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 63941-0649-12 VALU 355 ml — — FDA listed —
Premier Value Milk of Magnesia 80 mg/mL 68016-0850-16 Pharmacy 473 ml — — FDA listed —
Milk Of Magnesia Mint 1200 mg/15mL 68788-8638-03 Preferred 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 69842-0278-81 CVS 355 ml — — FDA listed —
Milk Of Magnesia Cherry 1200 mg/15mL 69842-0318-79 CVS 769 ml — — FDA listed —
Milk Of Magnesia Cherry 1200 mg/15mL 69842-0332-92 CVS 355 ml — — FDA listed —
Careone Milk of magnesia Original Milk of Magnesia Original 1200 mg/15mL 72476-0661-05 Retail 355 ml — — FDA listed —
CareOne Milk of Magnesia Cherry 1200 mg/15mL 72476-0665-05 Retail 355 ml — — FDA listed —
Gentle Laxative 1200 mg/15mL 79481-0195-01 MEIJER, 355 ml — — FDA listed —
Milk of Magnesia mint 1200 mg/15mL 79481-0647-01 Meijer, 769 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 79481-0648-01 Meijer, 769 ml — — FDA listed —
Gentle Laxative 1200 mg/15mL 79903-0324-12 WALMART 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 80447-0649-12 Fact 355 ml — — FDA listed —
Milk of Magnesia 400 mg/5mL 81033-0014-52 Kesin 100 cups — — FDA listed —
Milk Of Magnesia Original 1200 mg/15mL 83324-0188-12 Chain 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 85740-0647-12 Power 355 ml — — FDA listed —
Milk Of Magnesia Cherry 1200 mg/15mL 85740-0648-12 Power 355 ml — — FDA listed —
Milk Of Magnesia 1200 mg/15mL 85740-0649-12 Power 355 ml — — FDA listed —
About this product: other versions of the same ingredient, strength and form are listed above, least expensive first, with FDA equivalence ratings where available.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2020
On the market since
Aug 2020
📍
2026
Currently FDA-listed
6 years listed
🔒
·
No generic listed yet
brand only
ℹ️No FDA-approved generic found

We did not find an FDA-approved generic match for this exact strength, form and route.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

Loading inactive ingredients from the official FDA label in the background. No external source is being called by this page request.
Where does this data come from?
Source: official FDA Structured Product Labeling (SPL) via DailyMed and the openFDA label index. Structured IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

Manufacturer & labeler

LabelerCARDINAL HEALTH
FDA applicationM007 (OTC MONOGRAPH DRUG)
Labeler code70000
First marketedAug 2020
Product typeHuman Otc Drug
Portfolio84 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

FDA label — Drug Facts FDA SPL

The complete FDA label for this product — the official Drug Facts labeling, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage ⏱️ Dosage and Administration ⚠️ Warnings 📦 Storage and Handling 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose 📄 Keep Out of Reach of Children 📄 Questions or Comments 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 14 words ▾

Uses relieves occasional constipation (irregularity) generally produces bowel movement in 1/2 to 6 hours

⏱️ Dosage and Administration 83 words ▾

Directions • shake well before use • do not exceed the maximum recommended daily dose in a 24 hour period • dose may be taken once a day preferably at bedtime, in divided doses, or as directed by a doctor • drink a full glass (8 oz) of liquid with each dose age dose adults and children 12 years and over 30 mL to 60 mL children 6 to 11 years 15 mL to 30 mL children under 6 years ask a doctor

⚠️ Warnings 128 words ▾

Warnings Ask a doctor before use if you have • kidney disease • a magnesium-restricted diet • stomach pain, nausea, or vomiting • a sudden change in bowel habits that lasts over 14 days Ask a doctor or pharmacist before use if you are taking a prescription drug. This product may interact with certain prescription drugs. Stop use and ask a doctor if • you have rectal bleeding or no bowel movement after using this product.

These could be signs of a serious condition. • you need to use a laxative for more than 1 week If pregnant or breast-feeding, ask a health professional before use. Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center (1-800-222-1222) right away.

📦 Storage and Handling 21 words ▾

Other information • each 15 mL tablespoonful contains: magnesium 500 mg • avoid freezing • store at room temperature tightly closed

🧪 Active Ingredient 10 words ▾

Active ingredient (in each 15 mL) Magnesium hydroxide 1200 mg

🧪 Inactive Ingredients 9 words ▾

Inactive ingredients flavor, purified water, saccharin sodium, sodium hypochlorite

🎯 Purpose 3 words ▾

Purpose Saline laxative

📄 Keep Out of Reach of Children 22 words ▾

Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center (1-800-222-1222) right away.

📄 Questions or Comments 4 words ▾

Questions or comments? 1-800-200-6313

📄 Package Label / Principal Display Panel 3 words ▾

package label 1

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

Medicaid utilization & spend

📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for this package alone, not the drug overall. Other pack sizes report separately.
💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.
📅 Q1 2025 – Q1 2026 · 5 quarters of data
ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.
Prescriptions last 4 qtrs
1.1K
Units reimbursed last 4 qtrs
441.2K
Gross reimbursed last 4 qtrs
$16K
Avg / prescription
$14.53
Avg / unit
$0.0363
Latest quarter Q1 2026
304Rx
Medicaid pays / mL
$0.0363
gross reimbursed
vs
NADAC / mL
$0.0095
acquisition cost
=
Spread
+$0.0268
+282% vs cost
What Medicaid paid per mL (before rebates; includes the pharmacy’s dispensing fee) compared with NADAC — the average price pharmacies pay to buy the drug. A positive spread means Medicaid reimbursed more than the purchase price, before manufacturer rebates.
Fee-for-service vs managed care ⓘ
95% FFS
Fee-for-service · 1,043 Rx Managed care · 60 Rx
State Medicaid map
Alaska: no data reported AK Maine: no data reported ME Washington: 34,688 units · 444 per 100k residents WA Idaho: no data reported ID Montana: no data reported MT North Dakota: no data reported ND Minnesota: no data reported MN Wisconsin: no data reported WI Michigan: no data reported MI New York: 134,913 units · 689 per 100k residents NY Vermont: no data reported VT New Hampshire: no data reported NH Oregon: no data reported OR Nevada: no data reported NV Wyoming: no data reported WY South Dakota: no data reported SD Iowa: no data reported IA Illinois: no data reported IL Indiana: no data reported IN Ohio: no data reported OH Pennsylvania: 4,501 units · 34.7 per 100k residents PA New Jersey: 4,000 units · 43.1 per 100k residents NJ Massachusetts: no data reported MA California: 257,822 units · 662 per 100k residents CA Utah: no data reported UT Colorado: no data reported CO Nebraska: no data reported NE Missouri: no data reported MO Kentucky: no data reported KY West Virginia: no data reported WV Virginia: 5,270 units · 60.5 per 100k residents VA Maryland: no data reported MD Connecticut: no data reported CT Rhode Island: no data reported RI Arizona: no data reported AZ New Mexico: no data reported NM Kansas: no data reported KS Arkansas: no data reported AR Tennessee: no data reported TN North Carolina: no data reported NC South Carolina: no data reported SC Delaware: no data reported DE Oklahoma: no data reported OK Louisiana: no data reported LA Mississippi: no data reported MS Alabama: no data reported AL Georgia: no data reported GA D.C.: no data reported DC Hawaii: no data reported HI Texas: no data reported TX Florida: no data reported FL
Units reimbursed · per 100k residents
34.7689
gray = no data reported ⓘ
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
🏆 Top states by units · per 100k residents
1 New York 689 /100k
2 California 662 /100k
3 Washington 444 /100k
4 Virginia 60.5 /100k
5 New Jersey 43.1 /100k
6 Pennsylvania 34.7 /100k
National units — by quarter
💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.
← 70000-0063-01 · CARDINAL 70000-0066-01 · LEADER/ →
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.