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NDC 71776-0100-05 Flarex 1 mg/mL Details
Flarex 1 mg/mL
Flarex is a OPHTHALMIC SUSPENSION/ DROPS in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Eyevance Pharmaceuticals. The primary component is FLUOROMETHOLONE ACETATE.
Product Information
| NDC | 71776-0100 |
|---|---|
| Product ID | 71776-100_0760a31d-934e-56a0-e063-6294a90acb70 |
| Associated GPIs | 86300020101810 |
| GCN Sequence Number | 016760 |
| GCN Sequence Number Description | fluorometholone acetate DROPS SUSP 0.1 % OPHTHALMIC |
| HIC3 | Q6P |
| HIC3 Description | EYE ANTI-INFLAMMATORY AGENTS |
| GCN | 32861 |
| HICL Sequence Number | 006390 |
| HICL Sequence Number Description | FLUOROMETHOLONE ACETATE |
| Brand/Generic | Brand |
| Proprietary Name | Flarex |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | fluorometholone acetate |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | SUSPENSION/ DROPS |
| Route | OPHTHALMIC |
| Active Ingredient Strength | 1 |
| Active Ingredient Units | mg/mL |
| Substance Name | FLUOROMETHOLONE ACETATE |
| Labeler Name | Eyevance Pharmaceuticals |
| Pharmaceutical Class | Corticosteroid Hormone Receptor Agonists [MoA], Corticosteroid [EPC] |
| DEA Schedule | n/a |
| Marketing Category | NDA |
| Application Number | NDA019079 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 71776-0100-05 (71776010005)
| NDC Package Code | 71776-100-05 |
|---|---|
| Billing NDC | 71776010005 |
| Package | 1 BOTTLE, PLASTIC in 1 CARTON (71776-100-05) / 5 mL in 1 BOTTLE, PLASTIC |
| Marketing Start Date | 2019-03-05 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 23.96 |
| Pricing Unit | ML |
| Effective Date | 2023-07-19 |
| NDC Description | FLAREX 0.1% EYE DROPS |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 2, 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