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    NDC 76204-0025-96 Cromolyn Sodium Oral Solution (Concentrate) 100 mg/5mL Details

    Cromolyn Sodium Oral Solution (Concentrate) 100 mg/5mL

    Cromolyn Sodium Oral Solution (Concentrate) is a ORAL SOLUTION, CONCENTRATE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Ritedose Pharmaceuticals, LLC. The primary component is CROMOLYN SODIUM.

    Product Information

    NDC 76204-0025
    Product ID 76204-025_0cf3795c-5626-7acb-e063-6394a90a3a2c
    Associated GPIs 52160015101320
    GCN Sequence Number 025061
    GCN Sequence Number Description cromolyn sodium ORAL CONC 20 MG/ML ORAL
    HIC3 Z2F
    HIC3 Description MAST CELL STABILIZERS
    GCN 16925
    HICL Sequence Number 004526
    HICL Sequence Number Description CROMOLYN SODIUM
    Brand/Generic Generic
    Proprietary Name Cromolyn Sodium Oral Solution (Concentrate)
    Proprietary Name Suffix n/a
    Non-Proprietary Name Cromolyn Sodium Oral Solution (Concentrate)
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SOLUTION, CONCENTRATE
    Route ORAL
    Active Ingredient Strength 100
    Active Ingredient Units mg/5mL
    Substance Name CROMOLYN SODIUM
    Labeler Name Ritedose Pharmaceuticals, LLC
    Pharmaceutical Class Decreased Histamine Release [PE], Mast Cell Stabilizer [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA209264
    Listing Certified Through 2024-12-31

    Package

    NDC 76204-0025-96 (76204002596)

    NDC Package Code 76204-025-96
    Billing NDC 76204002596
    Package 12 POUCH in 1 CARTON (76204-025-96) / 8 AMPULE in 1 POUCH (76204-025-08) / 5 mL in 1 AMPULE
    Marketing Start Date 2021-12-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.48255
    Pricing Unit ML
    Effective Date 2024-01-17
    NDC Description CROMOLYN 100 MG/5 ML ORAL CONC
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4, 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
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