Current NDC auxiliary source row compounder:124

This page is keyed by dataset, FDA.report source record ID, and physical source row number. Empty values are shown rather than omitted.

Complete normalized row#

Record Source: ndc_compounder_zip
Product Ndc Raw: 73198-104
Product Ndc: 73198-104
Product Ndc Digits: 73198104
Product Type Name: HUMAN COMPOUNDED DRUG
Proprietary Name: Tri-Immune Boost
Proprietary Name Suffix: [empty]
Nonproprietary Name: Glutathione 200 mg/mL Ascorbic Acid 200 mg/mL Zinc Sulfate Heptahydrate 2.5 mg/mL
Dosage Form Name: INJECTION, SOLUTION
Route Name: INTRAMUSCULAR; INTRAVENOUS
Marketing Category Name: OUTSOURCING FACILITY COMPOUNDED HUMAN DRUG PRODUCT (EXEMPT FROM APPROVAL REQUIREMENTS)
Labeler Name: Olympia Pharmacy
Establishment Name: Olympia Pharmacy
Establishment Fei: [empty]
Substance Name: GLUTATHIONE; ASCORBIC ACID; ZINC SULFATE HEPTAHYDRATE
Active Ingredients Info: 200 mg/1 mL; 200 mg/1 mL; .5686 mg/1 mL
History Active Ingredients Raw: GLUTATHIONE; ASCORBIC ACID; ZINC SULFATE HEPTAHYDRATE
History Active Ingredients Info Raw: 200 mg/1 mL; 200 mg/1 mL; .5686 mg/1 mL
History Dosage Raw: INJECTION, SOLUTION
Dea Schedule: [empty]
Package Ndc Raw: 73198-104-30
Package Ndc: 73198-104-30
Package Ndc Digits: 7319810430
Package Ndc11: 73198010430
Package Description: 30 mL in 1 VIAL, MULTI-DOSE (73198-104-30)
Reporting Period Raw: 2026-1
Reporting Period: 2026-1
Normalization Status: valid
Source Url: https://www.accessdata.fda.gov/cder/compounders_ndc_directory.zip
Source Archive: compounders_ndc_directory.zip
Source File: compounders_ndc_directory.txt
Source Date: 2026-09-18
Source Last Modified: Fri, 18 Sep 2026 15:17:23 GMT
Source Archive Sha256: 222f6800f79cb1a0fa79431b7226bd6b34899999dbf086af51004a96774ada98
Source Member Sha256: f8d9743e5616579a34d614887e86a53913efa0a63d3138d59d2f87cbb4d0cc17
Source Record Id: compounder:124
Source Row Number: 124
Source Row Hash: fcd054606dfeab7ab645efcdb5ae9d199f760833ab3cbbb469d2b00cce9560cc
Import Run Id: 20261015T162751Z
Loaded At: 2026-10-15 16:32:20

Exact raw FDA source fields#

{
    "ROUTENAME": "INTRAMUSCULAR; INTRAVENOUS",
    "PRODUCTNDC": "73198-104",
    "DEASCHEDULE": "",
    "LABELERNAME": "Olympia Pharmacy",
    "SUBSTANCENAME": "GLUTATHIONE; ASCORBIC ACID; ZINC SULFATE HEPTAHYDRATE",
    "DOSAGEFORMNAME": "INJECTION, SOLUTION",
    "NDCPACKAGECODE": "73198-104-30",
    "PRODUCTTYPENAME": "HUMAN COMPOUNDED DRUG",
    "PROPRIETARYNAME": "Tri-Immune Boost",
    "REPORTINGPERIOD": "2026-1",
    "NONPROPRIETARYNAME": "Glutathione 200 mg/mL Ascorbic Acid 200 mg/mL Zinc Sulfate Heptahydrate 2.5 mg/mL",
    "PACKAGEDESCRIPTION": "30 mL in 1 VIAL, MULTI-DOSE (73198-104-30) ",
    "ACTIVEINGREDIENTSINFO": "200 mg/1 mL; 200 mg/1 mL; .5686 mg/1 mL",
    "MARKETINGCATEGORYNAME": "OUTSOURCING FACILITY COMPOUNDED HUMAN DRUG PRODUCT (EXEMPT FROM APPROVAL REQUIREMENTS)",
    "PROPRIETARYNAMESUFFIX": ""
}

Normalization notes#

[]

Current status projection#

Dataset: compounder
Record Source: ndc_compounder_zip
Source Record Id: compounder:124
Source Row Number: 124
Status Scope: package
Lookup Ndc: 73198-104-30
Lookup Ndc Digits: 7319810430
Product Ndc: 73198-104
Product Ndc Digits: 73198104
Package Ndc: 73198-104-30
Package Ndc Digits: 7319810430
Package Ndc11: 73198010430
Product Id: [empty]
Status Code: COMPOUNDER
Status Label: Outsourcing facility compounded drug report
Reporting Period Raw: 2026-1
Reporting Period: 2026-1
Source Table: fda_ndc_aux_compounder
Source File: compounders_ndc_directory.txt
Source Date: 2026-09-18
Source Row Hash: fcd054606dfeab7ab645efcdb5ae9d199f760833ab3cbbb469d2b00cce9560cc
Import Run Id: 20261015T162751Z
Loaded At: 2026-10-15 16:32:20