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    NDC 00003-6335-17 DROXIA 200 mg/1 Details

    DROXIA 200 mg/1

    DROXIA is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by E.R. Squibb & Sons, L.L.C.. The primary component is HYDROXYUREA.

    Product Information

    NDC 00003-6335
    Product ID 0003-6335_4e5c3df1-3e9c-4eb1-959e-1ab30dbb84f2
    Associated GPIs 82803030000120
    GCN Sequence Number 040162
    GCN Sequence Number Description hydroxyurea CAPSULE 200 MG ORAL
    HIC3 N1H
    HIC3 Description SICKLE CELL ANEMIA AGENTS
    GCN 38402
    HICL Sequence Number 003897
    HICL Sequence Number Description HYDROXYUREA
    Brand/Generic Brand
    Proprietary Name DROXIA
    Proprietary Name Suffix n/a
    Non-Proprietary Name HYDROXYUREA
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 200
    Active Ingredient Units mg/1
    Substance Name HYDROXYUREA
    Labeler Name E.R. Squibb & Sons, L.L.C.
    Pharmaceutical Class Antimetabolite [EPC], Urea [CS]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA016295
    Listing Certified Through n/a

    Package

    NDC 00003-6335-17 (00003633517)

    NDC Package Code 0003-6335-17
    Billing NDC 00003633517
    Package 60 CAPSULE in 1 BOTTLE (0003-6335-17)
    Marketing Start Date 2015-07-16
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.72486
    Pricing Unit EA
    Effective Date 2021-08-18
    NDC Description DROXIA 200 MG CAPSULE
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    Classification for Rate Setting B
    As of Date 2022-08-10
    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