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    NDC 00054-0255-13 Irbesartan and Hydrochlorothiazide 12.5; 300 mg/1; mg/1 Details

    Irbesartan and Hydrochlorothiazide 12.5; 300 mg/1; mg/1

    Irbesartan and Hydrochlorothiazide is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Hikma Pharmaceuticals USA Inc.. The primary component is HYDROCHLOROTHIAZIDE; IRBESARTAN.

    Product Information

    NDC 00054-0255
    Product ID 0054-0255_1786e07d-ad22-4e8b-b999-3442da68882e
    Associated GPIs 36994002300340
    GCN Sequence Number 041897
    GCN Sequence Number Description irbesartan/hydrochlorothiazide TABLET 300-12.5MG ORAL
    HIC3 A4I
    HIC3 Description ANGIOTENSIN RECEPTOR ANTAG.-THIAZIDE DIURETIC COMB
    GCN 11295
    HICL Sequence Number 018963
    HICL Sequence Number Description IRBESARTAN/HYDROCHLOROTHIAZIDE
    Brand/Generic Generic
    Proprietary Name Irbesartan and Hydrochlorothiazide
    Proprietary Name Suffix n/a
    Non-Proprietary Name Irbesartan and Hydrochlorothiazide
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 12.5; 300
    Active Ingredient Units mg/1; mg/1
    Substance Name HYDROCHLOROTHIAZIDE; IRBESARTAN
    Labeler Name Hikma Pharmaceuticals USA Inc.
    Pharmaceutical Class Angiotensin 2 Receptor Antagonists [MoA], Angiotensin 2 Receptor Blocker [EPC], Increased Diuresis [PE], Thiazide Diuretic [EPC], Thiazides [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA090351
    Listing Certified Through 2024-12-31

    Package

    NDC 00054-0255-13 (00054025513)

    NDC Package Code 0054-0255-13
    Billing NDC 00054025513
    Package 30 TABLET in 1 BOTTLE (0054-0255-13)
    Marketing Start Date 2012-10-15
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.2191
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description IRBESARTAN-HYDROCHLOROTHIAZIDE 300-12.5 MG TB
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    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