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    NDC 00054-0264-25 Hydromorphone Hydrochloride 4 mg/1 Details

    Hydromorphone Hydrochloride 4 mg/1

    Hydromorphone Hydrochloride is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Hikma Pharmaceuticals USA Inc.. The primary component is HYDROMORPHONE HYDROCHLORIDE.

    Product Information

    NDC 00054-0264
    Product ID 0054-0264_2cc0f9e7-3ad5-43e8-9bce-cc64d12eb184
    Associated GPIs 65100035100320
    GCN Sequence Number 004112
    GCN Sequence Number Description hydromorphone HCl TABLET 4 MG ORAL
    HIC3 H3A
    HIC3 Description OPIOID ANALGESICS
    GCN 16143
    HICL Sequence Number 001695
    HICL Sequence Number Description HYDROMORPHONE HCL
    Brand/Generic Generic
    Proprietary Name Hydromorphone Hydrochloride
    Proprietary Name Suffix n/a
    Non-Proprietary Name hydromorphone hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 4
    Active Ingredient Units mg/1
    Substance Name HYDROMORPHONE HYDROCHLORIDE
    Labeler Name Hikma Pharmaceuticals USA Inc.
    Pharmaceutical Class Full Opioid Agonists [MoA], Opioid Agonist [EPC]
    DEA Schedule CII
    Marketing Category ANDA
    Application Number ANDA074597
    Listing Certified Through 2024-12-31

    Package

    NDC 00054-0264-25 (00054026425)

    NDC Package Code 0054-0264-25
    Billing NDC 00054026425
    Package 100 TABLET in 1 BOTTLE (0054-0264-25)
    Marketing Start Date 2009-07-29
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.09714
    Pricing Unit EA
    Effective Date 2022-03-23
    NDC Description HYDROMORPHONE 4 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    Classification for Rate Setting G
    As of Date 2022-03-30
    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