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    NDC 00069-4061-89 Zithromax 250 mg/1 Details

    Zithromax 250 mg/1

    Zithromax is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Pfizer Laboratories Div Pfizer Inc. The primary component is AZITHROMYCIN DIHYDRATE.

    Product Information

    NDC 00069-4061
    Product ID 0069-4061_58375b91-2484-47e3-8715-0672f87e2f0c
    Associated GPIs 03400010000320
    GCN Sequence Number 026721
    GCN Sequence Number Description azithromycin TABLET 250 MG ORAL
    HIC3 W1D
    HIC3 Description MACROLIDE ANTIBIOTICS
    GCN 48793
    HICL Sequence Number 006334
    HICL Sequence Number Description AZITHROMYCIN
    Brand/Generic Brand
    Proprietary Name Zithromax
    Proprietary Name Suffix n/a
    Non-Proprietary Name azithromycin dihydrate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 250
    Active Ingredient Units mg/1
    Substance Name AZITHROMYCIN DIHYDRATE
    Labeler Name Pfizer Laboratories Div Pfizer Inc
    Pharmaceutical Class Macrolide Antimicrobial [EPC], Macrolides [CS]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA050711
    Listing Certified Through 2024-12-31

    Package

    NDC 00069-4061-89 (00069406189)

    NDC Package Code 0069-4061-89
    Billing NDC 00069406189
    Package 50 BLISTER PACK in 1 BOX, UNIT-DOSE (0069-4061-89) / 1 TABLET, FILM COATED in 1 BLISTER PACK
    Marketing Start Date 2019-07-18
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 2.08064
    Pricing Unit EA
    Effective Date 2022-02-23
    NDC Description ZITHROMAX 250 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    Classification for Rate Setting B
    As of Date 2022-11-23
    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