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    NDC 00115-1696-06 HYDROCORTISONE 5 mg/1 Details

    HYDROCORTISONE 5 mg/1

    HYDROCORTISONE is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Amneal Pharmaceuticals of New York LLC. The primary component is HYDROCORTISONE.

    Product Information

    NDC 00115-1696
    Product ID 0115-1696_00b59416-214b-4b15-9411-3a8aac4ec081
    Associated GPIs 22100025000303
    GCN Sequence Number 006705
    GCN Sequence Number Description hydrocortisone TABLET 5 MG ORAL
    HIC3 P5A
    HIC3 Description GLUCOCORTICOIDS
    GCN 26783
    HICL Sequence Number 002867
    HICL Sequence Number Description HYDROCORTISONE
    Brand/Generic Generic
    Proprietary Name HYDROCORTISONE
    Proprietary Name Suffix n/a
    Non-Proprietary Name hydrocortisone
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 5
    Active Ingredient Units mg/1
    Substance Name HYDROCORTISONE
    Labeler Name Amneal Pharmaceuticals of New York LLC
    Pharmaceutical Class Corticosteroid Hormone Receptor Agonists [MoA], Corticosteroid [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA040646
    Listing Certified Through 2024-12-31

    Package

    NDC 00115-1696-06 (00115169606)

    NDC Package Code 0115-1696-06
    Billing NDC 00115169606
    Package 50 TABLET in 1 BOTTLE, PLASTIC (0115-1696-06)
    Marketing Start Date 2007-03-30
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.18312
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description HYDROCORTISONE 5 MG TABLET
    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