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Hydroxyzine Pamoate 50 mg Capsule, 100-count — NDC 00115-1804-01 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Hydroxyzine Pamoate 50 mg Capsule, 100-count — NDC 0115-1804-01 (Billing 00115-1804-01)

by Amneal Pharmaceuticals of New York LLC · 100 CAPSULE in 1 BOTTLE, PLASTIC

This is a package of 100 capsules of Hydroxyzine Pamoate 50 mg Capsule from Amneal Pharmaceuticals of New York LLC, marketed since Jun 1996 and currently FDA-listed; retail pharmacies pay about $0.0820 per capsule (NADAC). It is the main listing for this product, which comes in 2 package sizes.

NDC 00115-1804-01
🏷️ FDA NDC (as labeled) 0115-1804-01 billing pads the labeler segment with a zero
This package
Contains100-count Cost per ea$0.0820 NADAC Per package$8.20 / 100 capsules Pack sizes2 compare ↓
Also priced by: Medicaid pays $0.1690/unit · Part D plans $0.1145/unit — full pricing hub ↓
Main listing for product 0115-1804 · Also comes in: 500 capsules 0115-1804-02
Rx only Generic On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 8, 2026 · this listing last changed Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

NDC database record

One package, one record: these facts belong to NDC 0115-1804-01 alone.

Record
FDA NDC Directory package listing · Human prescription drug
Code segments
0115 labeler · 1804 product · 01 package
Package marketed since
Jun 15, 1996
Sample package
No — commercial package
Listing certified through
Dec 31, 2027
Billing quantity
100 EA per package
Barcode (UPC)
0301151803015, 0301151804012
Medicaid fills, this package
212,796 prescriptions in the last four reported quarters
FDA record last changed
Jul 24, 2026

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 0115-1804-01
Product NDC 0115-1804
11-digit billing NDC 00115180401
NCPDP billing unit EA — each (per item)
RxCUI 995253, 995278
UNII M20215MUFR
UPC 0301151803015, 0301151804012
Application # ANDA040156
SPL Set ID bc82aaaf-30c7-4afe-a908-d138ea1268ef
Established class (EPC) Antihistamine
Mechanism of action Histamine Receptor Antagonists
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 1996-06-15
Route ORAL
Dosage form CAPSULE
Substance HYDROXYZINE PAMOATE
TE code (Orange Book) AB · RLD · RS

Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification

GCN Seq No 003732
GCN 13953
HICL code 001609
Ingredient (HICL) Hydroxyzine Pamoate
HIC1 code Z
Therapeutic class — broad (HIC1) Body As A Whole
HIC2 code Z2
Therapeutic class — intermediate (HIC2) Antihistamines, Antiserotonins, Immunosuppressants
HIC3 code Z2P
Therapeutic class — specific (HIC3) Antihistamines - 1St Generation
AHFS code 04:04.00.00
AHFS class First Generation Antihistamines
FDB label name HYDROXYZINE PAM 50 MG CAP
FDB brand name Hydroxyzine Pamoate
Legend status F — Federal legend — prescription drug or device
Quick answers
  • GSN (GCN sequence number): 003732
  • GCN: 13953
  • HICL (First Databank): 001609
  • AHFS class code: 04:04.00.00
  • RxCUI (RxNorm): 995253
Why two NDCs? The FDA registers this code as 0115-1804-01 — a 4-4-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the labeler segment → 00115-1804-01. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

RxNorm drug class

This medicine belongs to the Antihistamine class.

Pharmacologic class Antihistamine
Drug family (ATC) Diphenylmethane derivatives
How it works Histamine Receptor Antagonists
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

Clinical

Label name HYDROXYZINE PAM 50 MG CAP Ingredient Hydroxyzine Pamoate
📗 Our plain-language guide HelloPharmacist
  • Taken by mouth, it's used for anxiety and tension, itching from allergic skin conditions like hives and eczema, and sedation around anesthesia. The injection has additional uses in...
  • It can. Drowsiness is the most common effect, though it often fades in a few days or with a lower dose. Don't drive or use dangerous machinery until you know how it affects you.
  • It's best not to. Hydroxyzine can strengthen alcohol, narcotics, barbiturates and other sedating drugs. Tell your prescriber about everything you take, since doses of some may need...
  • Can I drink alcohol or take other sedating medicines with it?
📖 Read our full Hydroxyzine guide →
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer eaPer package
Retail pharmacies payNADAC · weekly $0.082 $8.20 / 100 capsules
Medicaid paysCMS SDUD · 12 mo $0.1690 $16.90 / 100 capsules
Medicare drug plans payPart D · Q2 2026 $0.1145 $11.45 / 100 capsules
NADAC price history (per ea) — tap or hover for the price & month
Jan 2022 Aug 2022 Jan 2026 Sep 2026 $0.106 $0.080
▼ Down 7% over the last 24 months.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

Packaging — all sizes for this product

Package NDCDescription Per unit Per pack Marketing startMarketing endStatus
00115-1804-01 You're viewing this Main listing 100 CAPSULE in 1 BOTTLE, PLASTIC $0.0820 / ea $8.20 1996-06-15 — Active
00115-1804-02 0115-1804-02 500 CAPSULE in 1 BOTTLE, PLASTIC $0.0820 / ea $40.98 1996-06-15 — Active

You're viewing the smallest of 2 pack sizes for this product.

This pack has the lowest per-ea cost of the 2 priced pack sizes ($0.0820 NADAC).

In Medicaid, this is the most-dispensed pack of this product — about 89% of fills over the last four reported quarters. See all packs ↓

Pack size FAQ

What quantity is in this package?
This is a 100-count package — 100 capsule in 1 bottle, plastic.
How does this package differ from NDC 00115-1804-02?
Both are Hydroxyzine Pamoate 50 mg Capsule — the drug itself is identical. This page's package is the 100-count one, while NDC 00115-1804-02 is the 500 capsules package.
What NDC number is used to bill for this package of Hydroxyzine Pamoate 50 mg Capsule?
Use the 11-digit billing form listed in the identifiers section of this page. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

Prices are the latest CMS NADAC pharmacy acquisition cost per NDC; per-pack figures are per-unit × pack quantity, shown only when the pack is denominated in the same measure NADAC prices.

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Hydroxyzine Pamoate 50 mgthis 00115-1804-01 Amneal 100 capsules $0.082 AB Availability likely —
Hydroxyzine pamoate 50 mg 00185-0676-01 Sandoz 100 capsules $0.082 AB Availability likely —
Hydroxyzine Pamoate 50 mg 00555-0302-02 Teva 100 capsules $0.082 AB Availability likely —
hydroxyzine pamoate 50 mg 14539-0675-01 Heritage 100 capsules $0.082 AB Availability likely —
Hydroxyzine Pamoate 50 mg 50268-0399-50 AvPAK 50 capsules $0.082 AB Availability likely —
Hydroxyzine Pamoate 50 mg 60687-0707-01 American 100 capsules $0.082 AB Availability likely —
Hydroxyzine pamoate 50 mg 62135-0817-12 Chartwell 120 capsules $0.082 AB Availability likely —
Hydroxyzine Pamoate 50 mg 00615-8420-39 NCS 30 capsules — AB FDA listed —
Hydroxyzine pamoate 50 mg 50090-5933-01 A-S 20 capsules — AB FDA listed —
hydroxyzine pamoate 50 mg 50090-7540-00 A-S 12 capsules — AB FDA listed —
hydroxyzine pamoate 50 mg 51407-0002-01 Golden 100 capsules — AB FDA listed —
Hydroxyzine Pamoate 50 mg 51655-0252-52 Northwind 30 capsules — AB FDA listed —
Hydroxyzine pamoate 50 mg 66267-0556-90 NuCare 90 capsules — AB FDA listed —
Hydroxyzine pamoate 50 mg 67046-0831-03 Coupler 30 capsules — AB FDA listed —
hydroxyzine pamoate 50 mg 68071-3583-09 NuCare 90 capsules — AB FDA listed —
hydroxyzine pamoate 50 mg 68788-8789-03 Preferred 30 capsules — AB FDA listed —
Hydroxyzine pamoate 50 mg 70518-3232-00 REMEDYREPACK 60 capsules — AB Discontinued —
hydroxyzine pamoate 50 mg 70518-4463-00 REMEDYREPACK 21 capsules — AB FDA listed —
hydroxyzine pamoate 50 mg 71335-1265-01 Bryant 30 capsules — AB FDA listed —
Hydroxyzine Pamoate 50 mg 71335-1923-01 Bryant 30 capsules — AB FDA listed —
Hydroxyzine pamoate 50 mg 71335-2076-01 Bryant 30 capsules — AB FDA listed —
Hydroxyzine Pamoate 50 mg 72189-0315-90 DirectRx 90 capsules — AB FDA listed —
Hydroxyzine Pamoate 50 mg 72189-0480-30 Direct_Rx 30 capsules — AB FDA listed —
Hydroxyzine Pamoate 50 mg 76420-0921-01 Asclemed 100 capsules — AB FDA listed —
hydroxyzine pamoate 50 mg 82868-0046-30 Northwind 30 capsules — AB FDA listed —
Hydroxyzine pamoate 50 mg 87441-0041-01 Unit 30 capsules — AB FDA listed —
Hydroxyzine pamoate 50 mg 87441-0042-01 Unit 500 capsules — AB FDA listed —
About this product: this is a generic version of the medicine. FDA equivalence ratings are shown when available, and other versions are listed above, least expensive first.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
1996
On the market since
Jun 1996
📍
2026
Currently FDA-listed
30 years listed
🔓
·
Generic on the market
this product is a generic
✅This is a generic drug

This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

🧪 Avoiding an ingredient? See Hydroxyzine inactive ingredients by manufacturer: every current product's list side by side, so you can ask your pharmacy for the version that does not list it.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII 35SW5USQ3G
    A synthetic yellow dye used to color medicines. It helps make tablets, capsules, and liquids visually distinct so patients can easily identify their medication.
  • UNII H3R47K3TBD
    FD&C Blue No. 1 is a synthetic blue dye approved for use in foods and medicines. It serves as a colorant to give the medication its distinctive appearance and help with product identification.
  • UNII XM0M87F357
    A dark iron oxide compound that gives medicines their black or dark color. It's used as a colorant in tablets and capsules to help identify the product and make it visually distinctive.
  • UNII 2G86QN327L
    Gelatin is a protein derived from animal collagen, commonly used in medicines as a gelling agent and capsule material. It helps create soft or hard capsule shells that hold and release medication, and can also thicken liquid formulations.
  • UNII 70097M6I30
    Magnesium stearate is a salt made from magnesium and stearic acid, a fatty substance. It's used in tablets and capsules as a lubricant and glidant to help ingredients flow smoothly during manufacturing and prevent sticking.
  • UNII ETJ7Z6XBU4
    Silicon dioxide is a naturally occurring mineral used as a glidant and anti-caking agent. It helps powder ingredients flow smoothly and prevents clumping during manufacturing and storage.
  • UNII 368GB5141J
    A detergent and foaming agent derived from coconut or palm oil. In medications, it helps break down and mix oil and water-based ingredients, aids in tablet disintegration, and improves how the drug dissolves and spreads in the mouth or digestive system.
  • UNII O8232NY3SJ
    A plant-based carbohydrate derived from corn kernels. It acts as a filler to add bulk, a binder to hold ingredients together, and a disintegrant to help the tablet break apart in your stomach for absorption.
  • UNII 15FIX9V2JP
    Titanium dioxide is a bright white mineral powder commonly used as a colorant and opacifying agent. It makes pills and tablets white or lighter in color and helps make coatings non-transparent.

9 inactive ingredients listed in the exact product block matched to this NDC.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMed — ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

Manufacturer & labeler

LabelerAmneal Pharmaceuticals of New York LLC
Application holderIMPAX LABORATORIES INC
FDA applicationANDA040156 (ANDA)
Labeler code00115
First marketedJun 1996
Product typeHuman Prescription Drug
Portfolio228 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

Full prescribing information FDA SPL

The complete FDA label for this product — the official prescribing information, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage 155 words ▾

INDICATIONS For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested. Useful in the management of pruritus due to allergic conditions such as chronic urticaria and atopic and contact dermatoses, and in histamine-mediated pruritus. As a sedative when used as premedication and following general anesthesia, Hydroxyzine may potentiate meperidine (Demerol ® ) and barbiturates , so their use in pre-anesthetic adjunctive therapy should be modified on an individual basis.

Atropine and other belladonna alkaloids are not affected by the drug. Hydroxyzine is not known to interfere with the action of digitalis in any way and it may be used concurrently with this agent. The effectiveness of hydroxyzine as an antianxiety agent for long-term use, that is, more than 4 months, has not been assessed by systematic clinical studies.

The physician should reassess periodically the usefulness of the drug for the individual patient.

⏱️ Dosage and Administration 165 words ▾

DOSAGE For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested: in adults, 50 mg to 100 mg q.i.d.; children under 6 years, 50 mg daily in divided doses; and over 6 years, 50 mg to 100 mg daily in divided doses. For use in the management of pruritus due to allergic conditions such as chronic urticaria and atopic and contact dermatoses, and in histamine-mediated pruritus: in adults, 25 mg t.i.d. or q.i.d.; children under 6 years, 50 mg daily in divided doses; and over 6 years, 50 mg to 100 mg daily in divided doses.

As a sedative when used as a premedication and following general anesthesia: 50 mg to 100 mg in adults, and 0.6 mg/kg in children. When treatment is initiated by the intramuscular route of administration, subsequent doses may be administered orally. As with all medications, the dosage should be adjusted according to the patient's response to therapy.

⛔ Contraindications 102 words ▾

CONTRAINDICATIONS Hydroxyzine, when administered to the pregnant mouse, rat, and rabbit, induced fetal abnormalities in the rat and mouse at doses substantially above the human therapeutic range. Clinical data in human beings are inadequate to establish safety in early pregnancy. Until such data are available, hydroxyzine is contraindicated in early pregnancy.

Hydroxyzine is contraindicated in patients with a prolonged QT interval. Hydroxyzine pamoate is contraindicated for patients who have shown a previous hypersensitivity to any component of this medication. Hydroxyzine is contraindicated in patients with known hypersensitivity to hydroxyzine products, and in patients with known hypersensitivity to cetirizine hydrochloride or levocetirizine hydrochloride.

⚠️ Warnings 29 words ▾

WARNINGS Nursing Mothers: It is not known whether this drug is excreted in human milk. Since many drugs are so excreted, hydroxyzine should not be given to nursing mothers.

🤒 Adverse Reactions 148 words ▾

ADVERSE REACTIONS Side effects reported with the administration of hydroxyzine pamoate are usually mild and transitory in nature. Skin and Appendages: Oral hydroxyzine hydrochloride is associated with Acute Generalized Exanthematous Pustulosis (AGEP) and fixed drug eruptions in post-marketing reports. Anticholinergic: Dry mouth.

Central Nervous System: Drowsiness is usually transitory and may disappear in a few days of continued therapy or upon reduction of the dose. Involuntary motor activity, including rare instances of tremor and convulsions, has been reported, usually with doses considerably higher than those recommended. Clinically significant respiratory depression has not been reported at recommended doses.

Cardiac System: QT prolongation, Torsade de Pointes. In post-marketing experience, the following additional undesirable effects have been reported: Body as a Whole: allergic reaction, Nervous System: headache, Psychiatric: hallucination, Skin and Appendages: pruritus, rash, urticaria. To report SUSPECTED ADVERSE REACTIONS, contact Amneal Pharmaceuticals at 1-877-835-5472 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

🆘 Overdosage 192 words ▾

OVERDOSAGE The most common manifestation of overdosage of hydroxyzine pamoate is hypersedation. Other reported signs and symptoms were convulsions, stupor, nausea and vomiting. As in the management of overdosage with any drug, it should be borne in mind that multiple agents may have been taken.

If vomiting has not occurred spontaneously, it should be induced. Immediate gastric lavage is also recommended. General supportive care, including frequent monitoring of the vital signs and close observation of the patient, is indicated.

Hypotension, though unlikely, may be controlled with intravenous fluids and vasopressors (do not use epinephrine as hydroxyzine counteracts its pressor action ) . Caffeine and Sodium Benzoate Injection, USP, may be used to counteract central nervous system depressant effects. Hydroxyzine overdose may cause QT prolongation and Torsade de Pointes.

ECG monitoring is recommended in cases of hydroxyzine overdose. There is no specific antidote. It is doubtful that hemodialysis would be of any value in the treatment of overdosage with hydroxyzine.

However, if other agents such as barbiturates have been ingested concomitantly, hemodialysis may be indicated. There is no practical method to quantitate hydroxyzine in body fluids or tissue after its ingestion or administration.

🧬 Clinical Pharmacology 132 words ▾

CLINICAL PHARMACOLOGY Hydroxyzine pamoate is unrelated chemically to the phenothiazines, reserpine, meprobamate, or the benzodiazepines. Hydroxyzine pamoate is not a cortical depressant, but its action may be due to a suppression of activity in certain key regions of the subcortical area of the central nervous system. Primary skeletal muscle relaxation has been demonstrated experimentally.

Bronchodilator activity and antihistaminic and analgesic effects have been demonstrated experimentally and confirmed clinically. An antiemetic effect, both by the apomorphine test and the veriloid test, has been demonstrated. Pharmacological and clinical studies indicate that hydroxyzine in therapeutic dosage does not increase gastric secretion or acidity and in most cases has mild antisecretory activity.

Hydroxyzine is rapidly absorbed from the gastrointestinal tract and hydroxyzine pamoate's clinical effects are usually noted within 15 to 30 minutes after oral administration.

📦 How Supplied / Storage and Handling 120 words ▾

HOW SUPPLIED Hydroxyzine pamoate capsules, USP (hydroxyzine pamoate equivalent to hydroxyzine hydrochloride) are supplied as follows: 25 mg capsules: Dark green opaque cap/light green opaque body filled with yellow powder and imprinted in black “IX” on the capsule cap and “657” on the capsule body. They are available as follows: Bottles of 100: NDC 0115-1803-01 Bottles of 500: NDC 0115-1803-02 50 mg capsules: Dark green opaque cap/white opaque body filled with yellow powder and imprinted in black “IX” on the capsule cap and “658” on the capsule body.

They are available as follows: Bottles of 100: NDC 0115-1804-01 Bottles of 500: NDC 0115-1804-02 Store below 30°C (86°F) [see USP]. Dispense in a tight, light resistant container as defined in USP/NF.

📋 Description 125 words ▾

DESCRIPTION Hydroxyzine pamoate, USP is a light yellow, practically odorless powder, practically insoluble in water and methanol and freely soluble in dimethylformamide. It is chemically designated as 1-(p-chlorobenzhydryl) 4-[2-(2-hydroxyethoxy) ethyl] diethylenediamine salt of 1,1’-methylene bis (2 hydroxy-3-naphthalene carboxylic acid) and can be structurally represented as follows: Chemical Formula: C 21 H 27 ClN 2 O 2 •C 23 H 16 O 6 Molecular Weight: 763.29 Each capsule, for oral administration, contains hydroxyzine pamoate, USP equivalent to 25 mg or 50 mg of hydroxyzine hydrochloride.

In addition, each capsule contains the following inactive ingredients: colloidal silicon dioxide, D&C yellow #10, FD&C blue #1, gelatin, magnesium stearate, pregelatinized starch, sodium lauryl sulfate, and titanium dioxide. The imprinting ink on the capsules contains synthetic black iron oxide. 1

⚠️ Precautions ~2 min read ▾

PRECAUTIONS THE POTENTIATING ACTION OF HYDROXYZINE MUST BE CONSIDERED WHEN THE DRUG IS USED IN CONJUNCTION WITH CENTRAL NERVOUS SYSTEM DEPRESSANTS SUCH AS NARCOTICS, NON-NARCOTIC ANALGESICS AND BARBITURATES. Therefore, when central nervous system depressants are administered concomitantly with hydroxyzine, their dosage should be reduced. Since drowsiness may occur with use of the drug, patients should be warned of this possibility and cautioned against driving a car or operating dangerous machinery while taking hydroxyzine pamoate.

Patients should be advised against the simultaneous use of other CNS depressant drugs, and cautioned that the effect of alcohol may be increased. QT Prolongation/Torsade de Pointes (TdP): Cases of QT prolongation and Torsade de Pointes have been reported during post-marketing use of hydroxyzine. The majority of reports occurred in patients with other risk factors for QT prolongation/TdP (pre-existing heart disease, electrolyte imbalances or concomitant arrhythmogenic drug use).

Therefore, hydroxyzine should be used with caution in patients with risk factors for QT prolongation, congenital long QT syndrome, a family history of long QT syndrome, other conditions that predispose to QT prolongation and ventricular arrhythmia, as well as recent myocardial infarction, uncompensated heart failure, and bradyarrhythmias. Caution is recommended during the concomitant use of drugs known to prolong the QT interval. These include Class 1A (e.g., quinidine, procainamide) or Class III (e.g., amiodarone, sotalol) antiarrhythmics, certain antipsychotics (e.g., ziprasidone, iloperidone, clozapine, quetiapine, chlorpromazine), certain antidepressants (e.g., citalopram, fluoxetine), certain antibiotics (e.g., azithromycin, erythromycin, clarithromycin, gatifloxacin, moxifloxacin); and others (e.g., pentamidine, methadone, ondansetron, droperidol).

Acute Generalized Exanthematous Pustulosis (AGEP): Hydroxyzine may rarely cause acute generalized exanthematous pustulosis (AGEP), a serious skin reaction characterized by fever and numerous small, superficial, non-follicular, sterile pustules, arising within large areas of edematous erythema. Inform patients about the signs of AGEP, and discontinue hydroxyzine at the first appearance of a skin rash, worsening of pre-existing skin reactions which hydroxyzine may be used to treat, or any other sign of hypersensitivity.

If signs or symptoms suggest AGEP, use of hydroxyzine should not be resumed and alternative therapy should be considered. Avoid cetirizine or levocetirizine in patients who have experienced AGEP or other hypersensitivity reactions with hydroxyzine, due to the risk of cross-sensitivity. Geriatric Use: A determination has not been made whether controlled clinical studies of hydroxyzine pamoate included sufficient numbers of subjects aged 65 and over to define a difference in response from younger subjects.

Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal or cardiac function and of concomitant disease or other drug therapy. The extent of renal excretion of hydroxyzine pamoate has not been determined.

Because elderly patients are more likely to have decreased renal function, care should be taken in dose selections. Sedating drugs may cause confusion and over sedation in the elderly; elderly patients generally should be started on low doses of hydroxyzine pamoate and observed closely.

📚 References 42 words ▾

BIBLIOGRAPHY Available on request. Brands listed are the trademarks of their respective owners. Manufactured by: Patheon Pharmaceuticals Inc. Cincinnati, OH 45237 USA OR Manufactured by: Amneal Pharmaceuticals Pvt. Ltd. Ahmedabad 382220, INDIA Distributed by: Amneal Pharmaceuticals LLC Bridgewater, NJ 08807 Revised: 03-2026-01

📄 Package Label / Principal Display Panel 18 words ▾

PRINCIPAL DISPLAY PANEL - 25 mg 25 mg 25 mg

PRINCIPAL DISPLAY PANEL - 50 mg 4 12

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

Medicaid utilization & spend

📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for this package alone, not the drug overall. Other pack sizes report separately.
💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.
📅 Q1 2025 – Q1 2026 · 5 quarters of data
ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.
Prescriptions last 4 qtrs
212.8K
Units reimbursed last 4 qtrs
13.2M
Gross reimbursed last 4 qtrs
$2.23M
Avg / prescription
$10.47
Avg / unit
$0.1690
Latest quarter Q1 2026
48.9KRx
Medicaid pays / ea
$0.1690
gross reimbursed
vs
NADAC / ea
$0.0820
acquisition cost
=
Spread
+$0.0870
+106% vs cost
What Medicaid paid per ea (before rebates; includes the pharmacy’s dispensing fee) compared with NADAC — the average price pharmacies pay to buy the drug. A positive spread means Medicaid reimbursed more than the purchase price, before manufacturer rebates.
Fee-for-service vs managed care ⓘ
35% FFS 65% MCO
Fee-for-service · 74,670 Rx Managed care · 138,126 Rx
State Medicaid map
Alaska: 25,754 units · 3,514 per 100k residents AK Maine: 73,021 units · 5,234 per 100k residents ME Washington: 386,468 units · 4,947 per 100k residents WA Idaho: 57,619 units · 2,934 per 100k residents ID Montana: 25,532 units · 2,255 per 100k residents MT North Dakota: no data reported ND Minnesota: 172,842 units · 3,013 per 100k residents MN Wisconsin: 39,891 units · 675 per 100k residents WI Michigan: 152,065 units · 1,515 per 100k residents MI New York: 205,634 units · 1,051 per 100k residents NY Vermont: 10,037 units · 1,551 per 100k residents VT New Hampshire: 53,572 units · 3,821 per 100k residents NH Oregon: 145,441 units · 3,436 per 100k residents OR Nevada: 490,098 units · 15,344 per 100k residents NV Wyoming: 10,573 units · 1,810 per 100k residents WY South Dakota: 7,435 units · 809 per 100k residents SD Iowa: 83,273 units · 2,597 per 100k residents IA Illinois: 108,387 units · 864 per 100k residents IL Indiana: 257,171 units · 3,748 per 100k residents IN Ohio: 462,440 units · 3,924 per 100k residents OH Pennsylvania: 245,605 units · 1,895 per 100k residents PA New Jersey: 45,688 units · 492 per 100k residents NJ Massachusetts: 1,034,134 units · 14,771 per 100k residents MA California: 1,693,880 units · 4,347 per 100k residents CA Utah: 83,622 units · 2,447 per 100k residents UT Colorado: 154,682 units · 2,632 per 100k residents CO Nebraska: 13,312 units · 673 per 100k residents NE Missouri: 215,635 units · 3,480 per 100k residents MO Kentucky: 335,164 units · 7,405 per 100k residents KY West Virginia: 220,045 units · 12,432 per 100k residents WV Virginia: 918,159 units · 10,534 per 100k residents VA Maryland: 248,714 units · 4,024 per 100k residents MD Connecticut: 420,028 units · 11,613 per 100k residents CT Rhode Island: 74,155 units · 6,772 per 100k residents RI Arizona: 1,051,511 units · 14,150 per 100k residents AZ New Mexico: 188,891 units · 8,935 per 100k residents NM Kansas: 26,845 units · 913 per 100k residents KS Arkansas: 125,123 units · 4,080 per 100k residents AR Tennessee: 111,164 units · 1,560 per 100k residents TN North Carolina: 375,503 units · 3,466 per 100k residents NC South Carolina: 186,608 units · 3,473 per 100k residents SC Delaware: 23,605 units · 2,290 per 100k residents DE Oklahoma: 299,022 units · 7,378 per 100k residents OK Louisiana: 507,624 units · 11,098 per 100k residents LA Mississippi: 75,310 units · 2,562 per 100k residents MS Alabama: 98,255 units · 1,924 per 100k residents AL Georgia: 328,670 units · 2,980 per 100k residents GA D.C.: 17,962 units · 2,645 per 100k residents DC Hawaii: 24,181 units · 1,685 per 100k residents HI Texas: 547,259 units · 1,794 per 100k residents TX Florida: 717,185 units · 3,172 per 100k residents FL
Units reimbursed · per 100k residents
49215,344
gray = no data reported ⓘ
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
🏆 Top states by units · per 100k residents
1 Nevada 15,344 /100k
2 Massachusetts 14,771 /100k
3 Arizona 14,150 /100k
4 West Virginia 12,432 /100k
5 Connecticut 11,613 /100k
6 Louisiana 11,098 /100k
7 Virginia 10,534 /100k
8 New Mexico 8,935 /100k
National units — by quarter
💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.

Medicaid utilization by pack size

Medicaid (SDUD) totals over the four most recent reported quarters for every package size of this drug — handy when a specific package (e.g. a starter/titration pack) carries little or no Medicaid volume on its own.
100 capsules this page00115-1804-01 212,796 Rx · $2,228,494
500 capsules00115-1804-02 25,560 Rx · $288,086
Drug total (last 4 qtrs): 238,356 Rx · 14,863,263 units · $2,516,580 gross reimbursed
Tap a pack size to open its page. Source: CMS State Drug Utilization Data, last 4 quarters.

Medicare Part D spend CMS · PART D · 2026 (Q1)

Medicare Part D (outpatient prescription) spending for Hydroxyzine Pamoate — the program that covers self-administered drugs. 6 manufacturers.
⚠️ Drug-level data: CMS publishes Part D spending by drug, not by NDC — these figures combine every manufacturer, strength and package size sold under the name Hydroxyzine Pamoate. That’s a different level of aggregation than the Medicaid card above, which is specific to this exact 11-digit NDC (pack size included), so the two aren’t directly comparable.
Period
Total Part D spend
$3.91M
Claims incl. refills
378.4K
Beneficiaries
207.9K
Spend / beneficiary
$18.79
Spend / claim
$10.33
Trend by period
💵 About the dollar figures: spending is what Part D plans paid before confidential manufacturer rebates, so the program’s real net cost is lower. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part D Spending by Drug (data.cms.gov), updated quarterly.
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.