Search by Drug Name or NDC

    NDC 00121-0890-50 VANCOMYCIN HYDROCHLORIDE 250 mg/1 Details

    VANCOMYCIN HYDROCHLORIDE 250 mg/1

    VANCOMYCIN HYDROCHLORIDE is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by PAI Holdings, LLC. The primary component is VANCOMYCIN HYDROCHLORIDE.

    Product Information

    NDC 00121-0890
    Product ID 0121-0890_46c61b28-1b3a-4f06-bcba-bf1fba0a6287
    Associated GPIs 16280080100120
    GCN Sequence Number 009327
    GCN Sequence Number Description vancomycin HCl CAPSULE 250 MG ORAL
    HIC3 W1J
    HIC3 Description VANCOMYCIN ANTIBIOTICS AND DERIVATIVES
    GCN 41371
    HICL Sequence Number 004042
    HICL Sequence Number Description VANCOMYCIN HCL
    Brand/Generic Generic
    Proprietary Name VANCOMYCIN HYDROCHLORIDE
    Proprietary Name Suffix n/a
    Non-Proprietary Name VANCOMYCIN HYDROCHLORIDE
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 250
    Active Ingredient Units mg/1
    Substance Name VANCOMYCIN HYDROCHLORIDE
    Labeler Name PAI Holdings, LLC
    Pharmaceutical Class Glycopeptide Antibacterial [EPC], Glycopeptides [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA210729
    Listing Certified Through 2024-12-31

    Package

    NDC 00121-0890-50 (00121089050)

    NDC Package Code 0121-0890-50
    Billing NDC 00121089050
    Package 50 CAPSULE in 1 BOTTLE (0121-0890-50)
    Marketing Start Date 2020-03-10
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 2.12516
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description VANCOMYCIN HCL 250 MG CAPSULE
    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