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    NDC 00555-0171-78 Mefloquine Hydrochloride 250 mg/1 Details

    Mefloquine Hydrochloride 250 mg/1

    Mefloquine Hydrochloride is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Teva Pharmaceuticals USA, Inc.. The primary component is MEFLOQUINE HYDROCHLORIDE.

    Product Information

    NDC 00555-0171
    Product ID 0555-0171_33a105c5-0e51-4759-857b-6ca8dfae1d13
    Associated GPIs 13000025100310
    GCN Sequence Number 013747
    GCN Sequence Number Description mefloquine HCl TABLET 250 MG ORAL
    HIC3 W4A
    HIC3 Description ANTIMALARIAL DRUGS
    GCN 42900
    HICL Sequence Number 004882
    HICL Sequence Number Description MEFLOQUINE HCL
    Brand/Generic Generic
    Proprietary Name Mefloquine Hydrochloride
    Proprietary Name Suffix n/a
    Non-Proprietary Name Mefloquine Hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 250
    Active Ingredient Units mg/1
    Substance Name MEFLOQUINE HYDROCHLORIDE
    Labeler Name Teva Pharmaceuticals USA, Inc.
    Pharmaceutical Class Antimalarial [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA076392
    Listing Certified Through 2024-12-31

    Package

    NDC 00555-0171-78 (00555017178)

    NDC Package Code 0555-0171-78
    Billing NDC 00555017178
    Package 25 BLISTER PACK in 1 CARTON (0555-0171-78) / 1 TABLET in 1 BLISTER PACK (0555-0171-88)
    Marketing Start Date 2004-01-06
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 4.83337
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description MEFLOQUINE HCL 250 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