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    NDC 00713-0861-30 Benicar 20 mg/1 Details

    Benicar 20 mg/1

    Benicar is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Cosette Pharmaceuticals, Inc.. The primary component is OLMESARTAN MEDOXOMIL.

    Product Information

    NDC 00713-0861
    Product ID 0713-0861_00494313-514a-b3b5-e063-6294a90a5ad5
    Associated GPIs 36150055200340
    GCN Sequence Number 050289
    GCN Sequence Number Description olmesartan medoxomil TABLET 20 MG ORAL
    HIC3 A4F
    HIC3 Description ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR ANTAGONIST
    GCN 17285
    HICL Sequence Number 023490
    HICL Sequence Number Description OLMESARTAN MEDOXOMIL
    Brand/Generic Brand
    Proprietary Name Benicar
    Proprietary Name Suffix n/a
    Non-Proprietary Name olmesartan medoxomil
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 20
    Active Ingredient Units mg/1
    Substance Name OLMESARTAN MEDOXOMIL
    Labeler Name Cosette Pharmaceuticals, Inc.
    Pharmaceutical Class Angiotensin 2 Receptor Antagonists [MoA], Angiotensin 2 Receptor Blocker [EPC]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA021286
    Listing Certified Through 2024-12-31

    Package

    NDC 00713-0861-30 (00713086130)

    NDC Package Code 0713-0861-30
    Billing NDC 00713086130
    Package 30 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0713-0861-30)
    Marketing Start Date 2022-09-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 9.31053
    Pricing Unit EA
    Effective Date 2023-09-01
    NDC Description BENICAR 20 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 2
    Classification for Rate Setting B
    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