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    NDC 00713-0864-30 Benicar HCT 12.5; 40 mg/1; mg/1 Details

    Benicar HCT 12.5; 40 mg/1; mg/1

    Benicar HCT 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 HYDROCHLOROTHIAZIDE; OLMESARTAN MEDOXOMIL.

    Product Information

    NDC 00713-0864
    Product ID 0713-0864_004953ba-fde0-03eb-e063-6394a90a638c
    Associated GPIs 36994002500340
    GCN Sequence Number 052834
    GCN Sequence Number Description olmesartan/hydrochlorothiazide TABLET 40-12.5 MG ORAL
    HIC3 A4I
    HIC3 Description ANGIOTENSIN RECEPTOR ANTAG.-THIAZIDE DIURETIC COMB
    GCN 20075
    HICL Sequence Number 025446
    HICL Sequence Number Description OLMESARTAN MEDOXOMIL/HYDROCHLOROTHIAZIDE
    Brand/Generic Brand
    Proprietary Name Benicar HCT
    Proprietary Name Suffix n/a
    Non-Proprietary Name olmesartan medoxomil-hydrochlorothiazide
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 12.5; 40
    Active Ingredient Units mg/1; mg/1
    Substance Name HYDROCHLOROTHIAZIDE; OLMESARTAN MEDOXOMIL
    Labeler Name Cosette Pharmaceuticals, Inc.
    Pharmaceutical Class Angiotensin 2 Receptor Antagonists [MoA], Angiotensin 2 Receptor Blocker [EPC], Increased Diuresis [PE], Thiazide Diuretic [EPC], Thiazides [CS]
    DEA Schedule n/a
    Marketing Category NDA
    Application Number NDA021532
    Listing Certified Through 2024-12-31

    Package

    NDC 00713-0864-30 (00713086430)

    NDC Package Code 0713-0864-30
    Billing NDC 00713086430
    Package 30 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0713-0864-30)
    Marketing Start Date 2022-09-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 12.9912
    Pricing Unit EA
    Effective Date 2023-09-01
    NDC Description BENICAR HCT 40-12.5 MG TABLET
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    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