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    NDC 00781-5994-05 Hydroxychloroquine Sulfate 200 mg/1 Details

    Hydroxychloroquine Sulfate 200 mg/1

    Hydroxychloroquine Sulfate is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Sandoz Inc. The primary component is HYDROXYCHLOROQUINE SULFATE.

    Product Information

    NDC 00781-5994
    Product ID 0781-5994_e84ad77e-6737-44a6-a8f9-623dee31be05
    Associated GPIs 13000020100305
    GCN Sequence Number 009580
    GCN Sequence Number Description hydroxychloroquine sulfate TABLET 200 MG ORAL
    HIC3 W4A
    HIC3 Description ANTIMALARIAL DRUGS
    GCN 42940
    HICL Sequence Number 004151
    HICL Sequence Number Description HYDROXYCHLOROQUINE SULFATE
    Brand/Generic Generic
    Proprietary Name Hydroxychloroquine Sulfate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Hydroxychloroquine Sulfate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 200
    Active Ingredient Units mg/1
    Substance Name HYDROXYCHLOROQUINE SULFATE
    Labeler Name Sandoz Inc
    Pharmaceutical Class Antimalarial [EPC], Antirheumatic Agent [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA040104
    Listing Certified Through n/a

    Package

    NDC 00781-5994-05 (00781599405)

    NDC Package Code 0781-5994-05
    Billing NDC 00781599405
    Package 500 TABLET, FILM COATED in 1 BOTTLE (0781-5994-05)
    Marketing Start Date 2018-03-07
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.23514
    Pricing Unit EA
    Effective Date 2022-11-23
    NDC Description HYDROXYCHLOROQUINE 200 MG TAB
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    Classification for Rate Setting G
    As of Date 2022-11-23
    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