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    NDC 00904-6708-06 azithromycin monohydrate 250 mg/1 Details

    azithromycin monohydrate 250 mg/1

    azithromycin monohydrate is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Major Pharmaceuticals. The primary component is AZITHROMYCIN MONOHYDRATE.

    Product Information

    NDC 00904-6708
    Product ID 0904-6708_d4258698-37c7-427c-8b3c-c73028891242
    Associated GPIs 03400010000320
    GCN Sequence Number 026721
    GCN Sequence Number Description azithromycin TABLET 250 MG ORAL
    HIC3 W1D
    HIC3 Description MACROLIDE ANTIBIOTICS
    GCN 48793
    HICL Sequence Number 006334
    HICL Sequence Number Description AZITHROMYCIN
    Brand/Generic Generic
    Proprietary Name azithromycin monohydrate
    Proprietary Name Suffix n/a
    Non-Proprietary Name azithromycin monohydrate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 250
    Active Ingredient Units mg/1
    Substance Name AZITHROMYCIN MONOHYDRATE
    Labeler Name Major Pharmaceuticals
    Pharmaceutical Class Macrolide Antimicrobial [EPC], Macrolides [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA065398
    Listing Certified Through n/a

    Package

    NDC 00904-6708-06 (00904670806)

    NDC Package Code 0904-6708-06
    Billing NDC 00904670806
    Package 5 BLISTER PACK in 1 CARTON (0904-6708-06) / 10 TABLET in 1 BLISTER PACK
    Marketing Start Date 2015-08-18
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.35666
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description AZITHROMYCIN 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