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    NDC 00955-1045-90 Irbesartan and Hydrochlorothiazide 12.5; 150 mg/1; mg/1 Details

    Irbesartan and Hydrochlorothiazide 12.5; 150 mg/1; mg/1

    Irbesartan and Hydrochlorothiazide is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Winthrop U.S, a business of sanofi-aventis U.S. LLC. The primary component is HYDROCHLOROTHIAZIDE; IRBESARTAN.

    Product Information

    NDC 00955-1045
    Product ID 0955-1045_0bef6b72-508e-ff17-e063-6394a90a3682
    Associated GPIs 36994002300320
    GCN Sequence Number 041234
    GCN Sequence Number Description irbesartan/hydrochlorothiazide TABLET 150-12.5MG ORAL
    HIC3 A4I
    HIC3 Description ANGIOTENSIN RECEPTOR ANTAG.-THIAZIDE DIURETIC COMB
    GCN 11042
    HICL Sequence Number 018963
    HICL Sequence Number Description IRBESARTAN/HYDROCHLOROTHIAZIDE
    Brand/Generic Generic
    Proprietary Name Irbesartan and Hydrochlorothiazide
    Proprietary Name Suffix n/a
    Non-Proprietary Name irbesartan and hydrochlorothiazide
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 12.5; 150
    Active Ingredient Units mg/1; mg/1
    Substance Name HYDROCHLOROTHIAZIDE; IRBESARTAN
    Labeler Name Winthrop U.S, a business of sanofi-aventis U.S. LLC
    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 AUTHORIZED GENERIC
    Application Number NDA020758
    Listing Certified Through 2024-12-31

    Package

    NDC 00955-1045-90 (00955104590)

    NDC Package Code 0955-1045-90
    Billing NDC 00955104590
    Package 90 TABLET, FILM COATED in 1 BOTTLE (0955-1045-90)
    Marketing Start Date 2019-09-30
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.18504
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description IRBESARTAN-HYDROCHLOROTHIAZIDE 150-12.5 MG TB
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 6
    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