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    NDC 16571-0687-01 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 Rising Pharma Holdings, Inc.. The primary component is HYDROXYCHLOROQUINE SULFATE.

    Product Information

    NDC 16571-0687
    Product ID 16571-687_cbad7d35-a9f3-4071-a4bd-3cc7e9be3956
    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 Rising Pharma Holdings, Inc.
    Pharmaceutical Class Antimalarial [EPC], Antirheumatic Agent [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA210959
    Listing Certified Through n/a

    Package

    NDC 16571-0687-01 (16571068701)

    NDC Package Code 16571-687-01
    Billing NDC 16571068701
    Package 100 TABLET, FILM COATED in 1 BOTTLE (16571-687-01)
    Marketing Start Date 2019-09-05
    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