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Hydralazine Hydrochloride 25 mg Tablet, 1,000-count — NDC 23155-0833-10 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Hydralazine Hydrochloride 25 mg Tablet, 1,000-count — NDC 23155-833-10 (Billing 23155-0833-10)

by Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc. · 1000 TABLET in 1 BOTTLE

This is a package of 1,000 tablets of Hydralazine Hydrochloride 25 mg Tablet from Heritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc., marketed since Aug 2023 and currently FDA-listed; retail pharmacies pay about $0.0357 per tablet (NADAC).

NDC 23155-0833-10
🏷️ FDA NDC (as labeled) 23155-833-10 billing pads the product segment with a zero
This package
Contains1,000-count Cost per ea$0.0357 NADAC Per package$35.70 / 1000 tablets Pack sizes2 compare ↓
Also priced by: Medicaid pays $0.1215/unit · Part D plans $0.0607/unit — full pricing hub ↓
Rx only Generic On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Sep 17, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

NDC database record

One package, one record: these facts belong to NDC 23155-833-10 alone.

Record
FDA NDC Directory package listing · Human prescription drug
Code segments
23155 labeler · 833 product · 10 package
Package marketed since
Aug 2, 2023
Sample package
No — commercial package
Listing certified through
Dec 31, 2027
Billing quantity
1,000 EA per package
Barcode (UPC)
0323155834017, 0323155835014, 0323155833010, 0323155832013
Medicaid fills, this package
32,891 prescriptions in the last four reported quarters
FDA record last changed
Sep 17, 2026

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 23155-833-10
Product NDC 23155-833
11-digit billing NDC 23155083310
NCPDP billing unit EA — each (per item)
UNII FD171B778Y
UPC 0323155834017, 0323155835014, 0323155833010, 0323155832013
Application # ANDA040858
SPL Set ID 669532c9-ba15-4f4b-95a8-13782deb3521
Established class (EPC) Arteriolar Vasodilator
Physiologic effect Arteriolar Vasodilation
DEA schedule Non-controlled
Marketing category ANDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2023-08-02
Route ORAL
Dosage form TABLET
Substance HYDRALAZINE HYDROCHLORIDE
TE code (Orange Book) AA · RLD · RS

Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification

GPI-14 36400010100310
GCN Seq No 000286
GCN 01243
HICL code 000089
Ingredient (HICL) Hydralazine Hcl
HIC1 code A
Therapeutic class — broad (HIC1) Cardiovascular System
HIC2 code A4
Therapeutic class — intermediate (HIC2) Antihypertensives
HIC3 code A4A
Therapeutic class — specific (HIC3) Antihypertensives, Vasodilators
AHFS code 24:08.16.00
AHFS class Direct Vasodilators
FDB label name HYDRALAZINE 25 MG TABLET
FDB brand name Hydralazine Hcl
Legend status F — Federal legend — prescription drug or device
Quick answers
  • GSN (GCN sequence number): 000286
  • GCN: 01243
  • GPI-14 (Medi-Span): 36400010100310
  • HICL (First Databank): 000089
  • AHFS class code: 24:08.16.00
  • RxCUI (RxNorm): 905199
Why two NDCs? The FDA registers this code as 23155-833-10 — a 5-3-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the product segment → 23155-0833-10. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

RxNorm drug class

This medicine belongs to the Arteriolar Vasodilator class.

Pharmacologic class Arteriolar Vasodilator
Drug family (ATC) Hydrazinophthalazine derivatives
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

Clinical

Label name HYDRALAZINE 25 MG TABLET Ingredient Hydralazine Hcl
📖 What it is MedlinePlus · NLM

Hydralazine is used to treat high blood pressure. Hydralazine is in a class of medications called vasodilators. It works by relaxing the blood vessels so that blood can flow more easily through the body. High blood pressure is a common condition and when not treated, can cause damage to the brain, heart, blood vessels, kidneys and other parts of the body. Damage to these organs may cause heart disease, a heart attack, heart failure, stroke, kidney failure, loss of vision, and other problems. In addition to taking medication, making lifestyle changes will also help to control your blood pressur...

Read the full MedlinePlus article ↗
📗 Our plain-language guide HelloPharmacist
  • Hydralazine is a blood pressure–lowering medication. It works by relaxing the walls of your arteries so blood can flow through more easily, which brings your blood pressure down. K...
  • What exactly is hydralazine supposed to do for me?
  • Your prescription label and your doctor's instructions are the best guide for your specific regimen. Tablets are generally taken several times a day, and your doctor will have star...
  • How do I take my hydralazine tablets — do they need to be taken with food?
📖 Read our full Hydralazine guide →
2
Nutrient depletion considerations

Hydralazine may be associated with lower levels of 2 nutrients — worth a chat with your pharmacist, not a cause for alarm.

An association is not a deficiency. Educational only — don't start or stop anything without professional guidance.
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer eaPer package
Retail pharmacies payNADAC · weekly $0.036 $35.70 / 1000 tablets
Medicaid paysCMS SDUD · 12 mo $0.1215 $121.50 / 1000 tablets
Medicare drug plans payPart D · Q2 2026 $0.0607 $60.70 / 1000 tablets
NADAC price history (per ea) — tap or hover for the price & month
Jan 2024 Jan 2026 May 2026 Sep 2026 $0.046 $0.035
▼ Down 22% over the last 12 months.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

Packaging — all sizes for this product

Package NDCDescription Per unit Per pack Marketing startMarketing endStatus
23155-0833-01 23155-833-01 Main listing 100 TABLET in 1 BOTTLE $0.0357 / ea $3.57 2023-08-02 — Active
23155-0833-10 You're viewing this 1000 TABLET in 1 BOTTLE $0.0357 / ea $35.72 2023-08-02 — Active

You're viewing the largest of 2 pack sizes for this product.

This pack effectively ties for the lowest per-ea cost of the 2 priced pack sizes ($0.0357 NADAC).

In Medicaid, this is the most-dispensed pack of this product — about 53% of fills over the last four reported quarters. See all packs ↓

Pack size FAQ

What quantity is in this package?
This is a 1,000-count package — 1000 tablet in 1 bottle.
How does this package differ from NDC 23155-0833-01?
Both are Hydralazine Hydrochloride 25 mg Tablet — the drug itself is identical. This page's package is the 1,000-count one, while NDC 23155-0833-01 is the 100 tablets package.
What NDC number is used to bill for this package of Hydralazine Hydrochloride 25 mg Tablet?
Use the 11-digit billing form listed in the identifiers section of this page. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

Prices are the latest CMS NADAC pharmacy acquisition cost per NDC; per-pack figures are per-unit × pack quantity, shown only when the pack is denominated in the same measure NADAC prices.

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Hydralazine Hydrochloride 25 mg 00904-7448-61 Major 100 tablets $0.036 AA Availability likely —
Hydralazine Hydrochloride 25 mg 23155-0002-01 Heritage 100 tablets $0.036 — Discontinued —
Hydralazine Hydrochloride 25 mgthis 23155-0833-10 Heritage 1000 tablets $0.036 AA Availability likely —
Hydralazine Hydrochloride 25 mg 31722-0520-01 Camber 100 tablets $0.036 AA Availability likely —
Hydralazine Hydrochloride 25 mg 50111-0327-01 Teva 100 tablets $0.036 AA Availability likely —
Hydralazine Hydrochloride 25 mg 50228-0183-01 ScieGen 100 tablets $0.036 AA Availability likely —
Hydralazine Hydrochloride 25 mg 51079-0075-20 Mylan 100 tablets $0.036 AA Availability likely —
Hydralazine Hydrochloride 25 mg 60687-0822-01 American 100 tablets $0.036 AA Availability likely —
Hydralazine Hydrochloride 25 mg 62135-0580-12 Chartwell 120 tablets $0.036 — Availability likely —
HydrALAZINE Hydrochloride 25 mg 64380-0734-06 Strides 100 tablets $0.036 AA Availability likely —
HydrALAZINE Hydrochloride 25 mg 76282-0310-01 Exelan 100 tablets $0.036 — Availability likely —
Hydralazine Hydrochloride 25 mg 33342-0375-11 Macleods 100 tablets — — FDA listed —
Hydralazine Hydrochloride 25 mg 48433-0047-20 Safecor 100 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 50090-0137-00 A-S 100 tablets — AA Discontinued —
Hydralazine Hydrochloride 25 mg 51655-0305-26 Northwind 90 tablets — — Discontinued —
Hydralazine Hydrochloride 25 mg 55154-0186-00 Cardinal 10 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 55154-2141-00 Cardinal 10 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 55154-5689-00 Cardinal 10 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 55289-0133-60 PD-Rx 60 tablets — — Discontinued —
Hydralazine Hydrochloride 25 mg 63187-0901-30 Proficient 30 tablets — — FDA listed —
Hydralazine Hydrochloride 25 mg 63629-5696-01 Bryant 30 tablets — — Discontinued —
Hydralazine Hydrochloride 25 mg 63629-8496-01 Bryant 1000 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 63629-8757-01 Bryant 1000 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 67046-1660-03 Coupler 30 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 67544-0657-60 Aphena 90 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 67877-0292-01 Ascend 100 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 68462-0342-01 Glenmark 100 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 70518-2551-00 REMEDYREPACK 30 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 70518-3852-00 REMEDYREPACK 30 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 70518-4064-02 REMEDYREPACK 180 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 71209-0016-05 Cadila 100 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 71335-0202-01 Bryant 30 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 71335-2352-01 Bryant 30 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 71610-0561-60 Aphena 90 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 72162-1521-00 Bryant 1000 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 72162-1536-00 Bryant 1000 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 72241-0004-05 Modavar 100 tablets — AA FDA listed —
Hydralazine 25 mg 75834-0126-00 Nivagen 1000 tablets — AA Discontinued —
Hydralazine Hydrochloride 25 mg 77771-0183-01 Radha 100 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 82804-0081-30 Proficient 30 tablets — AA FDA listed —
Hydralazine Hydrochloride 25 mg 82868-0045-30 Northwind 30 tablets — AA FDA listed —
About this product: this is a generic version of the medicine. FDA equivalence ratings are shown when available, and other versions are listed above, least expensive first.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2023
On the market since
Aug 2023
📍
2026
Currently FDA-listed
3 years listed
🔓
·
Generic on the market
this product is a generic
✅This is a generic drug

This product is an FDA-approved generic. Other versions of the same drug are listed under Therapeutic equivalents, least expensive first.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

What it looks like

Color pink
ShapeRound
ImprintEP;104
Size1 mm
ScoringNot scored
One label can cover several strengths, so colors may be combined — always confirm a loose pill against the dispensed prescription label or a pharmacist.
Where does this data come from?
Physical description (imprint, shape, color, scoring, coating) from this product’s FDA Structured Product Labeling (SPL), mirrored from DailyMed / openFDA.

Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII H77VEI93A8
    A synthetic yellow dye used to color medications. It helps identify the drug and make it visually distinctive, with no effect on how the medicine works.
  • UNII 70097M6I30
    Magnesium stearate is a salt made from magnesium and stearic acid, a fatty substance. It's used in tablets and capsules as a lubricant and glidant to help ingredients flow smoothly during manufacturing and prevent sticking.
  • UNII PNR0YF693Y
    A plant-based powder made from purified wood cellulose. It acts as a filler to add bulk, a binder to hold ingredients together, and a disintegrant to help the tablet break apart in the stomach.
  • UNII KO5GYV0DCB
    Microcrystalline cellulose is a purified plant fiber used as a binder and filler in tablets and capsules. It helps hold ingredients together, adds bulk, and improves how the medicine breaks apart in your body.
  • UNII ETJ7Z6XBU4
    Silicon dioxide is a naturally occurring mineral used as a glidant and anti-caking agent. It helps powder ingredients flow smoothly and prevents clumping during manufacturing and storage.
  • UNII 5856J3G2A2
    A starch-based powder made from potatoes and processed with sodium. It acts as a disintegrant, helping the tablet or capsule break apart quickly in the stomach so the medicine can be absorbed.

6 inactive ingredients listed in the exact product block matched to this NDC.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMed — ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

Manufacturer & labeler

LabelerHeritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.
Application holderHERITAGE PHARMACEUTICALS INC
FDA applicationANDA040858 (ANDA)
Labeler code23155
First marketedAug 2023
Product typeHuman Prescription Drug
Portfolio253 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

Full prescribing information FDA SPL

The complete FDA label for this product — the official prescribing information, verbatim, section by section. Very long sections are excerpted here and marked; the full text is on DailyMed (linked in the sources below). Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage 10 words ▾

INDICATIONS AND USAGE Essential hypertension, alone or as an adjunct.

⏱️ Dosage and Administration 152 words ▾

DOSAGE AND ADMINISTRATION Initiate therapy in gradually increasing dosages; adjust according to individual response. Start with 10 mg four times daily for the first 2 to 4 days, increase to 25 mg four times daily for the balance of the first week. For the second and subsequent weeks, increase dosage to 50 mg four times daily.

For maintenance, adjust dosage to the lowest effective levels. The incidence of toxic reactions, particularly the L.E. cell syndrome, is high in the group of patients receiving large doses of hydrALAZINE hydrochloride tablets. In a few resistant patients, up to 300 mg of hydrALAZINE hydrochloride tablets daily may be required for a significant antihypertensive effect.

In such cases, a lower dosage of hydrALAZINE hydrochloride tablets combined with a thiazide and/or reserpine or a beta blocker may be considered. However, when combining therapy, individual titration is essential to ensure the lowest possible therapeutic dose of each drug.

⛔ Contraindications 12 words ▾

CONTRAINDICATIONS Hypersensitivity to hydrALAZINE; coronary artery disease; mitral valvular rheumatic heart disease.

⚠️ Warnings 66 words ▾

WARNINGS ​ In a few patients hydrALAZINE may produce a clinical picture simulating systemic lupus erythematosus including glomerulonephritis. In such patients hydrALAZINE should be discontinued unless the benefit-to-risk determination requires continued antihypertensive therapy with this drug. Symptoms and signs usually regress when the drug is discontinued but residua have been detected many years later.

Long-term treatment with steroids may be necessary. (See PRECAUTIONS, Laboratory Tests .)

🤒 Adverse Reactions 133 words ▾

ADVERSE REACTIONS Adverse reactions with hydrALAZINE are usually reversible when dosage is reduced. However, in some cases it may be necessary to discontinue the drug. The following adverse reactions have been observed, but there has not been enough systematic collection of data to support an estimate of their frequency.

Common Headache, anorexia, nausea, vomiting, diarrhea, palpitations, tachycardia, angina pectoris. Less Frequent: Digestive: constipation, paralytic ileus. Cardiovascular: hypotension, paradoxical pressor response, edema.

Respiratory: dyspnea. Neurologic: peripheral neuritis, evidenced by paresthesia, numbness, and tingling; dizziness; tremors; muscle cramps; psychotic reactions characterized by depression, disorientation, or anxiety. Genitourinary: difficulty in urination.

Hematologic: blood dyscrasias, consisting of reduction in hemoglobin and red cell count, leukopenia, agranulocytosis, purpura; lymphadenopathy; splenomegaly. Hypersensitive Reactions: rash, urticaria, pruritus, fever, chills, arthralgia, eosinophilia, and rarely, hepatitis. Other: nasal congestion, flushing, lacrimation, conjunctivitis.

🆘 Overdosage 189 words ▾

OVERDOSAGE Acute Toxicity: No deaths due to acute poisoning have been reported. Highest known dose survived: adults, 10 g orally. Oral LD 50 in rats: 173 and 187 mg/kg.

Signs and Symptoms Signs and symptoms of overdosage include hypotension, tachycardia, headache, and generalized skin flushing. Complications can include myocardial ischemia and subsequent myocardial infarction, cardiac arrhythmia, and profound shock. Treatment There is no specific antidote.

The gastric contents should be evacuated, taking adequate precautions against aspiration and for protection of the airway. An activated charcoal slurry may be instilled if conditions permit. These manipulations may have to be omitted or carried out after cardiovascular status has been stabilized, since they might precipitate cardiac arrhythmias or increase the depth of shock.

Support of the cardiovascular system is of primary importance. Shock should be treated with plasma expanders. If possible, vasopressors should not be given, but if a vasopressor is required, care should be taken not to precipitate or aggravate cardiac arrhythmia.

Tachycardia responds to beta blockers. Digitalization may be necessary, and renal function should be monitored and supported as required. No experience has been reported with extracorporeal or peritoneal dialysis.

🧬 Clinical Pharmacology ~1 min read ▾

CLINICAL PHARMACOLOGY Although the precise mechanism of action of hydrALAZINE is not fully understood, the major effects are on the cardiovascular system. HydrALAZINE apparently lowers blood pressure by exerting a peripheral vasodilating effect through a direct relaxation of vascular smooth muscle. HydrALAZINE, by altering cellular calcium metabolism, interferes with the calcium movements within the vascular smooth muscle that are responsible for initiating or maintaining the contractile state.

The peripheral vasodilating effect of hydrALAZINE results in decreased arterial blood pressure (diastolic more than systolic); decreased peripheral vascular resistance; and an increased heart rate, stroke volume, and cardiac output. The preferential dilatation of arterioles, as compared to veins, minimizes postural hypotension and promotes the increase in cardiac output. HydrALAZINE usually increases renin activity in plasma, presumably as a result of increased secretion of renin by the renal juxtaglomerular cells in response to reflex sympathetic discharge.

This increase in renin activity leads to the production of angiotensin II, which then causes stimulation of aldosterone and consequent sodium reabsorption. HydrALAZINE also maintains or increases renal and cerebral blood flow. HydrALAZINE is rapidly absorbed after oral administration, and peak plasma levels are reached at 1 to 2 hours.

Plasma levels of apparent hydrALAZINE decline with a half-life of 3 to 7 hours. Binding to human plasma protein is 87%. Plasma levels of hydrALAZINE vary widely among individuals.

HydrALAZINE is subject to polymorphic acetylation; slow acetylators generally have higher plasma levels of hydrALAZINE and require lower doses to maintain control of blood pressure. HydrALAZINE undergoes extensive hepatic metabolism; it is excreted mainly in the form of metabolites in the urine.

📦 How Supplied / Storage and Handling 183 words ▾

HOW SUPPLIED HydrALAZINE Hydrochloride Tablets, USP are available as: 10 mg – Round, peach core tablet, debossed EP on one side and 101 on the reverse side. NDC 23155-832-01 Bottles of 100 NDC 23155-832-10 Bottles of 1000 25 mg – Round, peach, core tablet, debossed EP over 102 on one side and plain on the reverse side. NDC 23155-833-01 Bottles of 100 NDC 23155-833-10 Bottles of 1000 50 mg – Round, peach, core tablet, debossed EP over 103 on one side and plain on the reverse side.

NDC 23155-834-01 Bottles of 100 NDC 23155-834-10 Bottles of 1000 100 mg – Round, Peach, core tablet, debossed EP over 104 on one side and plain on the reverse side. NDC 23155-835-01 Bottles of 100 Dispense in a tight, light-resistant container as defined in the USP. Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature].

KEEP THIS AND ALL MEDICATIONS OUT OF THE REACH OF CHILDREN. Manufactured by: Stallion Laboratories Private Limited Gallops Industrial Park-II, Ahmedabad-382110, Gujarat, India Distributed by: Avet Pharmaceuticals Inc. East Brunswick, NJ 08816 1-866-901-DRUG (3784) Revised: 06/2025 logo

📋 Description 98 words ▾

DESCRIPTION HydrALAZINE hydrochloride, USP, is an antihypertensive, for oral administration. Its chemical name is 1-hydrazinophthalazine monohydrochloride, and its structural formula is: HydrALAZINE hydrochloride, USP is a white to off-white, odorless crystalline powder. It is soluble in water, slightly soluble in alcohol, and very slightly soluble in ether.

It melts at about 275°C, with decomposition. Each tablet for oral administration contains 10 mg, 25 mg, 50 mg or 100 mg hydrALAZINE hydrochloride, USP. Tablets also contain magnesium stearate, microcrystalline cellulose, orange lake blend, silicon dioxide, and sodium starch glycolate.

The orange lake blend consists of FD&C yellow #6. structure-image

⚠️ Precautions ~3 min read ▾

PRECAUTIONS General Myocardial stimulation produced by hydrALAZINE can cause anginal attacks and ECG changes of myocardial ischemia. The drug has been implicated in the production of myocardial infarction. It must, therefore, be used with caution in patients with suspected coronary artery disease.

The “hyperdynamic” circulation caused by hydrALAZINE may accentuate specific cardiovascular inadequacies. For example, hydrALAZINE may increase pulmonary artery pressure in patients with mitral valvular disease. The drug may reduce the pressor responses to epinephrine.

Postural hypotension may result from hydrALAZINE but is less common than with ganglionic blocking agents. It should be used with caution in patients with cerebral vascular accidents. In hypertensive patients with normal kidneys who are treated with hydrALAZINE, there is evidence of increased renal blood flow and a maintenance of glomerular filtration rate.

In some instances where control values were below normal, improved renal function has been noted after administration of hydrALAZINE. However, as with any antihypertensive agent, hydrALAZINE should be used with caution in patients with advanced renal damage. Peripheral neuritis, evidenced by paresthesia, numbness, and tingling, has been observed.

Published evidence suggests an antipyridoxine effect, and that pyridoxine should be added to the regimen if symptoms develop. Information for Patients Patients should be informed of possible side effects and advised to take the medication regularly and continuously as directed. Laboratory Tests Complete blood counts and antinuclear antibody titer determinations are indicated before and periodically during prolonged therapy with hydrALAZINE even though the patient is asymptomatic.

These studies are also indicated if the patient develops arthralgia, fever, chest pain, continued malaise, or other unexplained signs or symptoms. A positive antinuclear antibody titer requires that the physician carefully weigh the implications of the test results against the benefits to be derived from antihypertensive therapy with hydrALAZINE. Blood dyscrasias, consisting of reduction in hemoglobin and red cell count, leukopenia, agranulocytosis, and purpura, have been reported.

If such abnormalities develop, therapy should be discontinued. Drug/Drug Interactions MAO inhibitors should be used with caution in patients receiving hydrALAZINE. When other potent parenteral antihypertensive drugs, such as diazoxide, are used in combination with hydrALAZINE, patients should be continuously observed for several hours for any excessive fall in blood pressure.

Profound hypotensive episodes may occur when diazoxide injection and hydrALAZINE are used concomitantly. Drug/Food Interactions Administration of hydrALAZINE with food results in higher plasma levels. Carcinogenesis, Mutagenesis, Impairment of Fertility In a lifetime study in Swiss albino mice, there was a statistically significant increase in the incidence of lung tumors (adenomas and adenocarcinomas) of both male and female mice given hydrALAZINE continuously in their drinking water at a dosage of about 250 mg/kg per day (about 80 times the maximum recommended human dose).

In a 2-year carcinogenicity study of rats given hydrALAZINE by gavage at dose levels of 15, 30, and 60 mg/kg/day (approximately 5 to 20 times the recommended human daily dosage), microscopic examination of the liver revealed a small, but statistically significant, increase in benign neoplastic nodules in male and female rats from the high-dose group and in female rats from the intermediate-dose group. Benign interstitial cell tumors of the testes were also significantly increased in male rats from the high-dose group.

The tumors observed are common in aged rats and a significantly increased incidence was not observed until 18 months of treatment. HydrALAZINE was shown to be mutagenic in bacterial systems (Gene Mutation and DNA Repair) and in one of two rats and one rabbit hepatoc… [Excerpted — this section continues on DailyMed.]

📄 Package Label / Principal Display Panel 96 words ▾

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL - 10 mg NDC 23155- 832 -01 ​HydrALAZINE Hydrochloride Tablets, USP 10 mg 100 Tablets Rx only 10 mg-100s-count 10mg-100s-avet

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL - 25 mg NDC 23155- 833 -01 HydrALAZINE Hydrochloride Tablets, USP 25 mg 100 Tablets Rx only 25 mg-100s-count 25mg-100s-avet

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL - 50 mg NDC 23155- 834 -01 HydrALAZINE Hydrochloride Tablets, USP 50 mg 100 Tablets Rx only 50 mg-100s-count 50mg-100s-avet

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL - 100 mg NDC 23155- 835 -01 HydrALAZINE Hydrochloride Tablets, USP 100 mg 100 Tablets Rx only 100 mg-100s-count 100mg-100s-avet

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

Medicaid utilization & spend

📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for this package alone, not the drug overall. Other pack sizes report separately.
💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.
📅 Q1 2025 – Q1 2026 · 5 quarters of data
ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.
Prescriptions last 4 qtrs
32.9K
Units reimbursed last 4 qtrs
2.7M
Gross reimbursed last 4 qtrs
$328K
Avg / prescription
$9.97
Avg / unit
$0.1215
Latest quarter Q1 2026
7.8KRx
Medicaid pays / ea
$0.1215
gross reimbursed
vs
NADAC / ea
$0.0357
acquisition cost
=
Spread
+$0.0858
+240% vs cost
What Medicaid paid per ea (before rebates; includes the pharmacy’s dispensing fee) compared with NADAC — the average price pharmacies pay to buy the drug. A positive spread means Medicaid reimbursed more than the purchase price, before manufacturer rebates.
Fee-for-service vs managed care ⓘ
46% FFS 54% MCO
Fee-for-service · 15,040 Rx Managed care · 17,851 Rx
State Medicaid map
Alaska: no data reported AK Maine: 2,640 units · 189 per 100k residents ME Washington: 23,591 units · 302 per 100k residents WA Idaho: 3,356 units · 171 per 100k residents ID Montana: no data reported MT North Dakota: no data reported ND Minnesota: 5,067 units · 88.3 per 100k residents MN Wisconsin: 56,720 units · 960 per 100k residents WI Michigan: 106,643 units · 1,062 per 100k residents MI New York: 522,188 units · 2,668 per 100k residents NY Vermont: no data reported VT New Hampshire: no data reported NH Oregon: 13,736 units · 324 per 100k residents OR Nevada: 11,257 units · 352 per 100k residents NV Wyoming: no data reported WY South Dakota: no data reported SD Iowa: 6,413 units · 200 per 100k residents IA Illinois: 252,042 units · 2,008 per 100k residents IL Indiana: 64,860 units · 945 per 100k residents IN Ohio: 111,295 units · 944 per 100k residents OH Pennsylvania: 89,458 units · 690 per 100k residents PA New Jersey: 80,044 units · 862 per 100k residents NJ Massachusetts: 12,902 units · 184 per 100k residents MA California: 335,599 units · 861 per 100k residents CA Utah: no data reported UT Colorado: 5,434 units · 92.4 per 100k residents CO Nebraska: no data reported NE Missouri: 65,192 units · 1,052 per 100k residents MO Kentucky: 79,144 units · 1,749 per 100k residents KY West Virginia: 13,450 units · 760 per 100k residents WV Virginia: 51,969 units · 596 per 100k residents VA Maryland: 70,231 units · 1,136 per 100k residents MD Connecticut: 40,672 units · 1,124 per 100k residents CT Rhode Island: 5,830 units · 532 per 100k residents RI Arizona: 18,237 units · 245 per 100k residents AZ New Mexico: 1,462 units · 69.2 per 100k residents NM Kansas: 10,845 units · 369 per 100k residents KS Arkansas: no data reported AR Tennessee: 41,361 units · 580 per 100k residents TN North Carolina: 97,720 units · 902 per 100k residents NC South Carolina: 13,874 units · 258 per 100k residents SC Delaware: 786 units · 76.2 per 100k residents DE Oklahoma: 15,765 units · 389 per 100k residents OK Louisiana: 15,438 units · 338 per 100k residents LA Mississippi: 14,001 units · 476 per 100k residents MS Alabama: 4,845 units · 94.9 per 100k residents AL Georgia: 25,763 units · 234 per 100k residents GA D.C.: 32,181 units · 4,739 per 100k residents DC Hawaii: no data reported HI Texas: 77,158 units · 253 per 100k residents TX Florida: 72,447 units · 320 per 100k residents FL
Units reimbursed · per 100k residents
69.24,739
gray = no data reported ⓘ
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
🏆 Top states by units · per 100k residents
1 D.C. 4,739 /100k
2 New York 2,668 /100k
3 Illinois 2,008 /100k
4 Kentucky 1,749 /100k
5 Maryland 1,136 /100k
6 Connecticut 1,124 /100k
7 Michigan 1,062 /100k
8 Missouri 1,052 /100k
National units — by quarter
💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.

Medicaid utilization by pack size

Medicaid (SDUD) totals over the four most recent reported quarters for every package size of this drug — handy when a specific package (e.g. a starter/titration pack) carries little or no Medicaid volume on its own.
1000 tablets this page23155-0833-10 32,891 Rx · $328,022
100 tablets23155-0833-01 29,557 Rx · $306,386
Drug total (last 4 qtrs): 62,448 Rx · 5,937,641 units · $634,409 gross reimbursed
Tap a pack size to open its page. Source: CMS State Drug Utilization Data, last 4 quarters.
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.