Search by Drug Name or NDC

    NDC 35573-0428-80 Pantoprazole Sodium 40 mg/1 Details

    Pantoprazole Sodium 40 mg/1

    Pantoprazole Sodium is a ORAL TABLET, DELAYED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Burel Pharmaceuticals, LLC. The primary component is PANTOPRAZOLE SODIUM.

    Product Information

    NDC 35573-0428
    Product ID 35573-428_d004eeef-231d-461b-8149-0f9ca1801420
    Associated GPIs 49270070100620
    GCN Sequence Number 027462
    GCN Sequence Number Description pantoprazole sodium TABLET DR 40 MG ORAL
    HIC3 D4J
    HIC3 Description PROTON-PUMP INHIBITORS
    GCN 40120
    HICL Sequence Number 022008
    HICL Sequence Number Description PANTOPRAZOLE SODIUM
    Brand/Generic Generic
    Proprietary Name Pantoprazole Sodium
    Proprietary Name Suffix n/a
    Non-Proprietary Name Pantoprazole Sodium
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, DELAYED RELEASE
    Route ORAL
    Active Ingredient Strength 40
    Active Ingredient Units mg/1
    Substance Name PANTOPRAZOLE SODIUM
    Labeler Name Burel Pharmaceuticals, LLC
    Pharmaceutical Class Proton Pump Inhibitor [EPC], Proton Pump Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA202038
    Listing Certified Through 2024-12-31

    Package

    NDC 35573-0428-80 (35573042880)

    NDC Package Code 35573-428-80
    Billing NDC 35573042880
    Package 10 BLISTER PACK in 1 CARTON (35573-428-80) / 10 TABLET, DELAYED RELEASE in 1 BLISTER PACK
    Marketing Start Date 2020-04-20
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.05264
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description PANTOPRAZOLE SOD DR 40 MG TAB
    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