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    NDC 42192-0338-01 Hyoscyamine Sulfate ODT 0.125 mg/1 Details

    Hyoscyamine Sulfate ODT 0.125 mg/1

    Hyoscyamine Sulfate ODT is a ORAL TABLET, ORALLY DISINTEGRATING in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Acella Pharmaceuticals, LLC. The primary component is HYOSCYAMINE SULFATE.

    Product Information

    NDC 42192-0338
    Product ID 42192-338_703427a9-aa68-4bca-9a94-3667c10fe790
    Associated GPIs 49101030107220
    GCN Sequence Number 047546
    GCN Sequence Number Description hyoscyamine sulfate TAB RAPDIS 0.125 MG ORAL
    HIC3 J2A
    HIC3 Description BELLADONNA ALKALOIDS
    GCN 13299
    HICL Sequence Number 002017
    HICL Sequence Number Description HYOSCYAMINE SULFATE
    Brand/Generic Generic
    Proprietary Name Hyoscyamine Sulfate ODT
    Proprietary Name Suffix n/a
    Non-Proprietary Name hyoscyamine sulfate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, ORALLY DISINTEGRATING
    Route ORAL
    Active Ingredient Strength 0.125
    Active Ingredient Units mg/1
    Substance Name HYOSCYAMINE SULFATE
    Labeler Name Acella Pharmaceuticals, LLC
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category UNAPPROVED DRUG OTHER
    Application Number n/a
    Listing Certified Through 2024-12-31

    Package

    NDC 42192-0338-01 (42192033801)

    NDC Package Code 42192-338-01
    Billing NDC 42192033801
    Package 100 TABLET, ORALLY DISINTEGRATING in 1 BOTTLE (42192-338-01)
    Marketing Start Date 2011-05-19
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.15103
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description HYOSCYAMINE 0.125 MG ODT
    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