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    NDC 42799-0952-30 Pantoprazole Sodium 40 mg/1 Details

    Pantoprazole Sodium 40 mg/1

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

    Product Information

    NDC 42799-0952
    Product ID 42799-952_c5aac605-24bf-42a8-a336-d7acbb81c925
    Associated GPIs
    GCN Sequence Number 063700
    GCN Sequence Number Description pantoprazole sodium GRANPKT DR 40 MG ORAL
    HIC3 D4J
    HIC3 Description PROTON-PUMP INHIBITORS
    GCN 99418
    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 GRANULE, DELAYED RELEASE
    Route ORAL
    Active Ingredient Strength 40
    Active Ingredient Units mg/1
    Substance Name PANTOPRAZOLE SODIUM
    Labeler Name Edenbridge Pharmaceuticals LLC.
    Pharmaceutical Class Proton Pump Inhibitor [EPC], Proton Pump Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA216247
    Listing Certified Through 2024-12-31

    Package

    NDC 42799-0952-30 (42799095230)

    NDC Package Code 42799-952-30
    Billing NDC 42799095230
    Package 30 PACKET in 1 CARTON (42799-952-30) / 1 GRANULE, DELAYED RELEASE in 1 PACKET (42799-952-01)
    Marketing Start Date 2023-08-15
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 12.2693
    Pricing Unit EA
    Effective Date 2024-01-17
    NDC Description PANTOPRAZOLE DR 40 MG SUSP PKT
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    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