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    NDC 42858-0003-01 Oxycodone Hydrochloride 15 mg/1 Details

    Oxycodone Hydrochloride 15 mg/1

    Oxycodone Hydrochloride is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Rhodes Pharmaceuticals L.P.. The primary component is OXYCODONE HYDROCHLORIDE.

    Product Information

    NDC 42858-0003
    Product ID 42858-003_36e846be-d98d-4bb4-8078-c8955dd4532d
    Associated GPIs 65100075100325
    GCN Sequence Number 046474
    GCN Sequence Number Description oxycodone HCl TABLET 15 MG ORAL
    HIC3 H3A
    HIC3 Description OPIOID ANALGESICS
    GCN 20091
    HICL Sequence Number 001742
    HICL Sequence Number Description OXYCODONE HCL
    Brand/Generic Generic
    Proprietary Name Oxycodone Hydrochloride
    Proprietary Name Suffix n/a
    Non-Proprietary Name Oxycodone Hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 15
    Active Ingredient Units mg/1
    Substance Name OXYCODONE HYDROCHLORIDE
    Labeler Name Rhodes Pharmaceuticals L.P.
    Pharmaceutical Class Full Opioid Agonists [MoA], Opioid Agonist [EPC]
    DEA Schedule CII
    Marketing Category ANDA
    Application Number ANDA091490
    Listing Certified Through 2024-12-31

    Package

    NDC 42858-0003-01 (42858000301)

    NDC Package Code 42858-003-01
    Billing NDC 42858000301
    Package 100 TABLET in 1 BOTTLE, PLASTIC (42858-003-01)
    Marketing Start Date 2014-09-08
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.17484
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description OXYCODONE HCL (IR) 15 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