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    NDC 49884-0151-54 Bismuth Subcitrate Potassium, Metronidazole and Tetracycline Hydrochloride 140; 125; 125 mg/1; mg/1; mg/1 Details

    Bismuth Subcitrate Potassium, Metronidazole and Tetracycline Hydrochloride 140; 125; 125 mg/1; mg/1; mg/1

    Bismuth Subcitrate Potassium, Metronidazole and Tetracycline Hydrochloride is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Par Pharmaceutical, Inc.. The primary component is BISMUTH SUBCITRATE POTASSIUM; METRONIDAZOLE; TETRACYCLINE HYDROCHLORIDE.

    Product Information

    NDC 49884-0151
    Product ID 49884-151_ae026767-f65e-4c73-98c7-16eadbe42000
    Associated GPIs
    GCN Sequence Number 062462
    GCN Sequence Number Description bismuth/metronid/tetracycline CAPSULE 125-125 MG ORAL
    HIC3 D4F
    HIC3 Description ANTI-ULCER-H.PYLORI AGENTS
    GCN 98238
    HICL Sequence Number 020019
    HICL Sequence Number Description COLLOIDAL BISMUTH SUBCITRATE/METRONIDAZOLE/TETRACYCLINE HCL
    Brand/Generic Generic
    Proprietary Name Bismuth Subcitrate Potassium, Metronidazole and Tetracycline Hydrochloride
    Proprietary Name Suffix n/a
    Non-Proprietary Name Bismuth Subcitrate Potassium, Metronidazole and Tetracycline Hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 140; 125; 125
    Active Ingredient Units mg/1; mg/1; mg/1
    Substance Name BISMUTH SUBCITRATE POTASSIUM; METRONIDAZOLE; TETRACYCLINE HYDROCHLORIDE
    Labeler Name Par Pharmaceutical, Inc.
    Pharmaceutical Class Bismuth [CS], Bismuth [EPC], Nitroimidazole Antimicrobial [EPC], Nitroimidazoles [CS], Tetracycline-class Antimicrobial [EPC], Tetracyclines [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA205770
    Listing Certified Through 2024-12-31

    Package

    NDC 49884-0151-54 (49884015154)

    NDC Package Code 49884-151-54
    Billing NDC 49884015154
    Package 120 CAPSULE in 1 CARTON (49884-151-54)
    Marketing Start Date 2023-03-07
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 4.46872
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description BISMUTH-METRONIDAZOLE-TETRACYCLINE 140-125-125 MG CAPSULE
    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