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    NDC 49884-0788-09 olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide 5; 25; 40 mg/1; mg/1; mg/1 Details

    olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide 5; 25; 40 mg/1; mg/1; mg/1

    olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Par Pharmaceutical, Inc.. The primary component is AMLODIPINE BESYLATE; HYDROCHLOROTHIAZIDE; OLMESARTAN MEDOXOMIL.

    Product Information

    NDC 49884-0788
    Product ID 49884-788_1c38f5c7-7252-4368-8da9-f6d64cfaf23b
    Associated GPIs 36994503450330
    GCN Sequence Number 066540
    GCN Sequence Number Description olmesartan/amlodipin/hcthiazid TABLET 40-5-25 MG ORAL
    HIC3 A4V
    HIC3 Description ANGIOTEN.RECEPTR ANTAG-CALCIUM CHANL BLKR-THIAZIDE
    GCN 28839
    HICL Sequence Number 037089
    HICL Sequence Number Description OLMESARTAN MEDOXOMIL/AMLODIPINE BESYLATE/HYDROCHLOROTHIAZIDE
    Brand/Generic Generic
    Proprietary Name olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide
    Proprietary Name Suffix n/a
    Non-Proprietary Name olmesartan medoxomil / amlodipine besylate / hydrochlorothiazide
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 5; 25; 40
    Active Ingredient Units mg/1; mg/1; mg/1
    Substance Name AMLODIPINE BESYLATE; HYDROCHLOROTHIAZIDE; OLMESARTAN MEDOXOMIL
    Labeler Name Par Pharmaceutical, Inc.
    Pharmaceutical Class Angiotensin 2 Receptor Antagonists [MoA], Angiotensin 2 Receptor Blocker [EPC], Calcium Channel Antagonists [MoA], Calcium Channel Blocker [EPC], Cytochrome P450 3A Inhibitors [MoA], Dihydropyridine Calcium Channel Blocker [EPC], Dihydropyridines [CS], In
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA206137
    Listing Certified Through 2024-12-31

    Package

    NDC 49884-0788-09 (49884078809)

    NDC Package Code 49884-788-09
    Billing NDC 49884078809
    Package 90 TABLET, FILM COATED in 1 BOTTLE (49884-788-09)
    Marketing Start Date 2016-10-26
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 1.51821
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description OLMSRTN-AMLDPN-HYDROCHLOROTHIAZIDE 40-5-25 MG
    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