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    NDC 50268-0412-15 HYDROXYCHLOROQUINE SULFATE 200 mg/1 Details

    HYDROXYCHLOROQUINE SULFATE 200 mg/1

    HYDROXYCHLOROQUINE SULFATE is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by AvPAK. The primary component is HYDROXYCHLOROQUINE SULFATE.

    Product Information

    NDC 50268-0412
    Product ID 50268-412_0e88cfe8-c75b-99cc-e063-6294a90a7959
    Associated GPIs 13000020100305
    GCN Sequence Number 009580
    GCN Sequence Number Description hydroxychloroquine sulfate TABLET 200 MG ORAL
    HIC3 W4A
    HIC3 Description ANTIMALARIAL DRUGS
    GCN 42940
    HICL Sequence Number 004151
    HICL Sequence Number Description HYDROXYCHLOROQUINE SULFATE
    Brand/Generic Generic
    Proprietary Name HYDROXYCHLOROQUINE SULFATE
    Proprietary Name Suffix n/a
    Non-Proprietary Name HYDROXYCHLOROQUINE SULFATE
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 200
    Active Ingredient Units mg/1
    Substance Name HYDROXYCHLOROQUINE SULFATE
    Labeler Name AvPAK
    Pharmaceutical Class Antimalarial [EPC], Antirheumatic Agent [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA210441
    Listing Certified Through 2025-12-31

    Package

    NDC 50268-0412-15 (50268041215)

    NDC Package Code 50268-412-15
    Billing NDC 50268041215
    Package 50 BLISTER PACK in 1 BOX (50268-412-15) / 1 TABLET in 1 BLISTER PACK (50268-412-11)
    Marketing Start Date 2020-05-15
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.17604
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description HYDROXYCHLOROQUINE 200 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