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NDC 54879-0002-01 Ethambutol Hydrochloride 400 mg/1 Details
Ethambutol Hydrochloride 400 mg/1
Ethambutol Hydrochloride is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by STI Pharma LLC. The primary component is ETHAMBUTOL HYDROCHLORIDE.
MedlinePlus Drug Summary
Ethambutol eliminates certain bacteria that cause tuberculosis (TB). It is used with other medicines to treat tuberculosis and to prevent you from giving the infection to others. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
Related Packages: 54879-0002-01Last Updated: 11/30/2022
MedLinePlus Full Drug Details: Ethambutol
Product Information
| NDC | 54879-0002 |
|---|---|
| Product ID | 54879-002_0ec564dd-5593-52ee-e063-6294a90a34de |
| Associated GPIs | 09000040100310 |
| GCN Sequence Number | 009426 |
| GCN Sequence Number Description | ethambutol HCl TABLET 400 MG ORAL |
| HIC3 | W2E |
| HIC3 Description | ANTI-MYCOBACTERIUM AGENTS |
| GCN | 41801 |
| HICL Sequence Number | 004085 |
| HICL Sequence Number Description | ETHAMBUTOL HCL |
| Brand/Generic | Generic |
| Proprietary Name | Ethambutol Hydrochloride |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Ethambutol Hydrochloride |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | TABLET, FILM COATED |
| Route | ORAL |
| Active Ingredient Strength | 400 |
| Active Ingredient Units | mg/1 |
| Substance Name | ETHAMBUTOL HYDROCHLORIDE |
| Labeler Name | STI Pharma LLC |
| Pharmaceutical Class | Antimycobacterial [EPC] |
| DEA Schedule | n/a |
| Marketing Category | NDA AUTHORIZED GENERIC |
| Application Number | NDA016320 |
| Listing Certified Through | 2025-12-31 |
Package
NDC 54879-0002-01 (54879000201)
| NDC Package Code | 54879-002-01 |
|---|---|
| Billing NDC | 54879000201 |
| Package | 12 CARTON in 1 BOX (54879-002-01) / 12 BOTTLE in 1 CARTON / 100 TABLET, FILM COATED in 1 BOTTLE |
| Marketing Start Date | 2006-12-15 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.53554 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | ETHAMBUTOL HCL 400 MG TABLET |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 1, 6 |
| 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