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    NDC 58657-0450-01 Phenazopyridine HCl 100mg 100 mg/1 Details

    Phenazopyridine HCl 100mg 100 mg/1

    Phenazopyridine HCl 100mg is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Method Pharmaceuticals, LLC. The primary component is PHENAZOPYRIDINE HYDROCHLORIDE.

    Product Information

    NDC 58657-0450
    Product ID 58657-450_ecc4ce26-c4ab-76d1-e053-2995a90a6de7
    Associated GPIs 56300010100305
    GCN Sequence Number 009477
    GCN Sequence Number Description phenazopyridine HCl TABLET 100 MG ORAL
    HIC3 R5A
    HIC3 Description URINARY TRACT ANESTHETIC/ANALGESIC AGNT (AZO-DYE)
    GCN 42121
    HICL Sequence Number 004108
    HICL Sequence Number Description PHENAZOPYRIDINE HCL
    Brand/Generic Generic
    Proprietary Name Phenazopyridine HCl 100mg
    Proprietary Name Suffix n/a
    Non-Proprietary Name Phenazopyridine Hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 100
    Active Ingredient Units mg/1
    Substance Name PHENAZOPYRIDINE HYDROCHLORIDE
    Labeler Name Method Pharmaceuticals, LLC
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category UNAPPROVED DRUG OTHER
    Application Number n/a
    Listing Certified Through 2023-12-31

    Package

    NDC 58657-0450-01 (58657045001)

    NDC Package Code 58657-450-01
    Billing NDC 58657045001
    Package 100 TABLET in 1 BOTTLE (58657-450-01)
    Marketing Start Date 2014-12-31
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.24354
    Pricing Unit EA
    Effective Date 2022-11-23
    NDC Description PHENAZOPYRIDINE 100 MG TAB
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    Classification for Rate Setting G
    As of Date 2022-11-23
    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

    Standard Product Labeling (SPL)/Prescribing Information SPL 47185181-607e-4bbe-8850-726af1973cf1 Details

    Revised: 11/2022