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NDC 59762-5420-01 Hydroxyzine pamoate 50 mg/1 Details
Hydroxyzine pamoate 50 mg/1
Hydroxyzine pamoate is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Greenstone LLC. The primary component is HYDROXYZINE PAMOATE.
MedlinePlus Drug Summary
Hydroxyzine is used in adults and children to relieve itching caused by allergic skin reactions. It is also used alone or with other medications in adults and children to relieve anxiety and tension. Hydroxyzine is also used along with other medications in adults and children as a sedative before and after general anesthesia for surgery. Hydroxyzine is in a class of medications called antihistamines. It works by blocking the action of histamine a substance in the body that causes allergic symptoms. It also works by decreasing activity in the brain.
Related Packages: 59762-5420-01Last Updated: 12/01/2022
MedLinePlus Full Drug Details: Hydroxyzine
Product Information
| NDC | 59762-5420 |
|---|---|
| Product ID | 59762-5420_66f69849-8bbf-47ec-8ff4-e5c45d856755 |
| Associated GPIs | 57200040200110 |
| GCN Sequence Number | 003732 |
| GCN Sequence Number Description | hydroxyzine pamoate CAPSULE 50 MG ORAL |
| HIC3 | Z2P |
| HIC3 Description | ANTIHISTAMINES - 1ST GENERATION |
| GCN | 13953 |
| HICL Sequence Number | 001609 |
| HICL Sequence Number Description | HYDROXYZINE PAMOATE |
| Brand/Generic | Generic |
| Proprietary Name | Hydroxyzine pamoate |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | hydroxyzine pamoate |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | CAPSULE |
| Route | ORAL |
| Active Ingredient Strength | 50 |
| Active Ingredient Units | mg/1 |
| Substance Name | HYDROXYZINE PAMOATE |
| Labeler Name | Greenstone LLC |
| Pharmaceutical Class | Antihistamine [EPC], Histamine Receptor Antagonists [MoA] |
| DEA Schedule | n/a |
| Marketing Category | NDA AUTHORIZED GENERIC |
| Application Number | NDA011459 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 59762-5420-01 (59762542001)
| NDC Package Code | 59762-5420-1 |
|---|---|
| Billing NDC | 59762542001 |
| Package | 100 CAPSULE in 1 BOTTLE (59762-5420-1) |
| Marketing Start Date | 2020-07-15 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.0873 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | HYDROXYZINE PAM 50 MG CAP |
| 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
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