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NDC 60687-0696-01 Hydroxyzine Pamoate 25 mg/1 Details
Hydroxyzine Pamoate 25 mg/1
Hydroxyzine Pamoate is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by American Health Packaging. The primary component is HYDROXYZINE PAMOATE.
Product Information
| NDC | 60687-0696 |
|---|---|
| Product ID | 60687-696_0bd81067-6754-4959-e063-6394a90acd00 |
| Associated GPIs | |
| GCN Sequence Number | 003731 |
| GCN Sequence Number Description | hydroxyzine pamoate CAPSULE 25 MG ORAL |
| HIC3 | Z2P |
| HIC3 Description | ANTIHISTAMINES - 1ST GENERATION |
| GCN | 13952 |
| 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 | 25 |
| Active Ingredient Units | mg/1 |
| Substance Name | HYDROXYZINE PAMOATE |
| Labeler Name | American Health Packaging |
| Pharmaceutical Class | Antihistamine [EPC], Histamine Receptor Antagonists [MoA] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA088496 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 60687-0696-01 (60687069601)
| NDC Package Code | 60687-696-01 |
|---|---|
| Billing NDC | 60687069601 |
| Package | 100 BLISTER PACK in 1 CARTON (60687-696-01) / 1 CAPSULE in 1 BLISTER PACK (60687-696-11) |
| Marketing Start Date | 2023-11-28 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.06742 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | HYDROXYZINE PAM 25 MG CAP |
| 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