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NDC 62135-0201-12 Methenamine Mandelate 1000 mg/1 Details
Methenamine Mandelate 1000 mg/1
Methenamine Mandelate is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Chartwell RX, LLC. The primary component is METHENAMINE MANDELATE.
MedlinePlus Drug Summary
Methenamine, an antibiotic, eliminates bacteria that cause urinary tract infections. It usually is used on a long-term basis to treat chronic infections and to prevent recurrence of infections. Antibiotics will not work for colds, flu, or other viral infections. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
Related Packages: 62135-0201-12Last Updated: 12/01/2022
MedLinePlus Full Drug Details: Methenamine
Product Information
| NDC | 62135-0201 |
|---|---|
| Product ID | 62135-201_00225fc8-eb0d-a4cc-e063-6394a90a2acb |
| Associated GPIs | 16800020100320 |
| GCN Sequence Number | 009460 |
| GCN Sequence Number Description | methenamine mandelate TABLET 1 G ORAL |
| HIC3 | W2G |
| HIC3 Description | ANTIBIOTIC, ANTIBACTERIAL, MISC. |
| GCN | 42032 |
| HICL Sequence Number | 004102 |
| HICL Sequence Number Description | METHENAMINE MANDELATE |
| Brand/Generic | Generic |
| Proprietary Name | Methenamine Mandelate |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Methenamine Mandelate |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | TABLET, FILM COATED |
| Route | ORAL |
| Active Ingredient Strength | 1000 |
| Active Ingredient Units | mg/1 |
| Substance Name | METHENAMINE MANDELATE |
| Labeler Name | Chartwell RX, LLC |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | UNAPPROVED DRUG OTHER |
| Application Number | n/a |
| Listing Certified Through | 2024-12-31 |
Package
NDC 62135-0201-12 (62135020112)
| NDC Package Code | 62135-201-12 |
|---|---|
| Billing NDC | 62135020112 |
| Package | 120 TABLET, FILM COATED in 1 BOTTLE (62135-201-12) |
| Marketing Start Date | 2021-10-01 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 1.28048 |
| Pricing Unit | EA |
| Effective Date | 2023-06-21 |
| NDC Description | METHENAMINE MAND 1 GM TABLET |
| Pharmacy Type Indicator | C/I |
| OTC | N |
| Explanation Code | 4 |
| 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