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NDC 62135-0431-30 Disulfiram 250 mg/1 Details
Disulfiram 250 mg/1
Disulfiram is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Chartwell RX, LLC. The primary component is DISULFIRAM.
MedlinePlus Drug Summary
Disulfiram is used to treat chronic alcoholism. It causes unpleasant effects when even small amounts of alcohol are consumed. These effects include flushing of the face, headache, nausea, vomiting, chest pain, weakness, blurred vision, mental confusion, sweating, choking, breathing difficulty, and anxiety. These effects begin about 10 minutes after alcohol enters the body and last for 1 hour or more. Disulfiram is not a cure for alcoholism, but discourages drinking. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
Related Packages: 62135-0431-30Last Updated: 12/01/2022
MedLinePlus Full Drug Details: Disulfiram
Product Information
| NDC | 62135-0431 |
|---|---|
| Product ID | 62135-431_06fe77f7-a1e1-f066-e063-6294a90a7653 |
| Associated GPIs | 62802040000325 |
| GCN Sequence Number | 001192 |
| GCN Sequence Number Description | disulfiram TABLET 250 MG ORAL |
| HIC3 | C0D |
| HIC3 Description | ANTI-ALCOHOLIC PREPARATIONS |
| GCN | 02881 |
| HICL Sequence Number | 000529 |
| HICL Sequence Number Description | DISULFIRAM |
| Brand/Generic | Generic |
| Proprietary Name | Disulfiram |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Disulfiram |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | TABLET |
| Route | ORAL |
| Active Ingredient Strength | 250 |
| Active Ingredient Units | mg/1 |
| Substance Name | DISULFIRAM |
| Labeler Name | Chartwell RX, LLC |
| Pharmaceutical Class | Acetyl Aldehyde Dehydrogenase Inhibitors [MoA], Aldehyde Dehydrogenase Inhibitor [EPC] |
| DEA Schedule | n/a |
| Marketing Category | ANDA |
| Application Number | ANDA091563 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 62135-0431-30 (62135043130)
| NDC Package Code | 62135-431-30 |
|---|---|
| Billing NDC | 62135043130 |
| Package | 30 TABLET in 1 BOTTLE (62135-431-30) |
| Marketing Start Date | 2021-11-02 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 1.78118 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | DISULFIRAM 250 MG TABLET |
| 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
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