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NDC 62135-0512-12 Hyoscyamine sulfate 0.125 mg/1 Details
Hyoscyamine sulfate 0.125 mg/1
Hyoscyamine sulfate is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Chartwell RX, LLC. The primary component is HYOSCYAMINE SULFATE.
Product Information
| NDC | 62135-0512 |
|---|---|
| Product ID | 62135-512_0770d841-d1e8-dc06-e063-6394a90abcb8 |
| Associated GPIs | |
| GCN Sequence Number | 004865 |
| GCN Sequence Number Description | hyoscyamine sulfate TABLET 0.125 MG ORAL |
| HIC3 | J2A |
| HIC3 Description | BELLADONNA ALKALOIDS |
| GCN | 18961 |
| HICL Sequence Number | 002017 |
| HICL Sequence Number Description | HYOSCYAMINE SULFATE |
| Brand/Generic | Generic |
| Proprietary Name | Hyoscyamine sulfate |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Hyoscyamine sulfate |
| Product Type | HUMAN PRESCRIPTION DRUG |
| Dosage Form | TABLET |
| Route | ORAL |
| Active Ingredient Strength | 0.125 |
| Active Ingredient Units | mg/1 |
| Substance Name | HYOSCYAMINE SULFATE |
| 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 62135-0512-12 (62135051212)
| NDC Package Code | 62135-512-12 |
|---|---|
| Billing NDC | 62135051212 |
| Package | 120 TABLET in 1 BOTTLE (62135-512-12) |
| Marketing Start Date | 2022-11-17 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.12747 |
| Pricing Unit | EA |
| Effective Date | 2024-02-21 |
| NDC Description | HYOSCYAMINE SULF 0.125 MG TAB |
| 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