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    NDC 62135-0582-12 Hydralazine Hydrochloride 100 mg/1 Details

    Hydralazine Hydrochloride 100 mg/1

    Hydralazine Hydrochloride 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 HYDRALAZINE HYDROCHLORIDE.

    Product Information

    NDC 62135-0582
    Product ID 62135-582_fbd606e2-06c5-9b1d-e053-6294a90a664c
    Associated GPIs
    GCN Sequence Number 000285
    GCN Sequence Number Description hydralazine HCl TABLET 100 MG ORAL
    HIC3 A4A
    HIC3 Description ANTIHYPERTENSIVES, VASODILATORS
    GCN 01242
    HICL Sequence Number 000089
    HICL Sequence Number Description HYDRALAZINE HCL
    Brand/Generic Generic
    Proprietary Name Hydralazine Hydrochloride
    Proprietary Name Suffix n/a
    Non-Proprietary Name Hydralazine Hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 100
    Active Ingredient Units mg/1
    Substance Name HYDRALAZINE HYDROCHLORIDE
    Labeler Name Chartwell RX, LLC
    Pharmaceutical Class Arteriolar Vasodilation [PE], Arteriolar Vasodilator [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA086242
    Listing Certified Through 2024-12-31

    Package

    NDC 62135-0582-12 (62135058212)

    NDC Package Code 62135-582-12
    Billing NDC 62135058212
    Package 120 TABLET, FILM COATED in 1 BOTTLE (62135-582-12)
    Marketing Start Date 2023-05-09
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.08516
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description HYDRALAZINE 100 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 pharmacies include independent retail community pharmacies and chain pharmacies. The prices are updated on a weekly and monthly basis