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    NDC 62135-0626-01 Doxycycline Hyclate 100 mg/1 Details

    Doxycycline Hyclate 100 mg/1

    Doxycycline Hyclate 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 DOXYCYCLINE HYCLATE.

    Product Information

    NDC 62135-0626
    Product ID 62135-626_076171d0-730a-d126-e063-6394a90afafd
    Associated GPIs 04000020100310
    GCN Sequence Number 009223
    GCN Sequence Number Description doxycycline hyclate TABLET 100 MG ORAL
    HIC3 W1C
    HIC3 Description TETRACYCLINE ANTIBIOTICS
    GCN 40360
    HICL Sequence Number 004013
    HICL Sequence Number Description DOXYCYCLINE HYCLATE
    Brand/Generic Generic
    Proprietary Name Doxycycline Hyclate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Doxycycline Hyclate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 100
    Active Ingredient Units mg/1
    Substance Name DOXYCYCLINE HYCLATE
    Labeler Name Chartwell RX LLC
    Pharmaceutical Class Tetracycline-class Drug [EPC], Tetracyclines [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA062505
    Listing Certified Through 2024-12-31

    Package

    NDC 62135-0626-01 (62135062601)

    NDC Package Code 62135-626-01
    Billing NDC 62135062601
    Package 100 TABLET, FILM COATED in 1 BOTTLE (62135-626-01)
    Marketing Start Date 2020-09-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.13342
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description DOXYCYCLINE HYCLATE 100 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