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    NDC 64679-0604-16 Promethazine Hydrochloride and Dextromethorphan Hydrobromide 15; 6.25 mg/5mL; mg/5mL Details

    Promethazine Hydrochloride and Dextromethorphan Hydrobromide 15; 6.25 mg/5mL; mg/5mL

    Promethazine Hydrochloride and Dextromethorphan Hydrobromide is a ORAL SYRUP in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Wockhardt USA LLC.. The primary component is DEXTROMETHORPHAN HYDROBROMIDE; PROMETHAZINE HYDROCHLORIDE.

    Product Information

    NDC 64679-0604
    Product ID 64679-604_f761c04e-acaf-8742-e053-6294a90a0148
    Associated GPIs
    GCN Sequence Number 048493
    GCN Sequence Number Description promethazine/dextromethorphan SYRUP 6.25-15/5 ORAL
    HIC3 B4E
    HIC3 Description NON-OPIOID ANTITUSSIVE-1ST GEN ANTIHISTAMINE COMB.
    GCN 13975
    HICL Sequence Number 000366
    HICL Sequence Number Description PROMETHAZINE HCL/DEXTROMETHORPHAN HBR
    Brand/Generic Generic
    Proprietary Name Promethazine Hydrochloride and Dextromethorphan Hydrobromide
    Proprietary Name Suffix n/a
    Non-Proprietary Name promethazine hydrochloride and dextromethorphan hydrobromide
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SYRUP
    Route ORAL
    Active Ingredient Strength 15; 6.25
    Active Ingredient Units mg/5mL; mg/5mL
    Substance Name DEXTROMETHORPHAN HYDROBROMIDE; PROMETHAZINE HYDROCHLORIDE
    Labeler Name Wockhardt USA LLC.
    Pharmaceutical Class Phenothiazine [EPC], Phenothiazines [CS], Sigma-1 Agonist [EPC], Sigma-1 Receptor Agonists [MoA], Uncompetitive N-methyl-D-aspartate Receptor Antagonist [EPC], Uncompetitive NMDA Receptor Antagonists [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA088864
    Listing Certified Through 2024-12-31

    Package

    NDC 64679-0604-16 (64679060416)

    NDC Package Code 64679-604-16
    Billing NDC 64679060416
    Package 473 mL in 1 BOTTLE, PLASTIC (64679-604-16)
    Marketing Start Date 1985-01-04
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.04393
    Pricing Unit ML
    Effective Date 2024-02-21
    NDC Description PROMETHAZINE-DM 6.25-15 MG/5 ML
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 5
    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