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    NDC 65162-0636-09 Pantoprazole Sodium 20 mg/1 Details

    Pantoprazole Sodium 20 mg/1

    Pantoprazole Sodium is a ORAL TABLET, DELAYED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Amneal Pharmaceuticals LLC. The primary component is PANTOPRAZOLE SODIUM.

    Product Information

    NDC 65162-0636
    Product ID 65162-636_45650bad-556c-45b0-9ae5-bd265ef00dd8
    Associated GPIs 49270070100610
    GCN Sequence Number 039545
    GCN Sequence Number Description pantoprazole sodium TABLET DR 20 MG ORAL
    HIC3 D4J
    HIC3 Description PROTON-PUMP INHIBITORS
    GCN 95976
    HICL Sequence Number 022008
    HICL Sequence Number Description PANTOPRAZOLE SODIUM
    Brand/Generic Generic
    Proprietary Name Pantoprazole Sodium
    Proprietary Name Suffix n/a
    Non-Proprietary Name Pantoprazole
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, DELAYED RELEASE
    Route ORAL
    Active Ingredient Strength 20
    Active Ingredient Units mg/1
    Substance Name PANTOPRAZOLE SODIUM
    Labeler Name Amneal Pharmaceuticals LLC
    Pharmaceutical Class Proton Pump Inhibitor [EPC], Proton Pump Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA205119
    Listing Certified Through 2024-12-31

    Package

    NDC 65162-0636-09 (65162063609)

    NDC Package Code 65162-636-09
    Billing NDC 65162063609
    Package 90 TABLET, DELAYED RELEASE in 1 BOTTLE (65162-636-09)
    Marketing Start Date 2016-06-20
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.04828
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description PANTOPRAZOLE SOD DR 20 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