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    NDC 68084-0269-01 Hydroxychloroquine Sulfate 200 mg/1 Details

    Hydroxychloroquine Sulfate 200 mg/1

    Hydroxychloroquine Sulfate is a ORAL TABLET, FILM COATED in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by American Health Packaging. The primary component is HYDROXYCHLOROQUINE SULFATE.

    Product Information

    NDC 68084-0269
    Product ID 68084-269_fd0300a2-0a63-326c-e053-6394a90a4531
    Associated GPIs 13000020100305
    GCN Sequence Number 009580
    GCN Sequence Number Description hydroxychloroquine sulfate TABLET 200 MG ORAL
    HIC3 W4A
    HIC3 Description ANTIMALARIAL DRUGS
    GCN 42940
    HICL Sequence Number 004151
    HICL Sequence Number Description HYDROXYCHLOROQUINE SULFATE
    Brand/Generic Generic
    Proprietary Name Hydroxychloroquine Sulfate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Hydroxychloroquine Sulfate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 200
    Active Ingredient Units mg/1
    Substance Name HYDROXYCHLOROQUINE SULFATE
    Labeler Name American Health Packaging
    Pharmaceutical Class Antimalarial [EPC], Antirheumatic Agent [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA040657
    Listing Certified Through 2024-12-31

    Package

    NDC 68084-0269-01 (68084026901)

    NDC Package Code 68084-269-01
    Billing NDC 68084026901
    Package 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-269-01) / 1 TABLET, FILM COATED in 1 BLISTER PACK (68084-269-11)
    Marketing Start Date 2008-07-24
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.17604
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description HYDROXYCHLOROQUINE 200 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