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    NDC 68084-0813-09 Pantoprazole Sodium 40 mg/1 Details

    Pantoprazole Sodium 40 mg/1

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

    Product Information

    NDC 68084-0813
    Product ID 68084-813_ec553cdc-a2d5-4a9b-e053-2a95a90abe52
    Associated GPIs 49270070100620
    GCN Sequence Number 027462
    GCN Sequence Number Description pantoprazole sodium TABLET DR 40 MG ORAL
    HIC3 D4J
    HIC3 Description PROTON-PUMP INHIBITORS
    GCN 40120
    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 Sodium
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, DELAYED RELEASE
    Route ORAL
    Active Ingredient Strength 40
    Active Ingredient Units mg/1
    Substance Name PANTOPRAZOLE SODIUM
    Labeler Name American Health Packaging
    Pharmaceutical Class Proton Pump Inhibitor [EPC], Proton Pump Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA078281
    Listing Certified Through 2024-12-31

    Package

    NDC 68084-0813-09 (68084081309)

    NDC Package Code 68084-813-09
    Billing NDC 68084081309
    Package 80 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-813-09) / 1 TABLET, DELAYED RELEASE in 1 BLISTER PACK (68084-813-11)
    Marketing Start Date 2014-11-19
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.05932
    Pricing Unit EA
    Effective Date 2022-11-23
    NDC Description PANTOPRAZOLE SOD DR 40 MG TAB
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1
    Classification for Rate Setting G
    As of Date 2022-11-23
    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

    Standard Product Labeling (SPL)/Prescribing Information SPL 3cf69986-da42-4331-bbbb-5c97326ae3be Details

    Revised: 10/2022