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    NDC 68084-0847-01 Hydroxyzine Pamoate 25 mg/1 Details

    Hydroxyzine Pamoate 25 mg/1

    Hydroxyzine Pamoate is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by American Health Packaging. The primary component is HYDROXYZINE PAMOATE.

    Product Information

    NDC 68084-0847
    Product ID 68084-847_fdf6f2d5-f066-9e30-e053-6394a90ae7e3
    Associated GPIs 57200040200105
    GCN Sequence Number 003731
    GCN Sequence Number Description hydroxyzine pamoate CAPSULE 25 MG ORAL
    HIC3 Z2P
    HIC3 Description ANTIHISTAMINES - 1ST GENERATION
    GCN 13952
    HICL Sequence Number 001609
    HICL Sequence Number Description HYDROXYZINE PAMOATE
    Brand/Generic Generic
    Proprietary Name Hydroxyzine Pamoate
    Proprietary Name Suffix n/a
    Non-Proprietary Name Hydroxyzine Pamoate
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 25
    Active Ingredient Units mg/1
    Substance Name HYDROXYZINE PAMOATE
    Labeler Name American Health Packaging
    Pharmaceutical Class Antihistamine [EPC], Histamine Receptor Antagonists [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA087479
    Listing Certified Through 2024-12-31

    Package

    NDC 68084-0847-01 (68084084701)

    NDC Package Code 68084-847-01
    Billing NDC 68084084701
    Package 100 BLISTER PACK in 1 BOX, UNIT-DOSE (68084-847-01) / 1 CAPSULE in 1 BLISTER PACK (68084-847-11)
    Marketing Start Date 2015-02-10
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.06742
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description HYDROXYZINE PAM 25 MG CAP
    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