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    NDC 68462-0721-01 Theophylline 300 mg/1 Details

    Theophylline 300 mg/1

    Theophylline is a ORAL TABLET, EXTENDED RELEASE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Glenmark Pharmaceuticals Inc., USA. The primary component is THEOPHYLLINE ANHYDROUS.

    Product Information

    NDC 68462-0721
    Product ID 68462-721_d84aadfd-1dcd-491e-a463-744b8a3e558f
    Associated GPIs 44300040007440
    GCN Sequence Number 000093
    GCN Sequence Number Description theophylline anhydrous TAB ER 12H 300 MG ORAL
    HIC3 A1B
    HIC3 Description XANTHINES
    GCN 00413
    HICL Sequence Number 000025
    HICL Sequence Number Description THEOPHYLLINE ANHYDROUS
    Brand/Generic Generic
    Proprietary Name Theophylline
    Proprietary Name Suffix n/a
    Non-Proprietary Name Theophylline
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET, EXTENDED RELEASE
    Route ORAL
    Active Ingredient Strength 300
    Active Ingredient Units mg/1
    Substance Name THEOPHYLLINE ANHYDROUS
    Labeler Name Glenmark Pharmaceuticals Inc., USA
    Pharmaceutical Class Methylxanthine [EPC], Xanthines [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA212184
    Listing Certified Through 2025-12-31

    Package

    NDC 68462-0721-01 (68462072101)

    NDC Package Code 68462-721-01
    Billing NDC 68462072101
    Package 100 TABLET, EXTENDED RELEASE in 1 BOTTLE (68462-721-01)
    Marketing Start Date 2021-06-03
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 1.57559
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description THEOPHYLLINE ER 300 MG TABLET
    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