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    NDC 69238-1522-01 Tetracycline Hydrochloride 250 mg/1 Details

    Tetracycline Hydrochloride 250 mg/1

    Tetracycline Hydrochloride is a ORAL CAPSULE in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Amneal Pharmaceuticals NY LLC. The primary component is TETRACYCLINE HYDROCHLORIDE.

    Product Information

    NDC 69238-1522
    Product ID 69238-1522_ec134ef2-046e-45ed-9191-5d111e38bb2e
    Associated GPIs 04000060100105
    GCN Sequence Number 009189
    GCN Sequence Number Description tetracycline HCl CAPSULE 250 MG ORAL
    HIC3 W1C
    HIC3 Description TETRACYCLINE ANTIBIOTICS
    GCN 40072
    HICL Sequence Number 004003
    HICL Sequence Number Description TETRACYCLINE HCL
    Brand/Generic Generic
    Proprietary Name Tetracycline Hydrochloride
    Proprietary Name Suffix n/a
    Non-Proprietary Name Tetracycline Hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form CAPSULE
    Route ORAL
    Active Ingredient Strength 250
    Active Ingredient Units mg/1
    Substance Name TETRACYCLINE HYDROCHLORIDE
    Labeler Name Amneal Pharmaceuticals NY LLC
    Pharmaceutical Class Tetracycline-class Antimicrobial [EPC], Tetracyclines [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA210674
    Listing Certified Through 2024-12-31

    Package

    NDC 69238-1522-01 (69238152201)

    NDC Package Code 69238-1522-1
    Billing NDC 69238152201
    Package 100 CAPSULE in 1 BOTTLE (69238-1522-1)
    Marketing Start Date 2018-09-21
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.57446
    Pricing Unit EA
    Effective Date 2024-01-17
    NDC Description TETRACYCLINE 250 MG CAPSULE
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 4
    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