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    NDC 69367-0192-01 Phenazopyridine Hydrochloride 200 mg/1 Details

    Phenazopyridine Hydrochloride 200 mg/1

    Phenazopyridine Hydrochloride is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Westminster Pharmaceuticals, LLC. The primary component is PHENAZOPYRIDINE HYDROCHLORIDE.

    Product Information

    NDC 69367-0192
    Product ID 69367-192_2a6760cc-0ff6-480b-8045-e4744664cad8
    Associated GPIs
    GCN Sequence Number 009478
    GCN Sequence Number Description phenazopyridine HCl TABLET 200 MG ORAL
    HIC3 R5A
    HIC3 Description URINARY TRACT ANESTHETIC/ANALGESIC AGNT (AZO-DYE)
    GCN 42122
    HICL Sequence Number 004108
    HICL Sequence Number Description PHENAZOPYRIDINE HCL
    Brand/Generic Generic
    Proprietary Name Phenazopyridine Hydrochloride
    Proprietary Name Suffix n/a
    Non-Proprietary Name Phenazopyridine Hydrochloride
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 200
    Active Ingredient Units mg/1
    Substance Name PHENAZOPYRIDINE HYDROCHLORIDE
    Labeler Name Westminster Pharmaceuticals, LLC
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category UNAPPROVED DRUG OTHER
    Application Number n/a
    Listing Certified Through 2024-12-31

    Package

    NDC 69367-0192-01 (69367019201)

    NDC Package Code 69367-192-01
    Billing NDC 69367019201
    Package 100 TABLET in 1 BOTTLE (69367-192-01)
    Marketing Start Date 2023-05-08
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.21673
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description PHENAZOPYRIDINE 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