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    NDC 70756-0019-12 Pantoprazole sodium delayed-release 40 mg/1 Details

    Pantoprazole sodium delayed-release 40 mg/1

    Pantoprazole sodium delayed-release is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Lifestar Pharma LLC. The primary component is PANTOPRAZOLE SODIUM.

    Product Information

    NDC 70756-0019
    Product ID 70756-019_72239107-b805-4ca0-b0f3-3e4831bd9efe
    Associated GPIs
    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 delayed-release
    Proprietary Name Suffix n/a
    Non-Proprietary Name Pantoprazole sodium delayed-release
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 40
    Active Ingredient Units mg/1
    Substance Name PANTOPRAZOLE SODIUM
    Labeler Name Lifestar Pharma LLC
    Pharmaceutical Class Proton Pump Inhibitor [EPC], Proton Pump Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA215880
    Listing Certified Through 2024-12-31

    Package

    NDC 70756-0019-12 (70756001912)

    NDC Package Code 70756-019-12
    Billing NDC 70756001912
    Package 1000 TABLET in 1 BOTTLE (70756-019-12)
    Marketing Start Date 2022-07-27
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.05264
    Pricing Unit EA
    Effective Date 2024-02-21
    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 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