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    NDC 71930-0009-12 Acetazolamide 250 mg/1 Details

    Acetazolamide 250 mg/1

    Acetazolamide is a ORAL TABLET in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Eywa Pharma Inc. The primary component is ACETAZOLAMIDE.

    Product Information

    NDC 71930-0009
    Product ID 71930-009_1af50e25-cbd6-41d5-bcc2-ff23cc854d96
    Associated GPIs 37100010000310
    GCN Sequence Number 008166
    GCN Sequence Number Description acetazolamide TABLET 250 MG ORAL
    HIC3 R1E
    HIC3 Description CARBONIC ANHYDRASE INHIBITORS
    GCN 34722
    HICL Sequence Number 003641
    HICL Sequence Number Description ACETAZOLAMIDE
    Brand/Generic Generic
    Proprietary Name Acetazolamide
    Proprietary Name Suffix n/a
    Non-Proprietary Name Acetazolamide
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 250
    Active Ingredient Units mg/1
    Substance Name ACETAZOLAMIDE
    Labeler Name Eywa Pharma Inc
    Pharmaceutical Class Carbonic Anhydrase Inhibitor [EPC], Carbonic Anhydrase Inhibitors [MoA], Sulfonamides [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA211556
    Listing Certified Through 2024-12-31

    Package

    NDC 71930-0009-12 (71930000912)

    NDC Package Code 71930-009-12
    Billing NDC 71930000912
    Package 100 TABLET in 1 BOTTLE (71930-009-12)
    Marketing Start Date 2020-01-30
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.21465
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description ACETAZOLAMIDE 250 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