Hydrochlorothiazide (Page 3 of 3)

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

NDC 60429-888-01

12.5 mg

Hydrochlorothiazide Tablets, USP

100 Tablets

Rx Only

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HYDROCHLOROTHIAZIDE
hydrochlorothiazide tablet
Product Information
Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:60429-888(NDC:0228-2820)
Route of Administration ORAL DEA Schedule
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
HYDROCHLOROTHIAZIDE (HYDROCHLOROTHIAZIDE) HYDROCHLOROTHIAZIDE 12.5 mg
Inactive Ingredients
Ingredient Name Strength
CALCIUM STEARATE
STARCH, CORN
FD&C YELLOW NO. 6
LACTOSE MONOHYDRATE
SODIUM LAURYL SULFATE
STEARIC ACID
Product Characteristics
Color pink (peach) Score no score
Shape ROUND Size 5mm
Flavor Imprint Code R;20
Contains
Packaging
# Item Code Package Description Multilevel Packaging
1 NDC:60429-888-01 100 TABLET in 1 BOTTLE None
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
ANDA ANDA040707 02/27/2007
Labeler — Golden State Medical Supply (603184490)
Establishment
Name Address ID/FEI Operations
Golden State Medical Supply 603184490 relabel (60429-888), repack (60429-888)

Revised: 06/2020 Golden State Medical Supply

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