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Drug Product Composition: Hydroxychloroquine Sulfate

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$ API Ref.Price (USD/KG) : 142Xls

USFDA APPLICATION NUMBER - 9768 / DOSAGE - TABLET;ORAL - 200MG

Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
hydroxychloroquine sulfate(UNII: 8Q2869CNVH)
(hydroxychloroquine - UNII:4QWG6N8QKH)
hydroxychloroquine sulfate200mg

Inactive Ingredients

Ingredient Name
A-S Medication Solutions
Aphena Pharma Solutions - Tennessee, LLC
AvKARE, Inc.
Blenheim Pharmacal, Inc.
Bryant Ranch Prepack
Cardinal Health
Dispensing Solutions, Inc.
Major Pharmaceuticals
NCS HealthCare of KY, Inc dba Vangard Labs
Northstar RxLLC
Ohm Laboratories Inc.
Physicians Total Care, Inc.
Rebel Distributors Corp
Sandoz Inc
Sun Pharmaceutical Industries, Inc.
Golden State Medical Supply, Inc.
Mylan Institutional Inc.
Mylan Pharmaceuticals Inc.
West-ward Pharmaceutical Corp
Aidarex Pharmaceuticals LLC
Avera McKennan Hospital
Carilion Materials Management
Covis Pharmaceuticals Inc
Prasco Laboratories
sanofi-aventis U.S. LLC
Havix Group Inc d-b-a Aavis Pharmaceuticals
Jubilant Cadista Pharmaceuticals Inc.
ANI Pharmaceuticals, Inc.
DIRECT RX
PD-Rx Pharmaceuticals, Inc.
Dr. Reddy's Laboratories Inc.
Actavis Pharma, Inc.
NCS HealthCare of KY, LLC dba Vangard Labs
ANHYDROUS DIBASIC CALCIUM PHOSPHATE(L11K75P92J)                  
ANHYDROUS LACTOSE(3SY5LH9PMK)                            
CALCIUM PHOSPHATE, DIBASIC, ANHYDROUS(L11K75P92J)                       
CALCIUM PHOSPHATE, DIBASIC, DIHYDRATE(O7TSZ97GEP)                               
CARNAUBA WAX(R12CBM0EIZ)                              
Cellulose, Microcrystalline(OP1R32D61U)                                
COLLOIDAL SILICON DIOXIDE(ETJ7Z6XBU4)                             
CROSCARMELLOSE SODIUM(M28OL1HH48)                        
CROSPOVIDONE, UNSPECIFIED(2S7830E561)                               
Dextrates(G263MI44RU)                              
DIBASIC CALCIUM PHOSPHATE DIHYDRATE(O7TSZ97GEP)                               
FERRIC OXIDE YELLOW(EX438O2MRT)                                
FERROSOFERRIC OXIDE(XM0M87F357)                            
HYDROXYPROPYL CELLULOSE (1200000 MW)(RFW2ET671P)                                
HYDROXYPROPYL CELLULOSE (160000 WAMW)(0A7M0N7SPE)                                
Hydroxypropyl Cellulose (1600000 WAMW)(RFW2ET671P)                               
HYDROXYPROPYL CELLULOSE (TYPE H)(RFW2ET671P)                               
HYDROXYPROPYL CELLULOSE(RFW2ET671P)                               
HYDROXYPROPYL CELLULOSE, UNSPECIFIED(9XZ8H6N6OH)                                
HYPROMELLOSE 2208 (100 MPA.S)(B1QE5P712K)                                
HYPROMELLOSE 2910 (3 MPA.S)(0VUT3PMY82)                               
HYPROMELLOSE 2910 (6 MPA.S)(0WZ8WG20P6)                          
HYPROMELLOSE(3NXW29V3WO)                                
HYPROMELLOSE, UNSPECIFIED(3NXW29V3WO)                   
HYPROMELLOSES(3NXW29V3WO)                     
LACTOSE MONOHYDRATE(EWQ57Q8I5X)                        
Magnesium Stearate(70097M6I30)
Maltodextrin(7CVR7L4A2D)                              
MICROCRYSTALLINE CELLULOSE(OP1R32D61U)                         
POLYDEXTROSE(VH2XOU12IE)                            
POLYETHYLENE GLYCOL 3350(G2M7P15E5P)                       
POLYETHYLENE GLYCOL 400(B697894SGQ)                       
POLYETHYLENE GLYCOL 4000(4R4HFI6D95)                                
POLYETHYLENE GLYCOL(3WJQ0SDW1A)                              
POLYETHYLENE GLYCOL, UNSPECIFIED(3WJQ0SDW1A)                    
POLYETHYLENE GLYCOLS(3WJQ0SDW1A)                          
POLYSORBATE 80(6OZP39ZG8H)            
POLYVINYL ALCOHOL(532B59J990)                               
POLYVINYL ALCOHOL, UNSPECIFIED(532B59J990)                              
POVIDONE K30(U725QWY32X)                                
POVIDONE(FZ989GH94E)                               
POVIDONE, UNSPECIFIED(FZ989GH94E)                       
POVIDONES(FZ989GH94E)                               
PROPYLENE GLYCOL(6DC9Q167V3)                               
SHELLAC(46N107B71O)                            
SILICON DIOXIDE(ETJ7Z6XBU4)                     
SODIUM BICARBONATE(8MDF5V39QO)                           
SODIUM LAURYL SULFATE(368GB5141J)                         
SODIUM STARCH GLYCOLATE TYPE A POTATO(5856J3G2A2)                              
STARCH, CORN(O8232NY3SJ)        
STARCH, PREGELATINIZED CORN(O8232NY3SJ)                              
SUCRALOSE(96K6UQ3ZD4)                                
TALC(7SEV7J4R1U)               
TITANIUM DIOXIDE(15FIX9V2JP)  
TRIACETIN(XHX3C3X673)                           
WATER(059QF0KO0R)