Red Book(TM) for Windows®
Release: APRIL, 2006
Product Information
Product
Manuf/Dist
Identifier
Form
Strength
Size
UD
AWP
WAC
HEXALEN
MGI
58063-0001-70
CAP
50 MG
100s ea
1050.00
875.00
Copyright © 2006, Thomson PDR.
Page 1

Red Book(TM) for Windows®
Release: APRIL, 2006
Detailed Product Information
PRODUCT:
HEXALEN
MANUFACTURER:
MGI
FORM:
CAPSULE
STRENGTH:
50 MG
ROUTE OF ADMIN:
ORAL
ORANGE BOOK CODE:
ADD'L DESC:
GENERIC NAME:
ALTRETAMINE
NDC:
58063-0001-70
SIZE:
100s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
1050.00
10.5000
5/28/2005
DIR
875.00
8.7500
5/28/2005
HCFA
Copyright © 2006, Thomson PDR.
Page 1