Quinapril recall. The recommended starting dose is 5 mg twice daily.

’s Quinapril tablets that are sold in 20 mg and 40 mg packs. It works by blocking a substance in the body that causes blood vessels to tighten. Company Contact Information. The recalled lots Oct 26, 2022 · The recall concerns lot Nos. 5 mg tablets due to the presence of nitrosamine drug substance related impurity (NDSRI), N-Nitroso-Quinapril, above the proposed interim limit. 4% Sodium Chloride Injection: Jul 09, 2024: Jul 10, 2017 Apr 25, 2022 · April 25, 2022. 5mg by the drug manufacturer Aurobindo Pharma USA, Inc. ca for medical inquiries, and at 1-800-387-4974 for Dec 28, 2022 · 5. Lupin Pharmaceuticals Inc. 21, 2022, the FDA announced another distributor, Lupin Pharmaceuticals, was also recalling four lots of the blood pressure medication quinapril for excessive nitrosamines. Recall Action Level: Retail: Recall Action Classification: Class II: Recall Action Commencement Date: 9/12/2022 Heart Failure. • May 9, 2022. Pfizer Inc. This recall includes six lots of Accuretic tablets, which Jul 1, 2024 · Quinapril and hydrochlorothiazide combination is used to treat high blood pressure (hypertension). is recalling four lots of its blood pressure medication, Quinapril Tablets, because of an impurity known as Nitrosamines being found in recent testing of the product, according to the Food and Drug Administration. S. On Oct. In recent testing, the tablets for the treatment of hypertension exceeded the permissible level of a nitrosamine impurity, the company said in Mar 24, 2022 · March 24, 2022, 7:03 AM PDT. FE3714, expiration date 02/2023. As a result, quinapril relaxes the blood vessels. In March 2022, Pfizer (NYSE:PFE) recalled five lots of Accupril-branded quinapril tablets as a result of elevated levels of the nitrosamine N-nitroso-quinapril. These products are used to treat hypertension and have a positive benefit/risk profile, but may increase the risk of cancer if exposed long term. In October, Aurobindo Pharma recalled two lots of Quinapril because of the same nitrosamine impurity. This is a global issue. Quinapril is produced by drug manufacturer Lupin May 17, 2022 · Recall of Accupro (quinapril hydrochloride) On 5 May 2022, all Accupro (quinapril hydrochloride) tablets were recalled at pharmacy and wholesale level as a precautionary measure due to the Oct 26, 2022 · The recall involves Quinapril and Hydrochlorothiazide Tablets USP, 20mg / 12. The recall affects Quinapril 20 and 40 mg tablets distributed nationwide in the US and discontinued in September 2022. What does Quinapril hydrochloride look like? Dec 24, 2022 · Lupin stopped marketing the medication in September and is notifying businesses of the recall. over concerns it could increase the risk of cancer Oct 26, 2022 · The recall concerns lot Nos. at (877) 538-8445 from Monday–Friday, 9 a. An Accuretic lawsuit is a claim against Pfizer and Greenstone for selling high blood pressure drug quinapril HCl/hydrochlorothiazide, which may cause cancer from nitrosamine contamination. 5mg, from the US market due to presence of Nitrosamine Drug Substance Related Impurity (NDSRI), N-Nitroso-Quinapril above the proposed interim limit. Food and Drug Administration (FDA) announced a recall for two lots of Quinapril and Hydrochlorothiazide Tablets, USP 20mg/12. On April 22, 2022, Pfizer issued a voluntary recall of 5 lots of the drug Accupril due to the Aug 26, 2020 · Quinapril Tablets, USP are supplied as follows: 5-mg tablets: Pink, round film-coated tablets, debossed “HH” and a scoreline on one side, and “305” on the other side. 5mg in 90-count bottles from Aurobindo Pharma with an expiration date of January Dec 27, 2022 · Published December 27, 2022. October 25, 2022 - The FDA announced a consumer level recall of two lots of Aurobindo’s quinapril/hydrochlorothiazide (HCTZ) 20 mg/12. Pfizer Ltd are voluntarily recalling all stock of the above product as a precautionary measure due to Mar 23, 2022 · Pfizer on Monday issued a voluntary recall of medication that treats high blood pressure. People who use quinapril medicines, including quinapril with hydrochlorothiazide, may need to switch to alternative therapies because there is a shortage of quinapril products due to the recalls. There is currently a reduced supply of combination quinapril hydrochloride and hydrochlorothiazide nationally; however, other drug products are available for treating high blood pressure. Oct 27, 2022 · A. Nitrosamines are common in water and foods, including cured and grilled meats, dairy products and Oct 26, 2022 · The recall concerns lot Nos. 1% in postmarket trading to $54. Lupin recalled 4 lots of quinapril in December 2022 due to the presence of a nitrosamine impurity. , April 22,2022. It a medication used to treat high blood pressure (hypertension), heart failure, and diabetic kidney disease. The recommended starting dose is 5 mg twice daily. -Fri. Pfizer currently advises patients taking this medication to consult with Mar 22, 2022 · Accuretic tablets 20/25 mg Pfizer. However, the manufacturer of quinapril is recalling five lots of the medication. Quinapril is an angiotensin converting enzyme (ACE) inhibitor. 10-mg tablets: Pink, round film-coated tablets, debossed “HH” on one side and “310” on the other side. 11% of reviewers reported a positive effect, while 22% reported a negative effect. This recall is being conducted with the knowledge of the U. Dec 21, 2022 · BALTIMORE, Md. 5 mg. Patients who are taking this product should consult with their healthcare provider or pharmacy to determine if they have the affected product. 25, the U. Generic Name Revision Date Created Date; 0. The Board of Pharmacy has received notice of the following product recall. Aurobindo Pharma Oct 26, 2022 · The recall concerns lot Nos. Quinapril ( Accupril) is an inexpensive drug used alone or together with other Aug 22, 2023 · high blood potassium - nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement. (855) 769-3988 / (855) 769-3989. Jun 3, 2024 · Quinapril tablets are discontinued by Lupin and Solco due to a nitrosamine impurity recall and a manufacturing delay. Mar 4, 2022 · Share. Generic quinapril is covered by most Medicare and insurance plans, but some pharmacy coupons or cash prices may be lower. This is not a complete list of side effects and others may occur. 5mg in 90-count bottles from Aurobindo Pharma with an expiration date of January Mar 24, 2022 · Madeline Holcombe, Blood pressure medication recalled over cancer risk concerns, CNN (March 24, 2022). Some lots of Accuretic and two lots of generic drugs distributed by Greenstone are included in the recall The most common side effects of quinapril are listed below. [3] It is taken by mouth. Quinapril tablet USP recalled for nitrosamine impurity (Credit: FDA) (WSLS) Four lots of Quinapril Apr 19, 2022 · Recall of Accuretic (quinapril hydrochloride and hydrochlorothiazide) On 28 March 2022, all Accuretic (quinapril hydrochloride and hydrochlorothiazide) tablets were recalled at pharmacy and (quinapril and hydrochlorothiazide and quinapril HCl/ hydrochlorothiazide) to the patient (consumer/user) level due to the presence of a nitrosamine, N-nitroso-quinapril, above the Acceptable Daily Intake (ADI) level. voluntary recall of two (2) lots of Quinapril and Hydrochlorothiazide Tablets USP 20mg / 12. Quinapril and hydrochlorothiazide tablets 20/25 mg Pfizer Dec 21, 2022 · December 21, 2022. A pharmaceutical company is recalling a blood pressure medication due to a potential cancer risk, the FDA announced this week. 8 am-6 pm ET). pfizermedinfo. 5mg, supplied in 90's HDPE bottle, with lot code QE2021005-A and QE2021010-A, and expiry of 01/2023. The compound is a type of nitrosamine, which is found in low levels in food and water. 5mg; NDC Number 65862-162-90; Lot Numbers QE2021005-A and QE2021010-A; Expiration Date 01/2023, are supplied in 90-count Dec 26, 2022 · 1:10. 5mg, to the consumer level from the US market due to presence of Nitrosamine Drug Substance Related Impurity (NDSRI), N-Nitroso-Quinapril above the proposed interim limit. This dose may improve symptoms of heart failure, but increases in exercise duration have generally required higher doses. Feb 16, 2023 · For people managing high blood pressure, recalls of the carcinogen-tainted drug quinapril might sound familiar. AccureticTM (quinapril HCl/hydrochlorothiazide) tablets, 10/12. Pfizer is recalling five lots of Accupril (Quinapril HCl) tablets. If you have questions about the recall, contact Pfizer Canada ULC at 1-800-463-6001 or www. Jul 1, 2022 · Drug manufacturer Pfizer announced a voluntary recall of some types of blood pressure drugs in March and April 2022. The bottles carry expiration dates ranging from December 2022 to March 2024, and May 5, 2022 · Active Pharmaceutical Ingredient: Quinapril Hydrochloride. 61 for the most common version, by using a GoodRx coupon. 5mg in 90-count bottles from Aurobindo Pharma with an expiration date of January Quinapril Pill Images. Each tablet also contains lactose monohydrate, magnesium carbonate, magnesium stearate, crospovidone, povidone and opadry brown (hypromellose, titanium dioxide, iron oxide and macrogol). There are other prescription medicines available to treat hypertension. Pfizer is recalling six lots of Accuretic, one lot of quinapril and hydrochlorothiazide, and four lots of quinapril HCl/hydrochlorothiazide tablets due to N-nitroso-quinapril above the acceptable level. The actual health risk is determined by the medication and dosage used, varying from person to person. 0. Jun 3, 2024 · Quinapril hydrochloride oral tablet, Solco Healthcare US, 5 mg, bottle, 90 count, NDC 43547-0410-09 - discontinued. Pfizer, the supplier of Accuretic, has been undertaking voluntary recalls of the medicine around the world, including in Australia, Europe, the United States of America and Canada. is voluntarily recalling four (4) lots of Quinapril Tablets to the patient (consumer/user) level due to the presence of a nitrosamine impurity, N-Nitroso-Quinapril, observed in recent testing above the Acceptable Daily Intake (ADI) level. The FDA announced the second recall in months of blood-pressure medication over an elevated cancer risk. rose 0. Quinapril HCl and hydrochlorothiazide tablets should be used cautiously in patients receiving concomitant therapy with other antihypertensives. Consumers should contact their pharmacist or physician for alternative treatment and report any negative reactions to FDA. Dec 22, 2022 · Lupin Pharmaceuticals recalled four lots of Quinapril, a blood pressure medication, after finding nitrosamine impurity above FDA limit. 6 out of 10 from a total of 11 ratings on Drugs. Nitrosamines are common in water and foods, including cured and Quinapril, sold under the brand name Accupril [2] by the Pfizer corporation. com. EST. Food and Drug Administration. Lisinopril has an average rating of 5. 5 KB) Mar 23, 2022 · Pfizer has issued a recall for three high blood pressure medications, according to the company. FDA has been investigating the presence of impurities, called nitrosamines, in some types of medications. Get quinapril for as low as $15. 9% Sodium Chloride Irrigation: Jul 10, 2024: Feb 25, 2022: 23. , Dec. Oct 31, 2022 · On October 24, 2022, Aurobindo Pharma USA, Inc. 4% above the current price; 14 buys, 13 May 9, 2022 · James Limbach, Reporter. FOR IMMEDIATE RELEASE - NEW YORK, NY. Mar 16, 2018 · Quinapril (Accupril) is an oral medication used to treat high blood pressure and heart failure. , due to a detection of Nitrosamine Drug Substance Related Impurity. Note: Multiple pictures are displayed for those medicines available in different strengths, marketed under different brand names and for medicines manufactured by different pharmaceutical companies. The move came after concerns that the drugs contained a potentially cancer-causing substance called N-nitroso-quinapril. Tell your healthcare provider if you have any of these side effects that bother you. This lowers blood pressure and increases the supply of blood and oxygen to the heart. Feb 2, 2023 · This time Quinapril tablets are being pulled. Quinapril and Hydrochlorothiazide Tablets, USP are fixed-combination Mar 23, 2022 · The voluntary recall includes quinapril HCl/hydrochlorothiazide tablets, which Pfizer sells under the name Accuretic, and generic quinapril and hydrochlorothiazide tablets distributed by Greenstone. initiated a voluntary recall of two lots (refer table below) of Quinapril and Hydrochlorothiazide Tablets USP 20mg / 12. NDC 43547-410-09 Bottles of 90 tablets. Medicine, Health, Safety, Recall, FDA. Lupin discontinued quinapril tablets in February 2023. Pfizer is voluntarily recalling 5 lots of Accupril ® (quinapril HCl) tablets due to the presence of a nitrosamine impurity, N-nitroso-quinapril, above the Food and Drug Mar 23, 2022 · A wave of recalls ensued after Valisure, The generic drug comprises the ingredients quinapril and hydrochlorothiazide and generated about $4. 0 out of 10 from a total of 624 ratings on Drugs. Mar 23, 2022 · Published March 23, 2022. Apr 20, 2022 · Contact your health care provider to discuss other treatment options. Quinapril and hydrochlorothiazide tablets, 20/25 mg strength, lot No. Oct 27, 2022 · 1:10. Mar 4, 2022 · There is currently a reduced supply of combination quinapril hydrochloride and hydrochlorothiazide nationally; however, other drug products are available for treating high blood pressure. The company ongoing testing found the impurity above the FDA’s Dec 27, 2022 · Blood pressure medication Quinapril was voluntarily recalled on Wednesday due to concerns over the medication increasing cancer risk. On December 21, 2022, Lupin Pharmaceuticals, Inc. Nitrosamines are common in water Mar 21, 2022 · Pfizer will recall six lots of Accuretic tablets, one lot of quinapril and hydrochlorothiazide tablets and four lots of quinapril HCl/ hydrochlorothiazide tablets; NOTE. However, nitrosamine impurities in medicine are generally regarded as unacceptable. Mar 23, 2022 · Pfizer has issued a recall for a high blood pressure medication distributed under three names, according to the company. Additional information can be found at https://www Quinapril Tablets USP contain quinapril hydrochloride equivalent to 5 mg, 10 mg, 20 mg, or 40 mg of quinapril for oral administration. arn-report-20221216. New York time. Some lots of blood pressure medication Quinapril are being voluntarily recalled by Lupin Pharmaceuticals because of possible impurities that could raise the risk of cancer. High blood pressure adds to the workload of the heart and arteries. Aurobindo Pharma USA is recalling two lots of quinapril and Dec 28, 2022 · The recall affects all Lupin Pharmaceuticals Inc. 34% of reviewers reported To request replacement product for any Pfizer PAP or Pfizer IPAP product you return, please contact 833-203-2776 (Mon. ACCUPRIL is indicated as adjunctive therapy when added to conventional therapy including diuretics and/or digitalis. Patients with the affected product should contact Sedgwick at Oct 26, 2023 · What You Need to Know About the 2022 Quinapril Recall Quinapril is used for a range of medical conditions, from heart failure to kidney disease. Brief description of the problem. to 5 p. The additional risk posed by trace levels of N-nitroso-quinapril identified in quinapril products is very likely low. In March this year, the company voluntarily recalled another hypertension treatment, Accuretic (quinapril HCl/hydrochlorothiazide) tablets, over the presence of N-nitroso-quinapril above the ADI level. Since 2018, more than 12 million bottles of blood pressure-lowering drugs such as Mar 26, 2022 · This time the culprit is a nitrosamine, N-nitroso-quinapril, being present in quantities above Acceptable Daily Intake (ADI) levels. Lupin Pharmaceuticals has voluntarily recalled 4 lots of Quinapril Tablets to the consumer level due to the presence of a nitrosamine impurity, N-nitroso-quinapril, above the See full list on goodrx. Apr 25, 2022 · Pfizer is recalling five lots of Accupril tablets, also known as quinapril HCL, after testing flagged levels of a nitrosamine—N nitroso-quinapril—above acceptable daily limits. Accuretic and its two generic versions distributed by Greenstone Mar 22, 2022 · The NDC, lot number, expiration date, strength configuration for the recall are listed below. Dec 27, 2022 · Ocskaymark/Getty Images. Drugmaker Pfizer issued a voluntarily recall of three prescription blood pressure medications — one name brand and two generics — due to the presence of elevated levels of a potentially cancer-causing impurity. Pfizer will recall six lots of Accuretic tablets, one lot of quinapril and hydrochlorothiazide tablets and four lots of Dec 21, 2022 · Lupin Pharmaceuticals Inc. Consumers: Inmar Rx Solutions, Inc. [1] [3] It is a first line treatment for high blood pressure. dizziness, tiredness. Quinapril (Accupril) In December 2022, Lupin Pharmaceuticals recalled four lots of the blood pressure medication quinapril over nitrosamine concerns. Four batches of the hypertension medication Quinapril sold by Lupin Pharmaceuticals are being recalled over nitrosamine impurity, the company announced last week in a May 2, 2022 · The recall also includes two authorized generics distributed by Greenstone (quinapril and hydrochlorothiazide and quinapril HCl/ hydrochlorothiazide). m. 21, 2022 /PRNewswire/ -- Lupin Pharmaceuticals, Inc. Prolonged exposure to nitrosamines above acceptable levels over time increases the patient’s risk of developing cancer. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart Accuretic (quinapril + hydrochlorothiazide) is being withdrawn from use because it contains impurities called nitrosamines. 30, which is 77% off the average retail price of $66. 7 million in sales in 2020, IQVIA data show. The impurity, N-nitroso-quinapril, was found in six lots of Accuretic, one lot of the generic form of The recall follows recent test-ng Of the products that indicated that N-nitroso-quinapril was present in these batches above Acceptable Daily Intake (ADI) level The affected products are Quinapril hydrochloride tablets of strength 20mg and 40mg with batches listed below. This time Quinapril tablets are being pulled. Pfizer Canada was recalling blood pressure drug Accuretic due to the presence of a potential cancer-causing impurity called N-nitroso-quinapril, the Canadian health regulator said on Friday Dec 9, 2022 · Not all 'ACE inhibitor' medications are affected. Strength 20 mg 40 mg 40 mg 40 mg Package Type 1 x 90 count bottle 1 x 90 Aurobindo – Recall of quinapril/hydrochlorothiazide • On October 25, 2022, the FDA announced a consumer level recall of two lots of Aurobindo’s quinapril/hydrochlorothiazide (HCTZ) 20 mg/12. initiated a voluntary recall of four lots (refer table below) of Quinapril Tablets due to presence of a nitrosamine impurity, N-Nitroso-Quinapril above the acceptable daily intake level. By Minyvonne Burke. Dec 27, 2022 · FDA says recall due to impurities in blood pressure medication. Lupin Pharmaceuticals has recalled four lots of its blood pressure medication Quinapril because of the potential presence of a nitrosamine impurity, N-Nitroso-Quinapril. Four lots of the blood pressure medication Quinapril were voluntarily recalled last week by drug manufacturer Lupin Pharmaceuticals Inc. The Board strongly encourages pharmacies to immediately review their quality assurance and recall policies and procedures to determine if any corrective action is required. If it continues for a long time, the heart and arteries may not function properly. Multi-ingredient medications may also be listed when applicable. QE2021005-A and QE2021010-A of Quinapril and Hydrochlorothiazide Tablets USP 20mg / 12. Low blood pressure (see below) Headache Prescribed for Raynaud's Syndrome, High Blood more. 25 as of 4:39 p. Quinapril has an average rating of 5. RECOMMENDATIONS 1. Aurobindo Pharma USA is recalling some Quinapril and Hydrochlorothiazide tablets because they contain too high levels of Dec 29, 2022 · December 29, 2022. Apr 26, 2022 · April 26, 2022. . 5 mg Accuretic™ (quinapril HCl Mar 7, 2022 · The Quinapril recalls continue, the Australian FDA announced the recall of several lots of Quinapril following the confirmation of N-nitroso-quinapril impurity being present at levels higher than the acceptable level. Pfizer is voluntarily recalling five lots of Accupril (Quinapril HCI) due to unacceptable levels of a nitrosamine, N-nitroso-quinapril, a potential carcinogen, the company Apr 22, 2022 · FOR IMMEDIATE RELEASE - NEW YORK, NY. Pharmac has released a statement saying the supply of quinapril with hydrochlorothiazide - branded as Accuretic and supplied by Pfizer - would be stopped due to the detection of a contaminant recall notice. is recalling four lots of Quinapril Tablets due to the presence of N-Nitroso-Quinapril, a nitrosamine impurity that may increase the risk of cancer. Pfizer, the pharmaceutical company behind one of the Covid-19 vaccines, recalled certain lots of its high blood pressure medication for containing Dec 28, 2022 · In October, Aurobindo Pharma USA recalled two lots of quinapril-hydrochlorothiazide tablets. Quinapril recall 2023 Oct 27, 2022 · The recalled lots of Quinapril and Hydrochlorothiazide Tablets USP 20mg/12. is initiating a recall of lots: G102929, Expiry April 2023, of Quinapril Jan 1, 2023 · Four Lots of Quinapril Tablets Recalled. Anyone with questions regarding this latest recall should contact Inmar Rx Solutions at 877-538-8445 . To date, Lupin has received no Oct 27, 2022 · Aurobindo Pharma USA initiated a recall of two lots (refer table below) of Quinapril and Hydrochlorothiazide Tablets USP 20mg / 12. Aug 4, 2023 · What patients should know about nitrosamine impurities. Pfizer has Accupril tablets on back order with no estimated resupply date. 36 is 9. Accuretic and two generic drugs distributed by Greenstone — quinapril and hydrochlorothiazide Mar 4, 2022 · Pfizer Canada was recalling blood pressure drug Accuretic due to the presence of a potential cancer-causing impurity called N-nitroso-quinapril, the Canadian health regulator said on Friday. Steve Smith December 27, 2022. Common Accupril side effects may include: headache; nausea, vomiting, stomach pain; cough; or. Accuretic™ (quinapril HCl/hydrochlorothiazide) tablets, 10/12. 5mg in 90-count bottles from Aurobindo Pharma with an expiration date of January Dec 27, 2022 · December 27, 2022 at 5:43 PMDecember 29, 2022 at 8:40 AM. Nitrosamines APO-QUINAPRIL quinapril 20 mg (as hydrochloride) tablets blister pack ACQUIN quinapril (as hydrochloride) 10 mg tablet blister pack ACQUIN quinapril (as hydrochloride) 20 mg tablet blister pack ARTG 133220, 133221, 192147 & 192148. Pfizer is voluntarily recalling five (5) lots of Accupril (Quinapril HCl) tablets distributed by Pfizer to the patient (consumer/user) level due to the presence of a nitrosamine, N-nitroso-quinapril, observed in recent testing above the Acceptable Daily Intake (ADI) level. Dec 24, 2022 · Lupin stopped marketing the medication in September and is notifying businesses of the recall. The average 12-month price target of $59. Dizziness. Apr 25, 2022 · April 25, 2022 — Pfizer is voluntarily recalling five (5) lots of Accupril (Quinapril HCl) tablets distributed by Pfizer to the patient (consumer/user) level due to the presence of a nitrosamine, Nnitroso-quinapril, observed in recent testing above the Acceptable Daily Intake (ADI) level. In this article, our mass tort attorneys discuss: 1. The company warned consumers on Monday of several tainted lots of Accuretic and Apr 25, 2022 · The company added that the latest recall is being carried out with the knowledge of the US Food and Drug Administration. com Apr 25, 2022 · The recall includes Accupril (Quinapril HCl Tablets), 10 mg, 20 mg and 40 mg doses in 1 x 90 count bottles distributed to the patient level. pdf (115. Call your doctor for medical advice about side effects. The affected product lots are DR9639 with expiration Mar 22, 2022 · Pfizer Inc. Mar 22, 2022 · Pfizer is voluntarily recalling Accuretic (quinapril HCl/hydrochlorothiazide) tablets distributed by Pfizer as well as two authorized generics distributed by Greenstone (quinapril and Dec 27, 2022 · Anyone who has questions regarding the Quinapril recall is being told by the FDA to contact Inmar Rx Solutions Inc. is recalling a blood pressure drug because of elevated levels of a potential cancer-causing impurity. The affected drugs include one lot of 20mg tablets and three lots of 40 mg tablets. If you have questions about the recall, contact Pfizer Canada ULC at 1-800-463-6001 or Oct 28, 2022 · On Dec. The thiazide component of quinapril HCl and hydrochlorothiazide tablets may potentiate the action of other antihypertensive drugs, especially ganglionic or peripheral adrenergic-blocking drugs. Reason for the Shortage. The blood pressure medicine contains a nitrosamine called Nnitroso-quinapril above the Oct 27, 2022 · WASHINGTON (KDKA) - Two lots of blood medication are being recalled. “To date, Pfizer is not aware of reports of adverse events that have been assessed to be related to this recall,” the company said in a Dec 21, 2022 · Quinapril Tablets USP 20mg, and 40mg is packaged in 90 count bottles and was distributed nationwide in the US to wholesalers, drug chains, mail order pharmacies and supermarkets. st oc ou dr kx qf tz vd qx nn