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    NDC 00904-1315-46 Bismatrol 262 mg/1 Details

    Bismatrol 262 mg/1

    Bismatrol is a ORAL TABLET, CHEWABLE in the HUMAN OTC DRUG category. It is labeled and distributed by Major Pharmaceuticals. The primary component is BISMUTH SUBSALICYLATE.

    Product Information

    NDC 00904-1315
    Product ID 0904-1315_055c5066-0e1f-4724-af9a-c2ff0a035ea1
    Associated GPIs 47300010000507
    GCN Sequence Number 002860
    GCN Sequence Number Description bismuth subsalicylate TAB CHEW 262 MG ORAL
    HIC3 D6D
    HIC3 Description ANTIDIARRHEALS
    GCN 08420
    HICL Sequence Number 001246
    HICL Sequence Number Description BISMUTH SUBSALICYLATE
    Brand/Generic Generic
    Proprietary Name Bismatrol
    Proprietary Name Suffix n/a
    Non-Proprietary Name Bismuth subsalicylate
    Product Type HUMAN OTC DRUG
    Dosage Form TABLET, CHEWABLE
    Route ORAL
    Active Ingredient Strength 262
    Active Ingredient Units mg/1
    Substance Name BISMUTH SUBSALICYLATE
    Labeler Name Major Pharmaceuticals
    Pharmaceutical Class Bismuth [CS], Bismuth [EPC]
    DEA Schedule n/a
    Marketing Category OTC MONOGRAPH FINAL
    Application Number part335
    Listing Certified Through 2023-12-31

    Package

    NDC 00904-1315-46 (00904131546)

    NDC Package Code 0904-1315-46
    Billing NDC 00904131546
    Package 5 BLISTER PACK in 1 CARTON (0904-1315-46) / 6 TABLET, CHEWABLE in 1 BLISTER PACK
    Marketing Start Date 2003-01-03
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.0759
    Pricing Unit EA
    Effective Date 2022-11-23
    NDC Description BISMATROL TABLET CHEW
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 1
    Classification for Rate Setting G
    As of Date 2022-11-23
    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

    Standard Product Labeling (SPL)/Prescribing Information SPL e5021687-11aa-472a-bd06-151415e1e2b3 Details

    Revised: 1/2022