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    NDC 49348-0140-10 Pain Reliever PM 500; 25 mg/1; mg/1 Details

    Pain Reliever PM 500; 25 mg/1; mg/1

    Pain Reliever PM is a ORAL TABLET, COATED in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is ACETAMINOPHEN; DIPHENHYDRAMINE HYDROCHLORIDE.

    Product Information

    NDC 49348-0140
    Product ID 49348-140_a6417c2a-a47d-4b26-8f2c-3b23b7299443
    Associated GPIs 60309902200310
    GCN Sequence Number 003699
    GCN Sequence Number Description acetaminophen/diphenhydramine TABLET 500MG-25MG ORAL
    HIC3 B5S
    HIC3 Description ANALGESIC, NON-SAL.- 1ST GENERATION ANTIHISTAMINE
    GCN 70221
    HICL Sequence Number 001861
    HICL Sequence Number Description ACETAMINOPHEN/DIPHENHYDRAMINE HCL
    Brand/Generic Generic
    Proprietary Name Pain Reliever PM
    Proprietary Name Suffix Extra Strength
    Non-Proprietary Name Acetaminophen, Diphenhydramine HCl
    Product Type HUMAN OTC DRUG
    Dosage Form TABLET, COATED
    Route ORAL
    Active Ingredient Strength 500; 25
    Active Ingredient Units mg/1; mg/1
    Substance Name ACETAMINOPHEN; DIPHENHYDRAMINE HYDROCHLORIDE
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class Histamine H1 Receptor Antagonists [MoA], Histamine-1 Receptor Antagonist [EPC]
    DEA Schedule n/a
    Marketing Category OTC MONOGRAPH DRUG
    Application Number M012
    Listing Certified Through n/a

    Package

    NDC 49348-0140-10 (49348014010)

    NDC Package Code 49348-140-10
    Billing NDC 49348014010
    Package 1 BOTTLE, PLASTIC in 1 BOX (49348-140-10) / 100 TABLET, COATED in 1 BOTTLE, PLASTIC
    Marketing Start Date 2014-12-31
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.04121
    Pricing Unit EA
    Effective Date 2022-08-17
    NDC Description SM PAIN RELIEVER PM CAPLET
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 1
    Classification for Rate Setting G
    As of Date 2022-08-17
    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