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    NDC 62011-0065-02 health mart daytime 325; 10; 5 mg/15mL; mg/15mL; mg/15mL Details

    health mart daytime 325; 10; 5 mg/15mL; mg/15mL; mg/15mL

    health mart daytime is a ORAL SOLUTION in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is ACETAMINOPHEN; DEXTROMETHORPHAN HYDROBROMIDE; PHENYLEPHRINE HYDROCHLORIDE.

    Product Information

    NDC 62011-0065
    Product ID 62011-0065_2b2888ba-07e1-4e80-ae5c-e00630624c55
    Associated GPIs 43996903400910
    GCN Sequence Number 061337
    GCN Sequence Number Description d-methorphan/PE/acetaminophen LIQUID 5-325MG/15 ORAL
    HIC3 B4M
    HIC3 Description NON-OPIOID ANTITUSSIVE-DECONGESTANT-ANALGESIC COMB
    GCN 97129
    HICL Sequence Number 008885
    HICL Sequence Number Description DEXTROMETHORPHAN HBR/PHENYLEPHRINE HCL/ACETAMINOPHEN
    Brand/Generic Generic
    Proprietary Name health mart daytime
    Proprietary Name Suffix n/a
    Non-Proprietary Name acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
    Product Type HUMAN OTC DRUG
    Dosage Form SOLUTION
    Route ORAL
    Active Ingredient Strength 325; 10; 5
    Active Ingredient Units mg/15mL; mg/15mL; mg/15mL
    Substance Name ACETAMINOPHEN; DEXTROMETHORPHAN HYDROBROMIDE; PHENYLEPHRINE HYDROCHLORIDE
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class Adrenergic alpha1-Agonists [MoA], Sigma-1 Agonist [EPC], Sigma-1 Receptor Agonists [MoA], Uncompetitive N-methyl-D-aspartate Receptor Antagonist [EPC], Uncompetitive NMDA Receptor Antagonists [MoA], alpha-1 Adrenergic Agonist [EPC]
    DEA Schedule n/a
    Marketing Category OTC MONOGRAPH FINAL
    Application Number part341
    Listing Certified Through 2024-12-31

    Package

    NDC 62011-0065-02 (62011006502)

    NDC Package Code 62011-0065-2
    Billing NDC 62011006502
    Package 237 mL in 1 BOTTLE (62011-0065-2)
    Marketing Start Date 2012-09-06
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.01258
    Pricing Unit ML
    Effective Date 2022-09-21
    NDC Description HM DAYTIME COLD-FLU LIQUID
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 4, 5
    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 55b30121-2423-47cd-a951-e63435054aca Details

    Revised: 2/2020