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NDC 62011-0102-01 Health Mart Eye Drops Original Formula 0.5 mg/mL Details
Health Mart Eye Drops Original Formula 0.5 mg/mL
Health Mart Eye Drops Original Formula is a OPHTHALMIC SOLUTION/ DROPS in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is TETRAHYDROZOLINE HYDROCHLORIDE.
MedlinePlus Drug Summary
Ophthalmic tetrahydrozoline is used to relieve minor eye irritation and redness caused by colds, pollen, and swimming.
Related Packages: 62011-0102-01Last Updated: 12/01/2022
MedLinePlus Full Drug Details: Tetrahydrozoline Ophthalmic
Product Information
| NDC | 62011-0102 |
|---|---|
| Product ID | 62011-0102_0d2a5fd3-778e-9bf1-e063-6294a90a4adb |
| Associated GPIs | 86400050102005 |
| GCN Sequence Number | 007771 |
| GCN Sequence Number Description | tetrahydrozoline HCl DROPS 0.05 % OPHTHALMIC |
| HIC3 | Q6D |
| HIC3 Description | EYE VASOCONSTRICTORS (OTC ONLY) |
| GCN | 32311 |
| HICL Sequence Number | 015909 |
| HICL Sequence Number Description | TETRAHYDROZOLINE HCL |
| Brand/Generic | Generic |
| Proprietary Name | Health Mart Eye Drops Original Formula |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | tetrahydrozoline hydrochloride |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | SOLUTION/ DROPS |
| Route | OPHTHALMIC |
| Active Ingredient Strength | 0.5 |
| Active Ingredient Units | mg/mL |
| Substance Name | TETRAHYDROZOLINE HYDROCHLORIDE |
| Labeler Name | Strategic Sourcing Services LLC |
| Pharmaceutical Class | n/a |
| DEA Schedule | n/a |
| Marketing Category | OTC MONOGRAPH DRUG |
| Application Number | M018 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 62011-0102-01 (62011010201)
| NDC Package Code | 62011-0102-1 |
|---|---|
| Billing NDC | 62011010201 |
| Package | 1 BOTTLE, DROPPER in 1 CARTON (62011-0102-1) / 15 mL in 1 BOTTLE, DROPPER |
| Marketing Start Date | 2012-03-01 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.1152 |
| Pricing Unit | ML |
| Effective Date | 2024-01-17 |
| NDC Description | HM STERILE 0.05% EYE DROPS |
| Pharmacy Type Indicator | C/I |
| OTC | Y |
| Explanation Code | 4, 5 |
| Classification for Rate Setting | G |
| As of Date | 2024-02-21 |
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