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    NDC 62011-0104-01 Eye Drops Advanced Relief 1; 10; 10; .5 mg/mL; mg/mL; mg/mL; mg/mL Details

    Eye Drops Advanced Relief 1; 10; 10; .5 mg/mL; mg/mL; mg/mL; mg/mL

    Eye Drops Advanced Relief 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 DEXTRAN 70; POLYETHYLENE GLYCOL 400; POVIDONE; TETRAHYDROZOLINE HYDROCHLORIDE.

    Product Information

    NDC 62011-0104
    Product ID 62011-0104_93439cae-3d8b-2681-e053-2995a90ab3e4
    Associated GPIs 86409904502020
    GCN Sequence Number 050535
    GCN Sequence Number Description tetrahydroz/dext 70/peg 400/pv DROPS 0.05-.1-1% OPHTHALMIC
    HIC3 Q6D
    HIC3 Description EYE VASOCONSTRICTORS (OTC ONLY)
    GCN 17625
    HICL Sequence Number 023805
    HICL Sequence Number Description TETRAHYDROZOLINE HCL/DEXTRAN 70/POLYETHYLENE GL 400/POVIDONE
    Brand/Generic Generic
    Proprietary Name Eye Drops Advanced Relief
    Proprietary Name Suffix n/a
    Non-Proprietary Name tetrahydrozoline hydrochloride, polyethylene glycol 400, dextran 70, povidone
    Product Type HUMAN OTC DRUG
    Dosage Form SOLUTION/ DROPS
    Route OPHTHALMIC
    Active Ingredient Strength 1; 10; 10; .5
    Active Ingredient Units mg/mL; mg/mL; mg/mL; mg/mL
    Substance Name DEXTRAN 70; POLYETHYLENE GLYCOL 400; POVIDONE; TETRAHYDROZOLINE HYDROCHLORIDE
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class Increased Intravascular Volume [PE], Osmotic Activity [MoA], Plasma Volume Expander [EPC]
    DEA Schedule n/a
    Marketing Category OTC MONOGRAPH FINAL
    Application Number part349
    Listing Certified Through 2022-12-31

    Package

    NDC 62011-0104-01 (62011010401)

    NDC Package Code 62011-0104-1
    Billing NDC 62011010401
    Package 1 BOTTLE, DROPPER in 1 CARTON (62011-0104-1) / 15 mL in 1 BOTTLE, DROPPER
    Marketing Start Date 2012-03-01
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.1541
    Pricing Unit ML
    Effective Date 2023-11-22
    NDC Description HM EYE DROPS ADVANCED RELIEF
    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

    Standard Product Labeling (SPL)/Prescribing Information SPL 5a6be263-ebda-45fb-aa39-138b27ef7f89 Details

    Revised: 9/2019