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NDC 62011-0117-01 Health Mart Iodine Tincture Mild 470; 20; 20.4 mg/mL; mg/mL; mg/mL Details
Health Mart Iodine Tincture Mild 470; 20; 20.4 mg/mL; mg/mL; mg/mL
Health Mart Iodine Tincture Mild is a TOPICAL LIQUID in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is ALCOHOL; IODINE; SODIUM IODIDE.
Product Information
NDC | 62011-0117 |
---|---|
Product ID | 62011-0117_0cf3bc57-59b2-909e-e063-6394a90a3b52 |
Associated GPIs | 92200020001510 |
GCN Sequence Number | 062671 |
GCN Sequence Number Description | iodine/sodium iodide TINCTURE 2 % TOPICAL |
HIC3 | Q5B |
HIC3 Description | TOPICAL PREPARATIONS,ANTIBACTERIALS |
GCN | 98445 |
HICL Sequence Number | 005095 |
HICL Sequence Number Description | IODINE/SODIUM IODIDE |
Brand/Generic | Generic |
Proprietary Name | Health Mart Iodine Tincture Mild |
Proprietary Name Suffix | n/a |
Non-Proprietary Name | Iodine and Sodium Iodide and Alcohol |
Product Type | HUMAN OTC DRUG |
Dosage Form | LIQUID |
Route | TOPICAL |
Active Ingredient Strength | 470; 20; 20.4 |
Active Ingredient Units | mg/mL; mg/mL; mg/mL |
Substance Name | ALCOHOL; IODINE; SODIUM IODIDE |
Labeler Name | Strategic Sourcing Services LLC |
Pharmaceutical Class | n/a |
DEA Schedule | n/a |
Marketing Category | OTC MONOGRAPH DRUG |
Application Number | M003 |
Listing Certified Through | 2024-12-31 |
Package
NDC 62011-0117-01 (62011011701)
NDC Package Code | 62011-0117-1 |
---|---|
Billing NDC | 62011011701 |
Package | 30 mL in 1 BOTTLE (62011-0117-1) |
Marketing Start Date | 2017-12-05 |
NDC Exclude Flag | N |
Pricing Information | |
Price Per Unit | 0.072 |
Pricing Unit | ML |
Effective Date | 2024-01-17 |
NDC Description | HM IODINE 2% MILD TINCTURE |
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