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    NDC 62011-0119-02 health mart lice killing 4; .33 g/100mL; g/100mL Details

    health mart lice killing 4; .33 g/100mL; g/100mL

    health mart lice killing is a TOPICAL SHAMPOO in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is PIPERONYL BUTOXIDE; PYRETHRUM EXTRACT.

    Product Information

    NDC 62011-0119
    Product ID 62011-0119_969fa21b-687b-4df2-b198-5e27aab92c5d
    Associated GPIs 90909902104540
    GCN Sequence Number 044462
    GCN Sequence Number Description piperonyl butoxide/pyrethrins SHAMPOO 4%-0.33% TOPICAL
    HIC3 Q5R
    HIC3 Description TOPICAL ANTIPARASITICS
    GCN 91071
    HICL Sequence Number 004168
    HICL Sequence Number Description PIPERONYL BUTOXIDE/PYRETHRINS
    Brand/Generic Generic
    Proprietary Name health mart lice killing
    Proprietary Name Suffix n/a
    Non-Proprietary Name Piperonyl butoxide, Pyrethrum extract
    Product Type HUMAN OTC DRUG
    Dosage Form SHAMPOO
    Route TOPICAL
    Active Ingredient Strength 4; .33
    Active Ingredient Units g/100mL; g/100mL
    Substance Name PIPERONYL BUTOXIDE; PYRETHRUM EXTRACT
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class n/a
    DEA Schedule n/a
    Marketing Category OTC MONOGRAPH FINAL
    Application Number part358G
    Listing Certified Through 2024-12-31

    Package

    NDC 62011-0119-02 (62011011902)

    NDC Package Code 62011-0119-2
    Billing NDC 62011011902
    Package 1 BOTTLE in 1 CARTON (62011-0119-2) / 118 mL in 1 BOTTLE
    Marketing Start Date 2012-02-28
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.04622
    Pricing Unit ML
    Effective Date 2024-01-17
    NDC Description HM LICE KILLING SHAMPOO
    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 e0bdebe2-46d3-41e1-86d8-43c366ed6959 Details

    Revised: 7/2020