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    NDC 62011-0143-01 Health Mart Famotidine 20 mg/1 Details

    Health Mart Famotidine 20 mg/1

    Health Mart Famotidine is a ORAL TABLET, FILM COATED in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is FAMOTIDINE.

    Product Information

    NDC 62011-0143
    Product ID 62011-0143_2dffcaab-9e28-4d19-bde0-25b337261a58
    Associated GPIs 49200030000320
    GCN Sequence Number 011677
    GCN Sequence Number Description famotidine TABLET 20 MG ORAL
    HIC3 Z2D
    HIC3 Description HISTAMINE H2-RECEPTOR INHIBITORS
    GCN 46430
    HICL Sequence Number 004521
    HICL Sequence Number Description FAMOTIDINE
    Brand/Generic Generic
    Proprietary Name Health Mart Famotidine
    Proprietary Name Suffix n/a
    Non-Proprietary Name Famotidine
    Product Type HUMAN OTC DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 20
    Active Ingredient Units mg/1
    Substance Name FAMOTIDINE
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class Histamine H2 Receptor Antagonists [MoA], Histamine-2 Receptor Antagonist [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA077351
    Listing Certified Through 2024-12-31

    Package

    NDC 62011-0143-01 (62011014301)

    NDC Package Code 62011-0143-1
    Billing NDC 62011014301
    Package 25 BLISTER PACK in 1 CARTON (62011-0143-1) / 1 TABLET, FILM COATED in 1 BLISTER PACK
    Marketing Start Date 2012-03-20
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.13965
    Pricing Unit EA
    Effective Date 2022-11-23
    NDC Description HM FAMOTIDINE 20 MG TABLET
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 1
    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 4918a39c-856f-474e-bb0f-c837d1c4005b Details

    Revised: 7/2021