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NDC 62011-0152-01 Health Mart anti nausea 1.87; 1.87; 21.5 g/5mL; g/5mL; mg/5mL Details

Health Mart anti nausea 1.87; 1.87; 21.5 g/5mL; g/5mL; mg/5mL

Health Mart anti nausea is a ORAL SOLUTION in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is DEXTROSE, UNSPECIFIED FORM; FRUCTOSE; PHOSPHORIC ACID.

Product Information

NDC	62011-0152
Product ID	62011-0152_ad87d7ec-6a62-4973-a84d-4499e44fb6c3
Associated GPIs	50309903602000
GCN Sequence Number	004698
GCN Sequence Number Description	phosphorated carbo(dext-fruct) SOLUTION ORAL
HIC3	H6J
HIC3 Description	ANTIEMETIC/ANTIVERTIGO AGENTS
GCN	73710
HICL Sequence Number	015060
HICL Sequence Number Description	PHOSPHORATED CARBOHYDRATE (DEXTROSE AND FRUCTOSE)
Brand/Generic	Generic
Proprietary Name	Health Mart anti nausea
Proprietary Name Suffix	n/a
Non-Proprietary Name	Dextrose (glucose), Levulose (fructose), Phosphoric Acid
Product Type	HUMAN OTC DRUG
Dosage Form	SOLUTION
Route	ORAL
Active Ingredient Strength	1.87; 1.87; 21.5
Active Ingredient Units	g/5mL; g/5mL; mg/5mL
Substance Name	DEXTROSE, UNSPECIFIED FORM; FRUCTOSE; PHOSPHORIC ACID
Labeler Name	Strategic Sourcing Services LLC
Pharmaceutical Class	n/a
DEA Schedule	n/a
Marketing Category	UNAPPROVED DRUG OTHER
Application Number	n/a
Listing Certified Through	2024-12-31

Package

Package Images

NDC 62011-0152-01 (62011015201)

Pricing Information
NDC Package Code	62011-0152-1
Billing NDC	62011015201
Package	1 BOTTLE in 1 CARTON (62011-0152-1) / 118 mL in 1 BOTTLE
Marketing Start Date	2012-03-20
NDC Exclude Flag	N
Price Per Unit	0.0159
Pricing Unit	ML
Effective Date	2022-11-23
NDC Description	HM ANTI-NAUSEA LIQUID
Pharmacy Type Indicator	C/I
OTC	Y
Explanation Code	1, 5
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 d36a63fe-db72-4db6-b26d-a0e1ba5a98e6 Details

Active ingredients (per 5 mL)

Dextrose (glucose) 1.87g

Levulose (fructose) 1.87g

Phosphoric acid 21.5mg

Purpose

Upset stomach reliever

Uses

•: for relief of upset stomach associated with nausea

Warnings

•: this product contains fructose and should not be taken by persons with hereditary fructose intolerance (HFI)

Do not use

if you have

•: allergic reactions to any of the ingredients in this product

Ask a doctor before use if you have

•: diabetes

Stop use and ask a doctor if

•: symptoms persist, return or get worse

If pregnant or breast-feeding,

ask a health professional before use.

Keep out of reach of children.

In case of overdose, get medical help or contact a Poison Control Center right away (1-800-222-1222).

Directions

•: for maximum effectiveness, never dilute or drink fluids of any kind immediately before or after taking this product
•: repeat dose every 15 minutes or until distress subsides
•: do not take more than 5 doses in 1 hour without consulting a doctor
•: measure only with dosing cup provided. Dosing cup to be used with this product only. Do not use with other products.
•: mL = milliliters

age	dose
adults and children 12 years of age and over	15 mL or 30 mL
children 2 to under 12 years of age	5 mL or 10 mL

Other information

•: store at 20-25°C (68-77°F) away from heat and direct light; keep from freezing.
•: do not use if printed neckband is broken or missing

Inactive ingredients

FD&C red no. 40 aluminum lake, flavor, glycerin, methylparaben, purified water

Questions or comments?

1-800-719-9260

Package/Label Principal Display Panel

Compare to Emetrol® active ingredients

FOR CHILDREN AND ADULTS

Anti-Nausea Liquid

For Nausea Due To Upset Stomach

No Antihistamines

No Aspirin

No Alcohol

No Caffeine

Gluten Free

CHERRY FLAVOR

4 Fl oz (118 mL)

INGREDIENTS AND APPEARANCE

HEALTH MART ANTI NAUSEA

dextrose (glucose), levulose (fructose), phosphoric acid solution

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:62011-0152
Route of Administration	ORAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
DEXTROSE, UNSPECIFIED FORM (UNII: IY9XDZ35W2) (DEXTROSE, UNSPECIFIED FORM - UNII:IY9XDZ35W2)	DEXTROSE, UNSPECIFIED FORM	1.87 g in 5 mL
FRUCTOSE (UNII: 6YSS42VSEV) (FRUCTOSE - UNII:6YSS42VSEV)	FRUCTOSE	1.87 g in 5 mL
PHOSPHORIC ACID (UNII: E4GA8884NN) (PHOSPHORIC ACID - UNII:E4GA8884NN)	PHOSPHORIC ACID	21.5 mg in 5 mL

Ingredient Name	Strength
Inactive Ingredients
FD&C RED NO. 40 (UNII: WZB9127XOA)
GLYCERIN (UNII: PDC6A3C0OX)
METHYLPARABEN (UNII: A2I8C7HI9T)
WATER (UNII: 059QF0KO0R)

Product Characteristics
Color	RED (clear)	Score
Shape		Size
Flavor	CHERRY	Imprint Code
Contains

#	Item Code	Package Description	Marketing Start Date
Packaging
1	NDC:62011-0152-1	1 in 1 CARTON	03/20/2012
1		118 mL in 1 BOTTLE; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
Unapproved drug other		03/20/2012

Labeler - Strategic Sourcing Services LLC (116956644)

Revised: 1/2020

Document Id: ad87d7ec-6a62-4973-a84d-4499e44fb6c3

Set id: d36a63fe-db72-4db6-b26d-a0e1ba5a98e6

Version: 7

Effective Time: 20200131