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    NDC 62011-0168-03 health mart lansoprazole 15 mg/1 Details

    health mart lansoprazole 15 mg/1

    health mart lansoprazole is a ORAL CAPSULE, DELAYED RELEASE in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is LANSOPRAZOLE.

    Product Information

    NDC 62011-0168
    Product ID 62011-0168_d711fd3d-f78e-4bff-9dec-9cdd3cd86efc
    Associated GPIs 49270040006510
    GCN Sequence Number 030106
    GCN Sequence Number Description lansoprazole CAPSULE DR 15 MG ORAL
    HIC3 D4J
    HIC3 Description PROTON-PUMP INHIBITORS
    GCN 01697
    HICL Sequence Number 008993
    HICL Sequence Number Description LANSOPRAZOLE
    Brand/Generic Generic
    Proprietary Name health mart lansoprazole
    Proprietary Name Suffix n/a
    Non-Proprietary Name Lansoprazole
    Product Type HUMAN OTC DRUG
    Dosage Form CAPSULE, DELAYED RELEASE
    Route ORAL
    Active Ingredient Strength 15
    Active Ingredient Units mg/1
    Substance Name LANSOPRAZOLE
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class Inhibition Gastric Acid Secretion [PE], Proton Pump Inhibitor [EPC], Proton Pump Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA202319
    Listing Certified Through 2023-12-31

    Package

    NDC 62011-0168-03 (62011016803)

    NDC Package Code 62011-0168-3
    Billing NDC 62011016803
    Package 3 BOTTLE in 1 CARTON (62011-0168-3) / 14 CAPSULE, DELAYED RELEASE in 1 BOTTLE
    Marketing Start Date 2012-05-21
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.46663
    Pricing Unit EA
    Effective Date 2022-11-23
    NDC Description HM LANSOPRAZOLE DR 15 MG CAP
    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 ff86d935-df14-4547-b9c3-dc16cc92150f Details

    Revised: 5/2020