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    NDC 62011-0171-01 health mart nicotine polacrilex 4 mg/1 Details

    health mart nicotine polacrilex 4 mg/1

    health mart nicotine polacrilex is a ORAL LOZENGE in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is NICOTINE.

    Product Information

    NDC 62011-0171
    Product ID 62011-0171_cec0399a-9b5a-4af6-8d23-ee82eff4ce65
    Associated GPIs 62100010004720
    GCN Sequence Number 048775
    GCN Sequence Number Description nicotine polacrilex LOZENGE 4 MG BUCCAL
    HIC3 J3A
    HIC3 Description SMOKING DETERRENT AGENTS (GANGLIONIC STIM,OTHERS)
    GCN 14688
    HICL Sequence Number 002049
    HICL Sequence Number Description NICOTINE POLACRILEX
    Brand/Generic Generic
    Proprietary Name health mart nicotine polacrilex
    Proprietary Name Suffix n/a
    Non-Proprietary Name Nicotine Polacrilex
    Product Type HUMAN OTC DRUG
    Dosage Form LOZENGE
    Route ORAL
    Active Ingredient Strength 4
    Active Ingredient Units mg/1
    Substance Name NICOTINE
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class Cholinergic Nicotinic Agonist [EPC], Nicotine [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA077007
    Listing Certified Through 2024-12-31

    Package

    NDC 62011-0171-01 (62011017101)

    NDC Package Code 62011-0171-1
    Billing NDC 62011017101
    Package 3 CONTAINER in 1 CARTON (62011-0171-1) / 24 LOZENGE in 1 CONTAINER
    Marketing Start Date 2011-11-21
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.33133
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description HM NICOTINE 4 MG LOZENGE
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 1
    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 d60a2f46-4a02-4937-9ca3-66023239d151 Details

    Revised: 4/2020