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    NDC 62011-0251-01 health mart cough dm 30 mg/5mL Details

    health mart cough dm 30 mg/5mL

    health mart cough dm is a ORAL SUSPENSION, EXTENDED RELEASE in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is DEXTROMETHORPHAN HYDROBROMIDE.

    Product Information

    NDC 62011-0251
    Product ID 62011-0251_27ea1f65-86ef-44ff-97f5-da3de944a151
    Associated GPIs 4310203060G110
    GCN Sequence Number 004630
    GCN Sequence Number Description dextromethorphan polistirex SUS ER 12H 30 MG/5 ML ORAL
    HIC3 H6C
    HIC3 Description ANTITUSSIVES, NON-OPIOID
    GCN 17802
    HICL Sequence Number 010295
    HICL Sequence Number Description DEXTROMETHORPHAN POLISTIREX
    Brand/Generic Generic
    Proprietary Name health mart cough dm
    Proprietary Name Suffix n/a
    Non-Proprietary Name dextromethorphan polistirex
    Product Type HUMAN OTC DRUG
    Dosage Form SUSPENSION, EXTENDED RELEASE
    Route ORAL
    Active Ingredient Strength 30
    Active Ingredient Units mg/5mL
    Substance Name DEXTROMETHORPHAN HYDROBROMIDE
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class Sigma-1 Agonist [EPC], Sigma-1 Receptor Agonists [MoA], Uncompetitive N-methyl-D-aspartate Receptor Antagonist [EPC], Uncompetitive NMDA Receptor Antagonists [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA091135
    Listing Certified Through 2024-12-31

    Package

    NDC 62011-0251-01 (62011025101)

    NDC Package Code 62011-0251-1
    Billing NDC 62011025101
    Package 1 BOTTLE in 1 CARTON (62011-0251-1) / 89 mL in 1 BOTTLE
    Marketing Start Date 2015-04-28
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.06416
    Pricing Unit ML
    Effective Date 2024-02-21
    NDC Description HM COUGH DM ER 30 MG/5 ML SUSP
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 1, 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 8d689e7e-0d05-4416-9b79-b5aca60e0d47 Details

    Revised: 7/2020