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    NDC 62011-0255-01 health mart lice treatment 1 mg/100mL Details

    health mart lice treatment 1 mg/100mL

    health mart lice treatment is a TOPICAL LOTION in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is PERMETHRIN.

    Product Information

    NDC 62011-0255
    Product ID 62011-0255_c8967af3-d41c-44b6-8138-58c7c06bea60
    Associated GPIs 90900035000910
    GCN Sequence Number 007663
    GCN Sequence Number Description permethrin LIQUID 1 % TOPICAL
    HIC3 Q5R
    HIC3 Description TOPICAL ANTIPARASITICS
    GCN 44520
    HICL Sequence Number 021814
    HICL Sequence Number Description PERMETHRIN
    Brand/Generic Generic
    Proprietary Name health mart lice treatment
    Proprietary Name Suffix n/a
    Non-Proprietary Name Permethrin
    Product Type HUMAN OTC DRUG
    Dosage Form LOTION
    Route TOPICAL
    Active Ingredient Strength 1
    Active Ingredient Units mg/100mL
    Substance Name PERMETHRIN
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class Pyrethrins [CS], Pyrethroid [EPC]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA076090
    Listing Certified Through 2024-12-31

    Package

    NDC 62011-0255-01 (62011025501)

    NDC Package Code 62011-0255-1
    Billing NDC 62011025501
    Package 1 BOTTLE in 1 CARTON (62011-0255-1) / 59 mL in 1 BOTTLE
    Marketing Start Date 2015-08-03
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.11362
    Pricing Unit ML
    Effective Date 2022-11-23
    NDC Description HM LICE TREATMENT 1% CRM RINSE
    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 769373fb-87ed-4400-8244-c0e8f2683813 Details

    Revised: 7/2020