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    NDC 62011-0256-01 Pain Reliever PM 500; 25 mg/1; mg/1 Details

    Pain Reliever PM 500; 25 mg/1; mg/1

    Pain Reliever PM is a ORAL TABLET, COATED in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is ACETAMINOPHEN; DIPHENHYDRAMINE HYDROCHLORIDE.

    Product Information

    NDC 62011-0256
    Product ID 62011-0256_6ffbe3eb-2d17-4ed8-b247-f026f6043e2a
    Associated GPIs 60309902200310
    GCN Sequence Number 003699
    GCN Sequence Number Description acetaminophen/diphenhydramine TABLET 500MG-25MG ORAL
    HIC3 B5S
    HIC3 Description ANALGESIC, NON-SAL.- 1ST GENERATION ANTIHISTAMINE
    GCN 70221
    HICL Sequence Number 001861
    HICL Sequence Number Description ACETAMINOPHEN/DIPHENHYDRAMINE HCL
    Brand/Generic Generic
    Proprietary Name Pain Reliever PM
    Proprietary Name Suffix Extra Strength
    Non-Proprietary Name Acetaminophen, Diphenhydramine HCl
    Product Type HUMAN OTC DRUG
    Dosage Form TABLET, COATED
    Route ORAL
    Active Ingredient Strength 500; 25
    Active Ingredient Units mg/1; mg/1
    Substance Name ACETAMINOPHEN; DIPHENHYDRAMINE HYDROCHLORIDE
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class Histamine H1 Receptor Antagonists [MoA], Histamine-1 Receptor Antagonist [EPC]
    DEA Schedule n/a
    Marketing Category OTC MONOGRAPH FINAL
    Application Number part341
    Listing Certified Through 2024-12-31

    Package

    NDC 62011-0256-01 (62011025601)

    NDC Package Code 62011-0256-1
    Billing NDC 62011025601
    Package 1 BOTTLE, PLASTIC in 1 BOX (62011-0256-1) / 50 TABLET, COATED in 1 BOTTLE, PLASTIC
    Marketing Start Date 2015-07-31
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.04706
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description HM PAIN RELIEVER PM GELTAB
    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 3314b174-d5bb-4843-9288-9b9c5fce79d5 Details

    Revised: 11/2022