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    NDC 62011-0284-01 health mart childrens allergy relief 12.5 mg/5mL Details

    health mart childrens allergy relief 12.5 mg/5mL

    health mart childrens allergy relief is a ORAL SOLUTION in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is DIPHENHYDRAMINE HYDROCHLORIDE.

    Product Information

    NDC 62011-0284
    Product ID 62011-0284_64d1e0bc-bf66-43fe-bb00-c02f3415dac7
    Associated GPIs 41200030100920
    GCN Sequence Number 016675
    GCN Sequence Number Description diphenhydramine HCl LIQUID 12.5MG/5ML ORAL
    HIC3 Z2P
    HIC3 Description ANTIHISTAMINES - 1ST GENERATION
    GCN 48831
    HICL Sequence Number 004480
    HICL Sequence Number Description DIPHENHYDRAMINE HCL
    Brand/Generic Generic
    Proprietary Name health mart childrens allergy relief
    Proprietary Name Suffix n/a
    Non-Proprietary Name Diphenhydramine HCl
    Product Type HUMAN OTC DRUG
    Dosage Form SOLUTION
    Route ORAL
    Active Ingredient Strength 12.5
    Active Ingredient Units mg/5mL
    Substance Name 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 62011-0284-01 (62011028401)

    NDC Package Code 62011-0284-1
    Billing NDC 62011028401
    Package 1 BOTTLE in 1 CARTON (62011-0284-1) / 118 mL in 1 BOTTLE
    Marketing Start Date 2016-03-15
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.01586
    Pricing Unit ML
    Effective Date 2022-11-23
    NDC Description HM CHILD ALLERGY 12.5 MG/5 ML
    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 e80013ee-aa28-4625-8258-e3d869100477 Details

    Revised: 6/2020