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    NDC 62011-0332-01 health mart esomeprazole magnesium 20 mg/1 Details

    health mart esomeprazole magnesium 20 mg/1

    health mart esomeprazole magnesium is a ORAL CAPSULE, DELAYED RELEASE in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is ESOMEPRAZOLE.

    Product Information

    NDC 62011-0332
    Product ID 62011-0332_0a760670-39d8-4580-aaa7-198fd8e27d31
    Associated GPIs 49270025106520
    GCN Sequence Number 047525
    GCN Sequence Number Description esomeprazole magnesium CAPSULE DR 20 MG ORAL
    HIC3 D4J
    HIC3 Description PROTON-PUMP INHIBITORS
    GCN 12867
    HICL Sequence Number 021607
    HICL Sequence Number Description ESOMEPRAZOLE MAGNESIUM
    Brand/Generic Generic
    Proprietary Name health mart esomeprazole magnesium
    Proprietary Name Suffix n/a
    Non-Proprietary Name Esomeprazole
    Product Type HUMAN OTC DRUG
    Dosage Form CAPSULE, DELAYED RELEASE
    Route ORAL
    Active Ingredient Strength 20
    Active Ingredient Units mg/1
    Substance Name ESOMEPRAZOLE
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class Cytochrome P450 2C19 Inhibitors [MoA], Proton Pump Inhibitor [EPC], Proton Pump Inhibitors [MoA]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA207193
    Listing Certified Through 2024-12-31

    Package

    NDC 62011-0332-01 (62011033201)

    NDC Package Code 62011-0332-1
    Billing NDC 62011033201
    Package 1 BOTTLE in 1 CARTON (62011-0332-1) / 14 CAPSULE, DELAYED RELEASE in 1 BOTTLE
    Marketing Start Date 2017-09-24
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.3608
    Pricing Unit EA
    Effective Date 2022-11-23
    NDC Description HM ESOMEPRAZOLE MAG DR 20 MG
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 1
    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 161e4709-1b8c-435e-8cfe-95c04178e9f8 Details

    Revised: 12/2019