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    NDC 62011-0365-01 health mart anti diarrheal anti gas 125; 2 mg/1; mg/1 Details

    health mart anti diarrheal anti gas 125; 2 mg/1; mg/1

    health mart anti diarrheal anti gas is a ORAL TABLET in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is DIMETHICONE; LOPERAMIDE HYDROCHLORIDE.

    Product Information

    NDC 62011-0365
    Product ID 62011-0365_b02cd78b-c3f0-425e-9849-d094c1020517
    Associated GPIs 47991002080320
    GCN Sequence Number 048990
    GCN Sequence Number Description loperamide HCl/simethicone TABLET 2-125MG ORAL
    HIC3 D6D
    HIC3 Description ANTIDIARRHEALS
    GCN 14984
    HICL Sequence Number 015777
    HICL Sequence Number Description LOPERAMIDE HCL/SIMETHICONE
    Brand/Generic Generic
    Proprietary Name health mart anti diarrheal anti gas
    Proprietary Name Suffix n/a
    Non-Proprietary Name loperamide hydrochloride, simethicone
    Product Type HUMAN OTC DRUG
    Dosage Form TABLET
    Route ORAL
    Active Ingredient Strength 125; 2
    Active Ingredient Units mg/1; mg/1
    Substance Name DIMETHICONE; LOPERAMIDE HYDROCHLORIDE
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class Opioid Agonist [EPC], Opioid Agonists [MoA], Skin Barrier Activity [PE]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA209837
    Listing Certified Through 2024-12-31

    Package

    NDC 62011-0365-01 (62011036501)

    NDC Package Code 62011-0365-1
    Billing NDC 62011036501
    Package 12 BLISTER PACK in 1 CARTON (62011-0365-1) / 1 TABLET in 1 BLISTER PACK
    Marketing Start Date 2018-10-10
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.27463
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description HM ANTI-DIARRHEAL-ANTIGAS CPLT
    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 a6b659ec-9380-4d24-b97f-962b3fe317c5 Details

    Revised: 11/2022