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    NDC 62011-0403-01 HealthMart Gentle Laxative 10 mg/2000mg Details

    HealthMart Gentle Laxative 10 mg/2000mg

    HealthMart Gentle Laxative is a RECTAL SUPPOSITORY in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is BISACODYL.

    Product Information

    NDC 62011-0403
    Product ID 62011-0403_acbc5ec0-a724-4652-b49b-83f21d179344
    Associated GPIs 46200010005205
    GCN Sequence Number 002944
    GCN Sequence Number Description bisacodyl SUPP.RECT 10 MG RECTAL
    HIC3 Q3S
    HIC3 Description LAXATIVES, LOCAL/RECTAL
    GCN 08731
    HICL Sequence Number 001301
    HICL Sequence Number Description BISACODYL
    Brand/Generic Generic
    Proprietary Name HealthMart Gentle Laxative
    Proprietary Name Suffix n/a
    Non-Proprietary Name Bisacodyl
    Product Type HUMAN OTC DRUG
    Dosage Form SUPPOSITORY
    Route RECTAL
    Active Ingredient Strength 10
    Active Ingredient Units mg/2000mg
    Substance Name BISACODYL
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class Increased Large Intestinal Motility [PE], Stimulant Laxative [EPC], Stimulation Large Intestine Fluid/Electrolyte Secretion [PE]
    DEA Schedule n/a
    Marketing Category OTC MONOGRAPH NOT FINAL
    Application Number part334
    Listing Certified Through 2024-12-31

    Package

    NDC 62011-0403-01 (62011040301)

    NDC Package Code 62011-0403-1
    Billing NDC 62011040301
    Package 2 BLISTER PACK in 1 CARTON (62011-0403-1) / 40 mg in 1 BLISTER PACK
    Marketing Start Date 2015-11-16
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.29334
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description HM GENTLE LAXATIVE 10 MG SUPP
    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