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    NDC 62011-0406-01 Health Mart daytime 325; 10; 200; 5 mg/1; mg/1; mg/1; mg/1 Details

    Health Mart daytime 325; 10; 200; 5 mg/1; mg/1; mg/1; mg/1

    Health Mart daytime is a ORAL TABLET, FILM COATED in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is ACETAMINOPHEN; DEXTROMETHORPHAN HYDROBROMIDE; GUAIFENESIN; PHENYLEPHRINE HYDROCHLORIDE.

    Product Information

    NDC 62011-0406
    Product ID 62011-0406_8cfe3ca0-2407-4041-97cd-2917888e3311
    Associated GPIs 43998304100320
    GCN Sequence Number 060553
    GCN Sequence Number Description phenylephrine/DM/acetaminop/GG TABLET 5-325-200 ORAL
    HIC3 B4P
    HIC3 Description NON-OPIOID ANTITUSS-DECONGESTANT-ANALGESIC-EXPECT
    GCN 26742
    HICL Sequence Number 035445
    HICL Sequence Number Description PHENYLEPHRINE HCL/DEXTROMETHORPHAN HBR/ACETAMINOPHEN/GUAIFEN
    Brand/Generic Generic
    Proprietary Name Health Mart daytime
    Proprietary Name Suffix n/a
    Non-Proprietary Name acetaminophen, dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride
    Product Type HUMAN OTC DRUG
    Dosage Form TABLET, FILM COATED
    Route ORAL
    Active Ingredient Strength 325; 10; 200; 5
    Active Ingredient Units mg/1; mg/1; mg/1; mg/1
    Substance Name ACETAMINOPHEN; DEXTROMETHORPHAN HYDROBROMIDE; GUAIFENESIN; PHENYLEPHRINE HYDROCHLORIDE
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class Adrenergic alpha1-Agonists [MoA], Sigma-1 Agonist [EPC], Sigma-1 Receptor Agonists [MoA], Uncompetitive N-methyl-D-aspartate Receptor Antagonist [EPC], Uncompetitive NMDA Receptor Antagonists [MoA], alpha-1 Adrenergic Agonist [EPC]
    DEA Schedule n/a
    Marketing Category OTC MONOGRAPH FINAL
    Application Number part341
    Listing Certified Through 2024-12-31

    Package

    NDC 62011-0406-01 (62011040601)

    NDC Package Code 62011-0406-1
    Billing NDC 62011040601
    Package 6 BLISTER PACK in 1 CARTON (62011-0406-1) / 2 TABLET, FILM COATED in 1 BLISTER PACK
    Marketing Start Date 2019-12-09
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.11339
    Pricing Unit EA
    Effective Date 2024-02-21
    NDC Description HM DAY SEVERE COLD-FLU CAPLET
    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 5ab3b12c-3970-4368-b7bc-2f41ce99f3d7 Details

    Revised: 11/2020