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    NDC 62011-0426-01 health mart nicotine polacrilex 4 mg/1 Details

    health mart nicotine polacrilex 4 mg/1

    health mart nicotine polacrilex is a ORAL GUM, CHEWING in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is NICOTINE.

    Product Information

    NDC 62011-0426
    Product ID 62011-0426_8a1ecd9d-e056-443d-acdc-8eaf90658b40
    Associated GPIs 62100010002820
    GCN Sequence Number 013486
    GCN Sequence Number Description nicotine polacrilex GUM 4 MG BUCCAL
    HIC3 J3A
    HIC3 Description SMOKING DETERRENT AGENTS (GANGLIONIC STIM,OTHERS)
    GCN 03201
    HICL Sequence Number 002049
    HICL Sequence Number Description NICOTINE POLACRILEX
    Brand/Generic Generic
    Proprietary Name health mart nicotine polacrilex
    Proprietary Name Suffix n/a
    Non-Proprietary Name Nicotine polacrilex
    Product Type HUMAN OTC DRUG
    Dosage Form GUM, CHEWING
    Route ORAL
    Active Ingredient Strength 4
    Active Ingredient Units mg/1
    Substance Name NICOTINE
    Labeler Name Strategic Sourcing Services LLC
    Pharmaceutical Class Cholinergic Nicotinic Agonist [EPC], Nicotine [CS]
    DEA Schedule n/a
    Marketing Category ANDA
    Application Number ANDA078546
    Listing Certified Through 2024-12-31

    Package

    NDC 62011-0426-01 (62011042601)

    NDC Package Code 62011-0426-1
    Billing NDC 62011042601
    Package 100 BLISTER PACK in 1 CARTON (62011-0426-1) / 1 GUM, CHEWING in 1 BLISTER PACK
    Marketing Start Date 2019-12-07
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.30502
    Pricing Unit EA
    Effective Date 2022-11-23
    NDC Description HM NICOTINE 4 MG CHEWING GUM
    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 7e7649f8-0108-4650-86cb-0b61afe4eb63 Details

    Revised: 4/2021