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NDC 62011-0436-01 Ultra Stomach Relief 525 mg/15mL Details
Ultra Stomach Relief 525 mg/15mL
Ultra Stomach Relief is a ORAL LIQUID in the HUMAN OTC DRUG category. It is labeled and distributed by Strategic Sourcing Services LLC. The primary component is BISMUTH SUBSALICYLATE.
MedlinePlus Drug Summary
Bismuth subsalicylate is used to treat diarrhea, heartburn, and upset stomach in adults and children 12 years of age and older. Bismuth subsalicylate is in a class of medications called antidiarrheal agents. It works by decreasing the flow of fluids and electrolytes into the bowel, reduces inflammation within the intestine, and may kill the organisms that can cause diarrhea.
Related Packages: 62011-0436-01Last Updated: 12/01/2022
MedLinePlus Full Drug Details: Bismuth Subsalicylate
Product Information
| NDC | 62011-0436 |
|---|---|
| Product ID | 62011-0436_e0c5ba18-eacb-4b30-8668-5ab8dc4b1ee0 |
| Associated GPIs | |
| GCN Sequence Number | 002859 |
| GCN Sequence Number Description | bismuth subsalicylate ORAL SUSP 525MG/15ML ORAL |
| HIC3 | D6D |
| HIC3 Description | ANTIDIARRHEALS |
| GCN | 26971 |
| HICL Sequence Number | 001246 |
| HICL Sequence Number Description | BISMUTH SUBSALICYLATE |
| Brand/Generic | Generic |
| Proprietary Name | Ultra Stomach Relief |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | Bismuth subsalicylate |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | LIQUID |
| Route | ORAL |
| Active Ingredient Strength | 525 |
| Active Ingredient Units | mg/15mL |
| Substance Name | BISMUTH SUBSALICYLATE |
| Labeler Name | Strategic Sourcing Services LLC |
| Pharmaceutical Class | Bismuth [CS], Bismuth [EPC] |
| DEA Schedule | n/a |
| Marketing Category | OTC MONOGRAPH DRUG |
| Application Number | M008 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 62011-0436-01 (62011043601)
| NDC Package Code | 62011-0436-1 |
|---|---|
| Billing NDC | 62011043601 |
| Package | 237 mL in 1 BOTTLE, PLASTIC (62011-0436-1) |
| Marketing Start Date | 2019-11-29 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.01032 |
| Pricing Unit | ML |
| Effective Date | 2024-02-21 |
| NDC Description | HM STOMACH RELIEF 525 MG/15 ML |
| Pharmacy Type Indicator | C/I |
| OTC | Y |
| Explanation Code | 1, 5 |
| 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
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