Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDC7-Eleven 7 select night time relief 8 BLISTER PACK in 1 CARTON
(10202-056-73) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
10202-056
7-Eleven 7 select night time relief 354 mL in 1 BOTTLE (10202-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
10202-335
7-Eleven 7 select day time relief 354 mL in 1 BOTTLE (10202-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
10202-656
7-Eleven 7 select day time relief 8 BLISTER PACK in 1 CARTON (10202-994-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
10202-994
7-Eleven 7 Select Cough DM 1 BOTTLE in 1 CARTON (10202-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 10202-384
A&Z Holistic Products, Inc. Daytime Cold and Flu Relief 1 BLISTER PACK in 1 BOX (69619-303-10) > 10 CAPSULE, LIQUIDFILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCI
69619-303
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Dextromethorphan Product List
Information to create this list was taken from the Federal Food and Drug Administrations's National Drug Code Directory. If reviewing the list on the FDA’s page, please use the search criteria Nonproprietary Name, and Dextromethorphan.
A
DOH 690-292 May 2016 2 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAAA Pharmaceutical, Inc. Acetaminophen, Chlorpheniramine Maleate,
Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
2 BLISTER PACK in 1 CARTON (57344-139-02) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
57344-139
AAA Pharmaceutical, Inc. Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
2 BLISTER PACK in 1 CARTON (57344-161-02) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
57344-161
AAA Pharmaceutical, Inc. Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
1 BLISTER PACK in 1 CARTON (57344-134-02) > 10 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
57344-134
AAA Pharmaceutical, Inc. Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
2 BLISTER PACK in 1 CARTON (57344-134-03) > 10 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
57344-134
DOH 690-292 May 2016 3 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAAA Pharmaceutical, Inc. Acetaminophen, Dextromethorphan Hydrobromide,
Guaifenesin, Phenylephrine Hydrochloride2 BLISTER PACK in 1 CARTON (57344-136-02) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
57344-136
AAA Pharmaceutical, Inc. Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
2 BLISTER PACK in 1 CARTON (57344-163-02) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
57344-163
AAA Pharmaceutical, Inc. Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
2 BLISTER PACK in 1 CARTON (57344-163-05) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
57344-163
AAA Pharmaceutical, Inc. Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
2 BLISTER PACK in 1 CARTON (57344-159-02) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
57344-159
AAA Pharmaceutical, Inc. Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
2 BLISTER PACK in 1 CARTON (57344-160-02) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
57344-160
DOH 690-292 May 2016 4 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAAA Pharmaceutical, Inc. Acetaminophen, Dextromethorphan Hydrobromide,
Phenylephrine Hydrochloride2 BLISTER PACK in 1 CARTON (57344-138-02) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
57344-138
AAA Pharmaceutical, Inc. Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
2 BLISTER PACK in 1 CARTON (57344-138-05) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
57344-138
AAFES/Your Military Exchanges Nite Time Cold and Flu 355 mL in 1 BOTTLE, PLASTIC (55301-344-12)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55301-344
AAFES/Your Military Exchanges Cold and Flu Relief 355 mL in 1 BOTTLE, PLASTIC (55301-043-12)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55301-043
AAFES/Your Military Exchanges Mucus Relief 177 mL in 1 BOTTLE, PLASTIC (55301-336-06)
650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55301-336
AAFES/Your Military Exchanges Daytime Cold and Flu 355 mL in 1 BOTTLE, PLASTIC (55301-066-12)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55301-066
DOH 690-292 May 2016 5 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAAFES/Your Military Exchanges Severe cold and cough relief 245 mL in 1 BOTTLE, PLASTIC
(55301-316-08)650 mg/30mL, 20 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55301-316
AAFES/Your Military Exchanges Tussin Cough and Chest Congestion DM 1 BOTTLE, PLASTIC in 1 BOX (55301-384-04) > 118 mL in 1 BOTTLE,PLASTIC
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
55301-384
AAFES/Your Military Exchanges Tussin Cough and Chest Congestion DM 1 BOTTLE, PLASTIC in 1 BOX (55301-385-08) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
55301-385
AAFES/Your Military Exchanges Mucus Relief Severe Congestion and Cough 177 mL in 1 BOTTLE, PLASTIC (55301-337-06)
20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55301-337
AAFES/Your Military Exchanges Tussin Multi Symptom Cold CF 1 BOTTLE, PLASTIC in 1 BOX (55301-382-08) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine
55301-382
Aaron Industries Inc Tussin Cough Long Acting 118 mL in 1 BOTTLE, PLASTIC (49580-3412-4)
10 mg/5mL Robitussin Cough Long Acting 49580-3412
Aaron Industries Inc Tussin CF 118 mL in 1 BOTTLE, PLASTIC (49580-0126-4)
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Robitussin CF 49580-0126
Aaron Industries Inc. Night time cold and flu 355 mL in 1 BOTTLE, PLASTIC (49580-0342-2)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
49580-0342
Aaron Industries Inc. Nighttime Cold and Flu 177 mL in 1 BOTTLE, PLASTIC (49580-0344-6)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
49580-0344
DOH 690-292 May 2016 6 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAaron Industries Inc. Day Time Cold and Flu 296 mL in 1 BOTTLE, PLASTIC
(49580-0311-1)325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49580-0311
Aaron Industries Inc. Nighttime Cough 296 mL in 1 BOTTLE (49580-0345-1) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
49580-0345
Aaron Industries Inc. Tussin DM Cough and Chest Congestion 1 BOTTLE, PLASTIC in 1 BOX (49580-0384-4) > 118 mL in 1 BOTTLE, PLASTIC
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
49580-0384
Aaron Industries Inc. Tussin DM Cough and Chest Congestion 1 BOTTLE, PLASTIC in 1 BOX (49580-0385-4) > 118 mL in 1 BOTTLE, PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
49580-0385
Aaron Industries, Inc. Childrens Plus Multi-Symptom Cold Grape 118 mL in 1 BOTTLE, PLASTIC (49580-1434-4)
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Childrens Tylenol Plus Multi-Symptom Cold
49580-1434
Aaron Industries, Inc. Night Time Cherry 177 mL in 1 BOTTLE, PLASTIC (49580-1403-4)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
NyQuil Cherry 49580-1403
Aaron Industries, Inc. Night Time Original 177 mL in 1 BOTTLE, PLASTIC (49580-1406-6)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
49580-1406
Aaron Industries, Inc. Day Time 296 mL in 1 BOTTLE, PLASTIC (49580-3416-1)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
DayQuil 49580-3416
Aaron Industries, Inc. Day Time with PE 296 mL in 1 BOTTLE, PLASTIC (49580-0142-1)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49580-0142
Aaron Industries, Inc. Flu Relief Therapy Day Time 237 mL in 1 BOTTLE, PLASTIC (49580-0155-8)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Theraflu Daytime 49580-0155
DOH 690-292 May 2016 7 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAaron Industries, Inc. Day Time Cold Multi-Symptom Cool Blast 237 mL in 1 BOTTLE, PLASTIC
(49580-0192-8)325 mg/5mL, 200 mg/5mL, 10 mg/5mL, 5 mg/5mL
Tylenol Multi Symptom Cool Blast Daytime
49580-0192
Aaron Industries, Inc. DiBromm DM 118 mL in 1 BOTTLE, PLASTIC (59779-987-26)
1 mg/5mL, 2.5 mg/5mL, 5 mg/5mL
BROMPHENIRAMINE MALEATE , PHENYLEPHRINE HYDROCHLORIDE, DEXTROMETHORPHAN HYDROBROMIDE,
59779-987
Aaron Industries, Inc. Childrens Mucus Relief Cough Cherry 118 mL in 1 BOTTLE, PLASTIC (49580-0158-4)
5 mg/5mL, 100 mg/5mL Childrens Mucinex Cough 49580-0158
Aaron Industries, Inc. Childrens Mucus Relief Cough Cherry 118 mL in 1 BOTTLE, PLASTIC (49580-3304-4)
5 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
49580-3304
Access Business Group LLC fulton street market cold 1 BOTTLE in 1 CARTON (10056-903-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
10056-903
Access Business Group LLC Fulton Street Market cold and flu 296 mL in 1 BOTTLE (10056-990-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate
10056-990
Access Business Group LLC fulton street market night time cold and flu 355 mL in 1 BOTTLE (10056-872-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
10056-872
Access Business Group LLC FormuCare Cough Syrup DM 1 BOTTLE in 1 CARTON (10056-359-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
10056-359
Accudial Pharmaceutical, Inc. Runny Nose and Cough 118 mL in 1 BOTTLE (45014-153-04) .5 mg/5mL, 5 mg/5mL, 1.25 mg/5mL
Brompheniramine Maleate, Dextromethorphan Hydrobromide and Phenylephrine Hydrochloride
45014-153
DOH 690-292 May 2016 8 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAccudial Pharmaceutical, Inc. Cough and Cold 118 mL in 1 BOTTLE (45014-151-04) 1 mg/5mL, 7.5 mg/5mL Chlorpheniramine Maleate and
Dextromethorphan Hydrobromide
45014-151
Accudial Pharmaceutical, Inc. Daytime Cough And Cold 118 mL in 1 BOTTLE (45014-152-04) 5 mg/5mL, 1.25 mg/5mL Dextromethorphan Hydrobromide and Phenylephrine Hydrochloride
45014-152
Accudial Pharmaceutical, Inc. Daytime Cough and Cold 118 mL in 1 BOTTLE (45014-158-04) 5 mg/5mL, 2.5 mg/5mL Dextromethorphan Hydrobromide and Phenylephrine Hydrochloride
45014-158
Acella Pharmaceuticals, LLC Entre-Cough 473 mL in 1 BOTTLE (42192-523-16) 15 mg/5mL, 175 mg/5mL, 30 mg/5mL
Dextromethorphan Hydrobromide, Pseudoephedrine Hydrochloride, Guaifensin
42192-523
Acme United Corporation PhysiciansCare Cold and Cough 50 PACKET in 1 CARTON (0924-0137-01) > 2 TABLET, FILM COATED in 1PACKET
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
0924-0137
Acme United Corporation PhysiciansCare Cold and Cough 10 PACKET in 1 CARTON (0924-0137-03) > 2 TABLET, FILM COATED in 1PACKET
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
0924-0137
Acme United Corporation PhysiciansCare Cold and Cough 50 PACKET in 1 CARTON (0924-0140-01) > 2 TABLET, FILM COATED in 1PACKET
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
0924-0140
Acme United Corporation PhysiciansCare Cold and Cough 10 PACKET in 1 CARTON (0924-0140-03) > 2 TABLET, FILM COATED in 1PACKET
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
0924-0140
DOH 690-292 May 2016 9 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCActipharma, Inc ACTIDOM DMX 474 mL in 1 BOTTLE, PLASTIC
(63102-110-16)30 mg/5mL, 200 mg/5mL, 10 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
63102-110
ACTIPHARMA, INC ACTINEL 474 mL in 1 BOTTLE (63102-101-16) 15 mg/5mL, 200 mg/5mL, 30 mg/5mL
Dextromethorphan HBr,Guaifenesin,Pseudoephedrine HCl
63102-101
ACTIPHARMA, INC ACTINEL PEDIATRIC 474 mL in 1 BOTTLE (63102-102-16) 5 mg/5mL, 50 mg/5mL, 15 mg/5mL
Dextromethorphan HBr,Guaifenesin,Pseudoephedrine HCl
63102-102
Advanced Generic Corporation Bio T Pres-B 473 mL in 1 BOTTLE (45737-226-16) 4 mg/5mL, 20 mg/5mL, 10 mg/5mL
BROMPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
45737-226
Advanced Generic Corporation BIO Dtuss 473 mL in 1 BOTTLE (45737-203-16) 1 mg/5mL, 20 mg/5mL, 30 mg/5mL
Brompheniramine Maleate, Dextromethorphan, Pseudoephedrine
45737-203
Advanced Generic Corporation BIO-RYTUSS 473 mL in 1 BOTTLE (45737-250-16) 2 mg/5mL, 10 mg/5mL, 5 mg/5mL
CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
45737-250
Advanced Generic Corporation Bionatuss 473 mL in 1 BOTTLE (45737-210-16) 2 mg/5mL, 20 mg/5mL, 10 mg/5mL
Dexbrompheniramine Maleate, Dextromethorphan, Phenylephrine
45737-210
DOH 690-292 May 2016 10 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAdvanced Generic Corporation Bio-B Kids 473 mL in 1 BOTTLE (45737-218-16) 15 mg/5mL, 4 mg/5mL, 10
mg/5mLDextromethorphan,Chlorpheniramine Maleate, Phenylephrine
45737-218
Advanced Generic Corporation Biospec 473 mL in 1 BOTTLE (45737-211-16) 15 mg/5mL, 25 mg/5mL Dextromethorphan, Guaifenesin
45737-211
Advanced Generic Corporation Bio-Z-Cough 473 mL in 1 BOTTLE (45737-251-16) 20 mg/5mL, 400 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
45737-251
Advanced Generic Corporation Biospec 473 mL in 1 BOTTLE (45737-264-16) 10 mg/5mL, 187 mg/5mL Dextromethorphan, Guaifenesin
45737-264
Advanced Generic Corporation Biocotron 473 mL in 1 BOTTLE (45737-261-16) 15 mg/5mL, 350 mg/5mL, 10 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
45737-261
Advanced Generic Corporation Biodesp 473 mL in 1 BOTTLE (45737-263-16) 15 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
45737-263
Advanced Generic Corporation BioTPres 473 mL in 1 BOTTLE (45737-227-16) 5 mg/5mL, 75 mg/5mL, 2.5 mg/5mL
Dextromethorphan, Guaifenesin, Phenylephrine
45737-227
Advanced Generic Corporation Bio-S-Pres 30 mL in 1 BOTTLE (45737-230-01) 5 mg/mL, 50 mg/mL, 2.5 mg/mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
45737-230
Advanced Generic Corporation BioGtuss 473 mL in 1 BOTTLE (45737-242-16) 28 mg/5mL, 388 mg/5mL, 10 mg/5mL
Dextromethorphan, Guaifenesin, Phenylephrine
45737-242
Advanced Generic Corporation Biobron 473 mL in 1 BOTTLE (45737-246-16) 20 mg/5mL, 200 mg/5mL, 10 mg/5mL
Dextromethorphan, Guaifenesin, Phenylephrine
45737-246
Advanced Generic Corporation Biocof 473 mL in 1 BOTTLE (45737-249-16) 20 mg/5mL, 400 mg/5mL, 10 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine HCL
45737-249
Advanced Generic Corporation Biobron 473 mL in 1 BOTTLE (45737-217-16) 15 mg/5mL, 350 mg/5mL, 10 mg/5mL
Dextromethorphan, Guaifenesin, Phenylephrine
45737-217
DOH 690-292 May 2016 11 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAdvanced Generic Corporation Biocotron-D 473 mL in 1 BOTTLE (45737-208-16) 10 mg/5mL, 200 mg/5mL, 5
mg/5mLDextromethorphan HBr, Guaifenesin, Phenylephrine HCl
45737-208
Advanced Generic Corporation Biodesp 473 mL in 1 BOTTLE (45737-221-16) 15 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan, Guaifenesin, Phenylephrine
45737-221
Advanced Generic Corporation BioTPres 473 mL in 1 BOTTLE (45737-225-16) 15 mg/5mL, 200 mg/5mL, 5 mg/5mL
Dextromethorphan, Guaifenesin, Phenylephrine
45737-225
Advanced Generic Corporation BioGtuss 473 mL in 1 BOTTLE (45737-205-16) 15 mg/5mL, 300 mg/5mL, 15 mg/5mL
Dextromethorphan, Guaifenesin, Phenylephrine
45737-205
Advanced Generic Corporation Bionel 473 mL in 1 BOTTLE (45737-206-16) 15 mg/5mL, 200 mg/5mL, 30 mg/5mL
Dextromethorphan, Guaifenesin, Pseudoephedrine Hydrochloride
45737-206
Advanced Generic Corporation Bionel 473 mL in 1 BOTTLE (45737-207-16) 5 mg/5mL, 50 mg/5mL, 15 mg/5mL
Dextromethorphan, Guaifenesin, Pseudoephedrine Hydrochloride
45737-207
Advanced Generic Corporation Biogtuss 100 TABLET in 1 BOTTLE (45737-605-10)
388 mg/1, 10 mg/1, 28 mg/1
Guaifenesin, Phenylephrine HCl, Dextromethorphan HBr
45737-605
Agile Pharmachem Acetaminophen,Dextromethorphan,Doxylamine 180 CARTON in 1 BLISTER PACK (58805-003-04) > 1 CAPSULE, LIQUID FILLED in 1 CARTON
325 mg/1, 10 mg/1, 6.25 mg/1
Acetaminophen,Dextromethorphan,Doxylamine
58805-003
Agile Pharmachem Acetaminophen,Dextromethorphan,Doxylamine 7680 CARTON in 1 BLISTER PACK (58805-003-14) > 1 CAPSULE, LIQUID FILLED in 1 CARTON
325 mg/1, 10 mg/1, 6.25 mg/1
Acetaminophen,Dextromethorphan,Doxylamine
58805-003
Agile Pharmachem Acetaminophen,Dextromethorphan,Phenylephrine 8 CARTON in 1 BLISTER PACK (58805-002-08) > 180 CAPSULE, LIQUID FILLED in 1 CARTON
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen,Dextromethorphan,Phenylephrine
58805-002
DOH 690-292 May 2016 12 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAgile Pharmachem Acetaminophen,Dextromethorphan,Phenylephrine 7680 CARTON in 1 BLISTER PACK
(58805-002-14) > 1 CAPSULE, LIQUID FILLED in 1 CARTON
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen,Dextromethorphan,Phenylephrine
58805-002
Agile Pharmachem Cough and Congestion DM 7500 CARTON in 1 CAPSULE (58805-007-75) > 1 CAPSULE, LIQUID FILLED in 1 CARTON
10 mg/1, 200 mg/1 Dextromethorphan and Guaifenesin
58805-007
AiPing Pharmaceutical Inc. Daytime Cold and Flu Relief 1 BLISTER PACK in 1 BOX (11788-303-06) > 10 CAPSULE, LIQUIDFILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCI
11788-303
AiPing Pharmaceutical, Inc. Nighttime Cold and Flu Relief 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK (11788-304-06)
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11788-304
Allegiant Health Cold Multi-Symptom 12 TABLET in 1 BLISTER PACK (69168-319-86)
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen,Chlorpheniramine maleate, Dextromethorphan HBr and Phenylephrine HCI
69168-319
Allegiant Health Night Time Cold and Flue Relief 8 CAPSULE, LIQUID FILLED in 1 BOX (69168-357-29)
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan, Doxylamine succinate
69168-357
Allegiant Health Night Time Cold and Flue Relief 20 CAPSULE, LIQUID FILLED in 1 BOX (69168-357-51)
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan, Doxylamine succinate
69168-357
Allegiant Health Day Time Cold and FlueNon drowsy 8 CAPSULE, LIQUID FILLED in 1 BOX (69168-356-29)
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen 325 mg, Dextromethorphan HBr 10 mg, Phenylephrine HCI 5 mg
69168-356
Allegiant Health Day Time Cold and FlueNon drowsy 20 CAPSULE, LIQUID FILLED in 1 BOX (69168-356-51)
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen 325 mg, Dextromethorphan HBr 10 mg, Phenylephrine HCI 5 mg
69168-356
DOH 690-292 May 2016 13 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAllegiant Health Cold Multi-Symptom 12 TABLET in 1 BLISTER PACK
(69168-323-86)325 mg/1, 200 mg/1, 10 mg/1, 5 mg/1
Acetaminophen,Guaifenesin, Dextromethorphan HBr and Phenylephrine HCI
69168-323
Allegiant Health Mucus Relief DMImmediate Release 10 TABLET in 1 CARTON (69168-345-07)
20 mg/1, 400 mg/1 Dextromethorphan HBr and Guaifenesin
69168-345
Allegiant Health Mucus Relief DMImmediate Release 20 TABLET in 1 CARTON (69168-345-26)
20 mg/1, 400 mg/1 Dextromethorphan HBr and Guaifenesin
69168-345
Allegis Pharmaceuticals, LLC AP-Hist DM 473 mL in 1 BOTTLE (28595-800-16) 4 mg/mL, 7.5 mg/mL, 15 mg/mL
Brompheniramine Maleate, Phenylephrine Hydrochloride, and Dextromethorphan Hydrobromide
28595-800
Allegis Pharmaceuticals, LLC Duravent DM 60 TABLET in 1 BOTTLE (28595-906-60)
15 mg/1, 395 mg/1, 10 mg/1
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
28595-906
Allegis Pharmaceuticals, LLC HISTEX-DM 473 mL in 1 BOTTLE (28595-804-16) 20 mg/5mL, 10 mg/5mL, 2.5 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE, and TRIPROLIDINE HYDROCHLORIDE
28595-804
Alternative Pharmacal Corporation Altipres-B 473 mL in 1 BOTTLE (53163-101-16) 4 mg/5mL, 20 mg/5mL, 10 mg/5mL
BROMPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
53163-101
DOH 690-292 May 2016 14 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAlternative Pharmacal Corporation Altituss 473 mL in 1 BOTTLE (53163-113-16) 15 mg/7.5mL, 150
mg/7.5mLDextromethorphan HBr, Guaifenesin
53163-113
Alternative Pharmacal Corporation Altipres 473 mL in 1 BOTTLE (53163-104-16) 10 mg/5mL, 200 mg/5mL, 5 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
53163-104
Alternative Pharmacal Corporation Altidome 473 mL in 1 BOTTLE (53163-251-16) 30 mg/5mL, 200 mg/5mL, 10 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
53163-251
Alternative Pharmacal Corporation Altipres 473 mL in 1 BOTTLE (53163-103-16) 5 mg/5mL, 75 mg/5mL, 2.5 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
53163-103
Alternative Pharmacal Corporation Igualtuss 473 mL in 1 BOTTLE (53163-106-16) 28 mg/5mL, 388 mg/5mL, 10 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
53163-106
Alternative Pharmacal Corporation Alticotron 60 mL in 1 BOTTLE (53163-107-02) 5 mg/mL, 100 mg/mL, 2.5 mg/mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
53163-107
Alternative Pharmacal Corporation Altidesp 30 mL in 1 BOTTLE (53163-108-01) 5 mg/mL, 50 mg/mL, 2.5 mg/mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
53163-108
Alternative Pharmacal Corporation Altilan 473 mL in 1 BOTTLE (53163-114-16) 15 mg/5mL, 10 mg/5mL, 4 mg/5mL
Dextromethorphan HBr, Phenylephrine HCl, Chlorpheniramine Maleate
53163-114
American Sales Company Care One Cold Multi Symptom 2 BLISTER PACK in 1 CARTON (41520-014-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41520-014
DOH 690-292 May 2016 15 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerican Sales Company Care One Cold Head Congestion 2 BLISTER PACK in 1 CARTON
(41520-393-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41520-393
American Sales Company Cold Head Congestion Nighttime 2 BLISTER PACK in 1 CARTON (41520-598-02) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
41520-598
American Sales Company Cold Multi-Symptom Nighttime 2 BLISTER PACK in 1 CARTON (41520-599-02) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
41520-599
American Sales Company CareOne Night TIme Cold and Flu 355 mL in 1 BOTTLE (41520-084-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41520-084
American Sales Company CareOne Nitetime Cold Flu Relief 237 mL in 1 BOTTLE (41520-335-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41520-335
American Sales Company CareOne Nitetime Cold Flu Relief 355 mL in 1 BOTTLE (41520-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41520-335
DOH 690-292 May 2016 16 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerican Sales Company Night Time Original 177 mL in 1 BOTTLE, PLASTIC
(41520-112-06)500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
41520-112
American Sales Company Night Time Cherry 177 mL in 1 BOTTLE, PLASTIC (41520-113-06)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate,
41520-113
American Sales Company Night Time Cherry 296 mL in 1 BOTTLE, PLASTIC (41520-114-01)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
41520-114
American Sales Company CareOne Nighttime Cold and Flu 355 mL in 1 BOTTLE (41520-712-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41520-712
American Sales Company CareOne Cold and Cough 237 mL in 1 BOTTLE (41520-666-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
41520-666
American Sales Company CareOne Nitetime Cold Flu Relief 237 mL in 1 BOTTLE (41520-459-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41520-459
American Sales Company CareOne Nitetime Cold Flu Relief 355 mL in 1 BOTTLE (41520-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41520-459
American Sales Company Care One Cold Mutli Symptom 237 mL in 1 BOTTLE (41520-920-34) 325 mg/15mL, 10 mg/15mL, 6.25 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
41520-920
DOH 690-292 May 2016 17 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerican Sales Company CareOne Nitetime Severe Cold Flu Relief 355 mL in 1 BOTTLE (41520-763-40) 650 mg/30mL, 20
mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
41520-763
American Sales Company CareOne Nighttime Severe Cold and Flu 355 mL in 1 BOTTLE (41520-561-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
41520-561
American Sales Company careone cold max 240 mL in 1 BOTTLE (41520-580-34) 325 mg/15mL, 10 mg/15mL, 6.25 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
41520-580
American Sales Company careone severe sinus congestion 10 BLISTER PACK in 1 CARTON (41520-345-26) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Phenylephrine Hydrochloride
41520-345
American Sales Company Care One cold head congestion 12 BLISTER PACK in 1 CARTON (41520-234-62) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41520-234
American Sales Company CareOne Mucus Relief 10 BLISTER PACK in 1 CARTON (41520-766-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41520-766
American Sales Company CareOne Mucus Relief 2 BLISTER PACK in 1 CARTON (41520-922-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41520-922
DOH 690-292 May 2016 18 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerican Sales Company CareOne Mucus Relief 10 BLISTER PACK in 1 CARTON
(41520-381-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41520-381
American Sales Company careone daytime severe cold flu relief 355 mL in 1 BOTTLE (41520-511-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
41520-511
American Sales Company DAYTIME 2 BLISTER PACK in 1 CARTON (41520-473-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
41520-473
American Sales Company DAYTIME 2 BLISTER PACK in 1 CARTON (41520-473-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
41520-473
American Sales Company Cold Head Congestion Daytime 2 BLISTER PACK in 1 CARTON (41520-603-02) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
41520-603
American Sales Company Care One Cold Head Congestion 2 BLISTER PACK in 1 CARTON (41520-402-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41520-402
American Sales Company CareOne Daytime Cold Flu Relief 355 mL in 1 BOTTLE (41520-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
41520-656
American Sales Company CareOne DayTime Cold and Flu 355 mL in 1 BOTTLE (41520-032-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
41520-032
DOH 690-292 May 2016 19 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerican Sales Company care one flu and severe cold and cough 6 POWDER, FOR SOLUTION in 1
CARTON (41520-096-91)650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41520-096
American Sales Company CareOne Daytime Severe Cold and Cough 6 GRANULE, FOR SOLUTION in 1 BOX (41520-330-06)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr and Phenylephrine HCL
41520-330
American Sales Company Care One Cold Multi Symptom 2 BLISTER PACK in 1 CARTON (41520-371-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41520-371
American Sales Company Cold Multi-Symptom Daytime 2 BLISTER PACK in 1 CARTON (41520-138-05) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
41520-138
American Sales Company Flu Relief Therapy Day Time 245 mL in 1 BOTTLE, PLASTIC (41520-155-08)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41520-155
American Sales Company CareOne Childrens Cold and Cough 1 BOTTLE in 1 CARTON (41520-987-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
41520-987
American Sales Company CareOne Cough DM 1 BOTTLE in 1 CARTON (41520-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 41520-384
American Sales Company CareOne Cough DM 1 BOTTLE in 1 CARTON (41520-958-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 41520-958
American Sales Company Tussin Cough Long Acting 118 mL in 1 BOTTLE, PLASTIC (41520-098-04)
10 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
41520-098
DOH 690-292 May 2016 20 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerican Sales Company CareOne NiteTime Cough 237 mL in 1 BOTTLE (41520-995-34) 30 mg/30mL, 12.5
mg/30mLDextromethorphan HBr, Doxylamine succinate
41520-995
American Sales Company CareOne NiteTime Cough 355 mL in 1 BOTTLE (41520-995-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr, Doxylamine succinate
41520-995
American Sales Company Night Time Cough Cherry 296 mL in 1 BOTTLE, PLASTIC (41520-072-01)
15 mg/15mL, 135 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
41520-072
American Sales Company CareOne Adult Tussin DM 1 BOTTLE in 1 CARTON (41520-359-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
41520-359
American Sales Company CareOne Adult Tussin DM 1 BOTTLE in 1 CARTON (41520-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
41520-359
American Sales Company Tussin Sugar Free Cough 118 mL in 1 BOTTLE, PLASTIC (41520-100-04)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN
41520-100
American Sales Company Tussin DM 118 mL in 1 BOTTLE, PLASTIC (41520-018-04)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN
41520-018
American Sales Company CareOne Adult Tussin DM 1 BOTTLE in 1 CARTON (41520-578-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
41520-578
American Sales Company CareOne Adult Tussin DM 1 BOTTLE in 1 CARTON (41520-799-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
41520-799
American Sales Company CareOne Adult Tussin DM 1 BOTTLE in 1 CARTON (41520-799-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
41520-799
American Sales Company careone childrens mucus relief 1 BOTTLE in 1 CARTON (41520-419-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan hbr, Guaifenesin
41520-419
American Sales Company CareOne Adult Tussin CF 1 BOTTLE in 1 CARTON (41520-516-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
41520-516
American Sales Company CareOne Adult Tussin CF 1 BOTTLE in 1 CARTON (41520-516-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
41520-516
DOH 690-292 May 2016 21 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerican Sales Company CareOne Childrens Mucus Relief 1 BOTTLE in 1 CARTON (41520-839-
26) > 118 mL in 1 BOTTLE5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
41520-839
American Sales Company Tussin CF 118 mL in 1 BOTTLE, PLASTIC (41520-126-04)
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
41520-126
Amerisource Bergen good neighbor pharmacy cold 2 BLISTER PACK in 1 CARTON (24385-076-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
24385-076
Amerisource Bergen good neighbor pharmacy cold head congestion 2 BLISTER PACK in 1 CARTON (24385-195-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
24385-195
Amerisource Bergen good neighbor pharmacy cold 1 BOTTLE in 1 CARTON (24385-984-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
24385-984
Amerisource Bergen good neighbor pharmacy childrens pain relief plus 1 BOTTLE in 1 CARTON (24385-986-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 5 mg/5mL Acetaminophen, Dextromethorphan HBr
24385-986
Amerisource Bergen good neighbor pharmacy multi symptom 237 mL in 1 BOTTLE (46122-277-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
46122-277
DOH 690-292 May 2016 22 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerisource Bergen Good Neighbor Pharmacy Night Time 12 BLISTER PACK in 1 CARTON
(46122-245-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
46122-245
Amerisource Bergen good neighbor pharmacy night time 237 mL in 1 BOTTLE (46122-136-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
46122-136
Amerisource Bergen good neighbor pharmacy night time 355 mL in 1 BOTTLE (46122-136-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
46122-136
Amerisource Bergen good neighbor pharmacy night time 177 mL in 1 BOTTLE (46122-198-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
46122-198
Amerisource Bergen good neighbor pharmacy night time 237 mL in 1 BOTTLE (46122-198-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
46122-198
Amerisource Bergen good neighbor pharmacy night time 296 mL in 1 BOTTLE (46122-198-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
46122-198
Amerisource Bergen good neighbor pharmacy night time 355 mL in 1 BOTTLE (46122-198-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
46122-198
Amerisource Bergen Good Neighbor Pharmacy Night Time 355 mL in 1 BOTTLE (46122-215-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
46122-215
Amerisource Bergen Good Neighbor Pharmacy Night Time 296 mL in 1 BOTTLE (46122-008-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
46122-008
DOH 690-292 May 2016 23 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerisource Bergen good neighbor pharmacy Night time 177 mL in 1 BOTTLE (24385-203-30) 500 mg/15mL, 15
mg/15mL, 6.25 mg/15mLacetaminophen, dextromethorphan hydrobromide and doxylamine succinate
24385-203
Amerisource Bergen good neighbor pharmacy Night time 296 mL in 1 BOTTLE (24385-203-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
24385-203
Amerisource Bergen Good Neighbor Pharmacy Night Time 177 mL in 1 BOTTLE (24385-316-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
24385-316
Amerisource Bergen Good Neighbor Pharmacy Night Time 296 mL in 1 BOTTLE (24385-316-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
24385-316
Amerisource Bergen good neighbor pharmacy cough and sore throat 237 mL in 1 BOTTLE (24385-135-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
24385-135
Amerisource Bergen good neighbor pharmacy night time 2 BLISTER PACK in 1 CARTON (24385-035-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
24385-035
Amerisource Bergen good neighbor pharmacy severe sinus congestion 10 BLISTER PACK in 1 CARTON (46122-272-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Phenylephrine Hydrochloride
46122-272
Amerisource Bergen Good Neighbor Pharmacy Night Time Severe 237 mL in 1 BOTTLE (46122-233-34) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
46122-233
DOH 690-292 May 2016 24 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerisource Bergen Good Neighbor Pharmacy Cold Multi Symptom 237 mL in 1 BOTTLE (46122-298-34) 325 mg/15mL, 10
mg/15mL, 6.25 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
46122-298
Amerisource Bergen Good Neighbor pharmacy severe night time 237 mL in 1 BOTTLE (46122-300-34) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
46122-300
Amerisource Bergen good neighbor pharmacy severe night time 12 BLISTER PACK in 1 CARTON (46122-301-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
acetaminophen, dextromethorphan hbr, doxylamine succinate, phenylephrine hcl
46122-301
Amerisource Bergen Good Neighbor Pharmacy Night Time D 296 mL in 1 BOTTLE (24385-322-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL, 30 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Pseudoephedrine HCl
24385-322
Amerisource Bergen Good Neighbor Pharmacy Night Time D 296 mL in 1 BOTTLE (24385-305-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL, 30 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Pseudoephedrine Hydrochloride
24385-305
AmeriSource Bergen Cold Relief Multi-Symptom Severe 2 BLISTER PACK in 1 CARTON (46122-072-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
46122-072
DOH 690-292 May 2016 25 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerisource Bergen Good Neighbor Pharmacy Mucus Relief Severe Cold 10 BLISTER PACK in 1 CARTON
(46122-295-60) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
46122-295
Amerisource Bergen Good Neighbor Pharmacy Day Time Severe 237 mL in 1 BOTTLE (46122-234-34) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
46122-234
Amerisource Bergen Good neighbor pharmacy mucus relief 2 BLISTER PACK in 1 CARTON (46122-192-60) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
46122-192
Amerisource Bergen Good Neighbor Pharmacy Mucus Relief 2 BLISTER PACK in 1 CARTON (46122-193-60) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
46122-193
AmeriSource Bergen Cold Relief Cold and Flu Severe 2 BLISTER PACK in 1 CARTON (46122-230-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
46122-230
Amerisource Bergen Good Neighbor Pharmacy Severe Day Time 12 BLISTER PACK in 1 CARTON (46122-232-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
46122-232
DOH 690-292 May 2016 26 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmeriSource Bergen Cold Relief Head Congestion Severe 2 BLISTER PACK in 1 CARTON
(46122-126-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
46122-126
Amerisource Bergen good neighbor pharmacy cold 2 BLISTER PACK in 1 CARTON (24385-542-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
24385-542
Amerisource Bergen good neighbor pharmacy cold 2 BLISTER PACK in 1 CARTON (24385-066-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
24385-066
Amerisource Bergen good neighbor pharmacy day time 12 BLISTER PACK in 1 CARTON (24385-036-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
24385-036
Amerisource Bergen Good Neighbor Pharmacy Cold 2 BLISTER PACK in 1 CARTON (24385-052-62) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
24385-052
Amerisource Bergen Good Neighbor Pharmacy Day Time 177 mL in 1 BOTTLE (24385-005-30) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
24385-005
Amerisource Bergen Good Neighbor Pharmacy Day Time 237 mL in 1 BOTTLE (24385-005-34) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
24385-005
Amerisource Bergen Good Neighbor Pharmacy Day Time 296 mL in 1 BOTTLE (24385-005-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
24385-005
DOH 690-292 May 2016 27 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerisource Bergen Good Neighbor Pharmacy Day Time 355 mL in 1 BOTTLE (24385-005-40) 325 mg/15mL, 10
mg/15mL, 5 mg/15mLacetaminophen, dextromethorphan Hbr, Phenylephrine HCl
24385-005
Amerisource Bergen Good Neighbor Pharmacy Cold 2 BLISTER PACK in 1 CARTON (24385-197-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
24385-197
AmeriSource Bergen Cold Relief Multi-Symptom Daytime 2 BLISTER PACK in 1 BLISTER PACK (46122-073-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
46122-073
Amerisource Bergen good neighbor pharmacy flu and severe cold and cough
6 POWDER, FOR SOLUTION in 1 CARTON (46122-022-13)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
46122-022
Amerisource Bergen good neighbor pharmacy cold and cough 1 BOTTLE in 1 CARTON (24385-519-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
24385-519
Amerisource Bergen Good Neighbor Pharmacy Tussin 1 BOTTLE in 1 CARTON (24385-493-26) > 118 mL in 1 BOTTLE
30 mg/10mL Dextromethorphan Hydrobromide
24385-493
Amerisource Bergen Good Neighbor Pharmacy Cough 1 BOTTLE in 1 CARTON (46122-293-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 46122-293
Amerisource Bergen Good Neighbor Pharmacy Cough DM ER 1 BOTTLE in 1 CARTON (46122-294-21) > 89 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan polistirex 46122-294
Amerisource Bergen Good Neighbor Pharmacy Cough DM ER 1 BOTTLE in 1 CARTON (46122-141-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 46122-141
Amerisource Bergen Good Neighbor Pharmacy Cough DM ER 1 BOTTLE in 1 CARTON (46122-141-25) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 46122-141
DOH 690-292 May 2016 28 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerisource Bergen Good Neighbor Pharmacy Cough DM ER 1 BOTTLE in 1 CARTON (46122-142-
21) > 89 mL in 1 BOTTLE30 mg/5mL dextromethorphan polistirex 46122-142
Amerisource Bergen Good Neighbor Pharmacy night time 177 mL in 1 BOTTLE (24385-461-30) 15 mg/15mL, 6.25 mg/15mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
24385-461
Amerisource Bergen Good Neighbor Pharmacy night time 237 mL in 1 BOTTLE (24385-461-34) 15 mg/15mL, 6.25 mg/15mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
24385-461
Amerisource Bergen Good Neighbor Pharmacy night time 296 mL in 1 BOTTLE (24385-461-38) 15 mg/15mL, 6.25 mg/15mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
24385-461
Amerisource Bergen Good Neighbor Pharmacy night time 355 mL in 1 BOTTLE (24385-461-40) 15 mg/15mL, 6.25 mg/15mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
24385-461
Amerisource Bergen good neighbor pharmacy tussin dm 1 BOTTLE in 1 CARTON (24385-578-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
24385-578
Amerisource Bergen Good Neighbor Pharmacy Tussin dm 1 BOTTLE in 1 CARTON (24385-359-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
24385-359
Amerisource Bergen Good Neighbor Pharmacy Tussin dm 1 BOTTLE in 1 CARTON (24385-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
24385-359
Amerisource Bergen good neighbor pharmacy tussin dm max 1 BOTTLE in 1 CARTON (46122-139-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL dextromethorphan hbr, guaifenesin
46122-139
Amerisource Bergen good neighbor pharmacy tussin dm max 1 BOTTLE in 1 CARTON (46122-139-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL dextromethorphan hbr, guaifenesin
46122-139
Amerisource Bergen Good Neighbor Pharmacy tussin dm max 1 BOTTLE in 1 CARTON (46122-017-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
46122-017
Amerisource Bergen good neighbor pharmacy day time 296 mL in 1 BOTTLE (46122-032-38) 10 mg/15mL, 200 mg/15mL Dextromethorphan HBr, Guaifenesin
46122-032
DOH 690-292 May 2016 29 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerisource Bergen good neighbor pharmacy tussin cf max 1 BOTTLE in 1 CARTON (46122-138-
26) > 118 mL in 1 BOTTLE10 mg/5mL, 200 mg/5mL, 5 mg/5mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
46122-138
Amerisource Bergen good neighbor pharmacy tussin cf max 1 BOTTLE in 1 CARTON (46122-138-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL, 5 mg/5mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
46122-138
Amerisource Bergen good neighbor pharmacy childrens mucus relief 1 BOTTLE in 1 CARTON (46122-235-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
46122-235
Amerisource Bergen Good Neighbor Pharmacy Tussin CF 1 BOTTLE in 1 CARTON (24385-904-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
24385-904
Amerisource Bergen Good Neighbor Pharmacy Tussin CF 1 BOTTLE in 1 CARTON (24385-904-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
24385-904
AmerisourceBergen (Good Neighbor Night time 2 BLISTER PACK in 1 CARTON (46122-183-73) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
46122-183
AmerisourceBergen (Good Neighbor Day time 2 BLISTER PACK in 1 CARTON (46122-184-73) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
46122-184
AmerisourceBergen (Good Neighbor Childrens Plus Multi Symptom Cold 1 BOTTLE, PLASTIC in 1 BOX (46122-310-26) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Phenylephrine hydrochloride
46122-310
DOH 690-292 May 2016 30 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerisourceBergen (Good Neighbor Cold and Flu Relief 16 BLISTER PACK in 1 CARTON
(46122-326-73) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
46122-326
AmerisourceBergen (Good Neighbor Nighttime Cold Multi-Symptom 237 mL in 1 BOTTLE, PLASTIC (46122-034-34)
325 mg/15mL, 10 mg/15mL, 6.25 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate, Phenylephrine HCl
46122-034
AmerisourceBergen (Good Neighbor Severe Cold and Cough Relief 245 mL in 1 BOTTLE, PLASTIC (46122-336-33)
650 mg/30mL, 20 mg/30mL, 10 mg/30mL
ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
46122-336
AmerisourceBergen (Good Neighbor Cold Flu Relief 16 BLISTER PACK in 1 CARTON (46122-339-73) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
46122-339
AmerisourceBergen (Good Neighbor Flu Relief Therapy 245 mL in 1 BOTTLE, PLASTIC (46122-015-33)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
46122-015
AmerisourceBergen (Good Neighbor Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (46122-324-26) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 46122-324
AmerisourceBergen (Good Neighbor Mucus Relief 177 mL in 1 BOTTLE, PLASTIC (46122-303-30)
20 mg/20mL, 650 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
46122-303
AmerisourceBergen (Good Neighbor Mucus Relief Severe Congestion and Cough 177 mL in 1 BOTTLE, PLASTIC (46122-305-30)
20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
46122-305
DOH 690-292 May 2016 31 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAmerisourceBergen (Good Neighbor Triacting Day Time Cold and Cough 1 BOTTLE, PLASTIC in 1 BOX (46122-
327-26) > 118 mL in 1 BOTTLE,PLASTIC
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
46122-327
AmerisourceBergen Drug Corp Good Neighbor Pharmacy Mucus Relief DM 1 BOTTLE, PLASTIC in 1 CARTON (24385-026-71) > 50 TABLET in 1 BOTTLE, PLASTIC
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
24385-026
AmerisourceBergen Drug Corp Good Neighbor Pharmacy Tab Tussin DM 2 BLISTER PACK in 1 CARTON (46122-058-62) > 12 TABLET in 1 BLISTER PACK
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
46122-058
AmerisourceBergen Drug Corporatio Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (24385-262-26) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 24385-262
AmerisourceBergen Drug Corporatio Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (24385-263-26) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 24385-263
AmerisourceBergen Drug Corporatio Childrens Mucus Relief 1 BOTTLE, PLASTIC in 1 BOX (24385-985-26) > 118 mL in 1 BOTTLE,PLASTIC
5 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifensin
24385-985
AmerisourceBergen Drug Corporatio Triacting Daytime Cold Cough 1 BOTTLE, PLASTIC in 1 BOX (24385-981-26) > 118 mL in 1 BOTTLE,PLASTIC
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
24385-981
ARMY AND AIR FORCE EXCHANGE SECold and Flu Relief 2 BLISTER PACK in 1 CARTON (55301-660-08) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55301-660
ARMY AND AIR FORCE EXCHANGE SECold and Flu Relief 3 BLISTER PACK in 1 CARTON (55301-535-08) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55301-535
DOH 690-292 May 2016 32 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCARMY AND AIR FORCE EXCHANGE SECold, Flu and Sore Throat 2 BLISTER PACK in 1 PACKAGE
(55301-618-09) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55301-618
ARMY AND AIR FORCE EXCHANGE SEDaytime Cold and Flu Relief 2 BLISTER PACK in 1 CARTON (55301-534-08) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
55301-534
ARMY AND AIR FORCE EXCHANGE SECold and Flu Relief 2 BLISTER PACK in 1 CARTON (55301-659-08) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
55301-659
ARMY AND AIR FORCE EXCHANGE SECold Multi-Symptom 2 BLISTER PACK in 1 CARTON (55301-560-08) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
55301-560
ARMY AND AIR FORCE EXCHANGE SECough and Cold HBP 2 BLISTER PACK in 1 CARTON (55301-411-21) > 8 TABLET, SUGAR COATED in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate, Dextromethorphan HBr
55301-411
ARMY AND AIR FORCE EXCHANGE SEAdult Tussin Cough Gels 1 BOTTLE in 1 PACKAGE (55301-442-09) > 20 CAPSULE, GELATINCOATED in 1 BOTTLE
15 mg/1 Dextromethorphan HBr 55301-442
ARMY AND AIR FORCE EXCHANGE SETussin Cough Gels 1 BOTTLE in 1 PACKAGE (55301-661-09) > 20 CAPSULE, LIQUID FILLED in1 BOTTLE
15 mg/1 Dextromethorphan HBr 55301-661
ARMY AND AIR FORCE EXCHANGE SEMucus Relief DM 3 BLISTER PACK in 1 CARTON (55301-533-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
20 mg/1, 400 mg/1 Dextromethorphan HBr and Guaifenesin
55301-533
A-S Medication Solutions Mucinex DM 20 TABLET, EXTENDED RELEASE in 1 BOTTLE (54569-5986-0)
600 mg/1, 30 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
54569-5986
DOH 690-292 May 2016 33 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCA-S Medication Solutions Mucinex DM 40 TABLET, EXTENDED RELEASE in 1
BOTTLE (54569-5987-0)600 mg/1, 30 mg/1 Guaifenesin and
Dextromethorphan Hydrobromide
54569-5987
A-S Medication Solutions LLC Delsym 1 BOTTLE in 1 CARTON (54569-1051-0) > 90 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 54569-1051
A-S Medication Solutions LLC Q Tussin DM 120 mL in 1 BOTTLE, PLASTIC (54569-3177-0)
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr and Guaifenesin
54569-3177
ASSURED / DOLLAR TREE (GreenbrierMucus Relief DM 1 BOTTLE, PLASTIC in 1 BOX (33992-0109-1) > 15 TABLET, COATED in 1 BOTTLE, PLASTIC
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide and Guaifenesin
33992-0109
Atlantic Biologicals Corps Delsym (Dextromethorphan) 10 mL in 1 CUP (17856-0276-1) 30 mg/5mL Dextromethorphan 17856-0276Atlantic Biologicals Corps Tussin Sugar Free Cough 10 mL in 1 CUP (17856-5180-1) 10 mg/5mL, 100 mg/5mL Dextromethorphan
Hydrobromide, GUAIFENESIN17856-5180
Atlantic Biologicals Corps Tussin Sugar Free Cough 5 mL in 1 CUP (17856-5180-2) 10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN
17856-5180
Atlantic Biologicals Corps Robafen DM Cough Sugar Free Clear 5 mL in 1 CUP (17856-6306-5) 100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
17856-6306
Aurohealth LLC AuroQuil COLD and FLU Nighttime Relief 355 mL in 1 BOTTLE (58602-136-16) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Doxylamine succinate, and Dextromethorphan HBr
58602-136
Aurohealth LLC AuroQuil COLD and FLU Nighttime Relief 177 mL in 1 BOTTLE (58602-136-18) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Doxylamine succinate, and Dextromethorphan HBr
58602-136
Aurohealth LLC AuroQuil COLD and FLU Nighttime Relief 237 mL in 1 BOTTLE (58602-136-20) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Doxylamine succinate, and Dextromethorphan HBr
58602-136
DOH 690-292 May 2016 34 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAurohealth LLC AuroQuil Cold and Flu Nighttime Relief 177 mL in 1 BOTTLE (58602-137-18) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Doxylamine succinate, and Dextromethorphan HBr
58602-137
Aurohealth LLC AuroQuil Cold and Flu Nighttime Relief 237 mL in 1 BOTTLE (58602-137-20) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Doxylamine succinate, and Dextromethorphan HBr
58602-137
Aurohealth LLC AuroQuil Cold and Flu Nighttime Relief 2 BOTTLE in 1 CARTON (58602-137-35) > 355 mL in 1 BOTTLE (58602-137-16)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Doxylamine succinate, and Dextromethorphan HBr
58602-137
Aurohealth LLC AuroQuil Severe Cold and Flu Nighttime Relief 354 mL in 1 BOTTLE (58602-148-16) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
acetaminophen, phenylephrine hcl, doxylamine succinate and dextromethorphan hbr
58602-148
Aurohealth LLC AuroQuil Severe Cold and Flu Nighttime Relief 237 mL in 1 BOTTLE (58602-148-20) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
acetaminophen, phenylephrine hcl, doxylamine succinate and dextromethorphan hbr
58602-148
Aurohealth LLC Aurophen Cold Multi Symptom 1 BOTTLE in 1 CARTON (58602-127-20) > 240 mL in 1 BOTTLE
325 mg/15mL, 10 mg/15mL, 6.25 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate, phenylephrine hydrochloride
58602-127
Aurohealth LLC Aurophen Cold Multi-Symptom Severe 1 BOTTLE in 1 CARTON (58602-128-20) > 240 mL in 1 BOTTLE
325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
58602-128
DOH 690-292 May 2016 35 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAurohealth LLC AuroMucus - Fast Maximum Cold, Flu and Sore Throat
Relief180 mL in 1 BOTTLE (58602-110-18) 650 mg/20mL, 20
mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin and Phenylephrine hydrochloride
58602-110
Aurohealth LLC AuroMucus - Fast Maximum Cold, Flu and Sore Throat Relief
266 mL in 1 BOTTLE (58602-110-21) 650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin and Phenylephrine hydrochloride
58602-110
Aurohealth LLC AuroQuil Severe Cold and Flu Daytime Relief 354 mL in 1 BOTTLE (58602-149-16) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, phenylephrine hcl, dextromethorphan hbr and guaifenesin
58602-149
Aurohealth LLC AuroQuil Severe Cold and Flu Daytime Relief 237 mL in 1 BOTTLE (58602-149-20) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, phenylephrine hcl, dextromethorphan hbr and guaifenesin
58602-149
Aurohealth LLC Aurophen Cold and Flu Severe 1 BOTTLE in 1 CARTON (58602-123-20) > 240 mL in 1 BOTTLE
325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride
58602-123
Aurohealth LLC Auro Mucus - Childrens Cold, Cough and Sore Throat 118 mL in 1 BOTTLE (58602-157-24) 325 mg/10mL, 10 mg/10mL, 200 mg/10mL, 5 mg/10mL
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin and Phenylephrine hydrochloride
58602-157
DOH 690-292 May 2016 36 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAurohealth LLC AuroFlu Day Time Severe Cold and Cough Warming
Relief245 mL in 1 BOTTLE (58602-124-33) 325 mg/15mL, 10
mg/15mL, 5 mg/15mLAcetaminophen, Dextromethorphan HBr and Phenylephrine HCl
58602-124
Aurohealth LLC AuroQuil COLD and FLU Day Time Multi-Symptom Relief
354 mL in 1 BOTTLE (58602-125-16) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Phenylephrine HCl, and Dextromethorphan HBr
58602-125
Aurohealth LLC AuroQuil COLD and FLU Day Time Multi-Symptom Relief
177 mL in 1 BOTTLE (58602-125-18) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Phenylephrine HCl, and Dextromethorphan HBr
58602-125
Aurohealth LLC AuroQuil COLD and FLU Day Time Multi-Symptom Relief
237 mL in 1 BOTTLE (58602-125-20) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Phenylephrine HCl, and Dextromethorphan HBr
58602-125
Aurohealth LLC Aurophen Cold Multi Symptom 1 BOTTLE in 1 CARTON (58602-130-20) > 240 mL in 1 BOTTLE
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
58602-130
Aurohealth LLC AuroQuil Cough Nighttime Cough Relief 354 mL in 1 BOTTLE (58602-132-16) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr and Doxylamine succinate
58602-132
Aurohealth LLC AuroQuil Cough Nighttime Cough Relief 236 mL in 1 BOTTLE (58602-132-18) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr and Doxylamine succinate
58602-132
Aurohealth LLC AuroQuil Cough Nighttime Cough Relief 177 mL in 1 BOTTLE (58602-132-20) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr and Doxylamine succinate
58602-132
Aurohealth LLC Adult Aurotussin Maximum Strength Nighttime Cough DM
1 BOTTLE in 1 CARTON (58602-159-24) > 118 mL in 1 BOTTLE
30 mg/10mL, 12.5 mg/10mL
Dextromethorphan HBr, Doxylamine Succinate
58602-159
Aurohealth LLC AuroMucus - Fast Maximum DM MAX 180 mL in 1 BOTTLE (58602-151-18) 20 mg/20mL, 400 mg/20mL Dextromethorphan Hydrobromide and Guaifenesin
58602-151
DOH 690-292 May 2016 37 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAurohealth LLC AuroMucus - Fast Maximum DM MAX 266 mL in 1 BOTTLE (58602-151-21) 20 mg/20mL, 400 mg/20mL Dextromethorphan
Hydrobromide and Guaifenesin58602-151
Aurohealth LLC Childrens Aurotussin Cough and Chest Congestion DM 1 BOTTLE in 1 CARTON (58602-153-24) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
58602-153
Aurohealth LLC AuroMucus - Childrens Cough 1 BOTTLE in 1 CARTON (58602-106-24) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide and Guaifenesin
58602-106
Aurohealth LLC Aurotussin Peak Cold Cough plus Chest Congestion DM 1 BOTTLE in 1 CARTON (58602-115-16) > 354 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
58602-115
Aurohealth LLC Aurotussin Peak Cold Cough plus Chest Congestion DM 1 BOTTLE in 1 CARTON (58602-115-20) > 236 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
58602-115
Aurohealth LLC Aurotussin Peak Cold Cough plus Chest Congestion DM 1 BOTTLE in 1 CARTON (58602-115-24) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
58602-115
Aurohealth LLC Aurotussin Peak Cold Maximum Strength Cough plus Chest Congestion DM
1 BOTTLE in 1 CARTON (58602-116-16) > 355 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
58602-116
Aurohealth LLC Aurotussin Peak Cold Maximum Strength Cough plus Chest Congestion DM
1 BOTTLE in 1 CARTON (58602-116-20) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
58602-116
Aurohealth LLC Aurotussin Peak Cold Maximum Strength Cough plus Chest Congestion DM
1 BOTTLE in 1 CARTON (58602-116-24) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
58602-116
Aurohealth LLC Aurotussin Peak Cold sugar-free COUGH PLUS CHEST CONGESTION DM
1 BOTTLE in 1 CARTON (58602-118-16) > 355 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
58602-118
Aurohealth LLC Aurotussin Peak Cold sugar-free COUGH PLUS CHEST CONGESTION DM
1 BOTTLE in 1 CARTON (58602-118-20) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
58602-118
Aurohealth LLC Aurotussin Peak Cold sugar-free COUGH PLUS CHEST CONGESTION DM
1 BOTTLE in 1 CARTON (58602-118-24) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
58602-118
DOH 690-292 May 2016 38 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAurohealth LLC AuroMucus - Fast Maximum Severe Congestion and
Cough177 mL in 1 BOTTLE (58602-112-18) 20 mg/20mL, 400
mg/20mL, 10 mg/20mLDextromethorphan Hydrobromide, Guaifenesin and Phenylephrine hydrochloride
58602-112
Aurohealth LLC AuroMucus - Fast Maximum Severe Congestion and Cough
266 mL in 1 BOTTLE (58602-112-21) 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan Hydrobromide, Guaifenesin and Phenylephrine hydrochloride
58602-112
Aurohealth LLC AuroMucus - Childrens Multi-Symptom Cold 1 BOTTLE in 1 CARTON (58602-138-24) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin and Phenylephrine hydrochloride
58602-138
Aurohealth LLC Aurotussin Peak Cold Maximum Strength Multi-Symptom Cold
1 BOTTLE in 1 CARTON (58602-143-20) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCL
58602-143
Aurohealth LLC Aurotussin Peak Cold Maximum Strength Multi-Symptom Cold
1 BOTTLE in 1 CARTON (58602-143-24) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCL
58602-143
Aurohealth LLC Aurotussin Peak Cold Multi-Symptom Cold 1 BOTTLE in 1 CARTON (58602-144-20) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCL
58602-144
Aurohealth LLC Aurotussin Peak Cold Multi-Symptom Cold 1 BOTTLE in 1 CARTON (58602-144-24) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCL
58602-144
Aurohealth LLC Childrens Aurotussin Cough and Cold CF 1 BOTTLE in 1 CARTON (58602-154-24) > 118 mL in 1 BOTTLE
10 mg/10mL, 100 mg/10mL, 5 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCL
58602-154
Aurohealth LLC Childrens Daytime Cold and Cough 1 BOTTLE in 1 CARTON (58602-145-24) > 118 mL in 1 BOTTLE
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine hydrochloride
58602-145
DOH 690-292 May 2016 39 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCAvema Pharma Solutions Mucus Relief DM 30 TABLET, COATED in 1 BOTTLE,
PLASTIC (63548-6352-1)20 mg/1, 400 mg/1 Dextromethorphan
Hydrobromide and Guaifenesin63548-6352
Ballay Pharmaceuticals, Inc. Balahist 473 mL in 1 BOTTLE (63162-520-16) 4 mg/5mL, 7.5 mg/5mL, 15 mg/5mL
Brompheniramine Maleate, Phenylephrine Hydrochloride, Dextromethorphan Hydrobromide
63162-520
Ballay Pharmaceuticals, Inc. Balamine 473 mL in 1 BOTTLE (63162-508-16) 2 mg/5mL, 5 mg/5mL, 10 mg/5mL
Chlorpheniramine Maleate, Phenylephrine Hydrochloride, Dextromethorphan Hydrobromide
63162-508
Ballay Pharmaceuticals, Inc. Balamine 6 BOTTLE in 1 TRAY (63162-508-20) > 20 mL in 1 BOTTLE
2 mg/5mL, 5 mg/5mL, 10 mg/5mL
Chlorpheniramine Maleate, Phenylephrine Hydrochloride, Dextromethorphan Hydrobromide
63162-508
Bayer Corporation Consumer Care D Alka-Seltzer Plus 1 POUCH in 1 CARTON (0280-7050-20) > 20 TABLET, EFFERVESCENT in1 POUCH
250 mg/1, 2 mg/1, 5 mg/1, 10 mg/1
Acetaminophen, Chlorpheniramine maleate, Phenylephrine Hydrochloride, and Dextromethorphan hydrobromide
0280-7050
Bayer Corporation Consumer Care D Alka-Seltzer Plus 1 POUCH in 1 CARTON (0280-1180-20) > 20 CAPSULE, LIQUID FILLED in1 POUCH
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan hydrobromide, and Phenylephrine Hydrochloride
0280-1180
B
DOH 690-292 May 2016 40 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCBayer HealthCare Consumer Care Alka-Seltzer Plus Severe Sinus and Cold 6 PACKET in 1 CARTON (0280-0923-
06) > 1 POWDER, FOR SOLUTION in1 PACKET
650 mg/1, 4 mg/1, 20 mg/1, 10 mg/1
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
0280-0923
Bayer HealthCare Consumer Care Alka-Seltzer Plus Night Severe Cold and Flu 6 PACKET in 1 CARTON (0280-0922-06) > 1 POWDER, FOR SOLUTION in1 PACKET
650 mg/1, 20 mg/1, 12.5 mg/1, 10 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE, and PHENYLEPHRINE HYDROCHLORIDE
0280-0922
Bayer HealthCare Consumer Care Alka-Seltzer Plus Day Severe Cold Plus Flu 6 PACKET in 1 CARTON (0280-0921-06) > 1 POWDER, FOR SOLUTION in1 PACKET
500 mg/1, 20 mg/1, 400 mg/1, 10 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
0280-0921
Bayer HealthCare Consumer Care Alka-Seltzer Plus Cold and Cough Formula 10 POUCH in 1 CARTON (0280-1420-20) > 2 TABLET, EFFERVESCENT in 1POUCH
325 mg/1, 2 mg/1, 10 mg/1, 7.8 mg/1
Aspirin, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE BITARTRATE
0280-1420
Bayer HealthCare Consumer Care Alka-Seltzer Plus Cold and Cough Formula 13 POUCH in 1 CARTON (0280-1420-26) > 2 TABLET, EFFERVESCENT in 1POUCH
325 mg/1, 2 mg/1, 10 mg/1, 7.8 mg/1
Aspirin, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE BITARTRATE
0280-1420
DOH 690-292 May 2016 41 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCBayer HealthCare Consumer Care Alka-Seltzer Plus Night Cold 10 POUCH in 1 CARTON (0280-0052-
20) > 2 TABLET, EFFERVESCENT in 1POUCH
500 mg/1, 10 mg/1, 6.25 mg/1, 7.8 mg/1
Aspirin, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE, and PHENYLEPHRINE BITARTRATE
0280-0052
Bayer HealthCare Consumer Care Alka-Seltzer Plus Night Cold 13 POUCH in 1 CARTON (0280-0052-26) > 2 TABLET, EFFERVESCENT in 1POUCH
500 mg/1, 10 mg/1, 6.25 mg/1, 7.8 mg/1
Aspirin, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE, and PHENYLEPHRINE BITARTRATE
0280-0052
Bayer HealthCare LLC - Consumer Ca Alka-Seltzer Plus 1 POUCH in 1 CARTON (0280-7055-20) > 20 GRANULE, EFFERVESCENTin 1 POUCH
250 mg/1, 10 mg/1, 2 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Chlorpheniramine maleate, and Phenylephrine hydrochloride
0280-7055
Bayer HealthCare LLC - Consumer Ca Alka-Seltzer Plus 1 BLISTER PACK in 1 CARTON (0280-1435-20) > 20 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Doxylamine succinate, and Phenylephrine hydrochloride
0280-1435
Bayer HealthCare LLC - Consumer Ca Alka-Seltzer Plus Day Severe Cold, Cough And Flu 6 PACKET in 1 CARTON (0280-1155-06) > 1 POWDER in 1 PACKET
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan hydrobromide, and Phenylephrine hydrochloride
0280-1155
DOH 690-292 May 2016 42 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCBayer HealthCare LLC - Consumer Ca Alka-Seltzer Plus 1 BLISTER PACK in 1 CARTON (0280-
1415-20) > 20 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan hydrobromide, and Phenylephrine hydrochloride
0280-1415
Bayer HealthCare LLC, Consumer Car Alka-Seltzer Plus 1 BLISTER PACK in 1 CARTON (0280-1121-10) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
0280-1121
Bayer HealthCare LLC, Consumer Car Alka-Seltzer Plus 2 BLISTER PACK in 1 CARTON (0280-1121-20) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
0280-1121
Bayer HealthCare LLC, Consumer Car Alka-Seltzer Plus 4 BLISTER PACK in 1 CARTON (0280-1121-40) > 40 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
0280-1121
Bayer HealthCare LLC, Consumer Car Alka-Seltzer Plus Severe Sinus Congestion and Cough 1 BLISTER PACK in 1 CARTON (0280-1135-20) > 20 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan hydrobromide, Phenylephrine hydrochloride
0280-1135
DOH 690-292 May 2016 43 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCBayer HealthCare LLC, Consumer Car Alka-Seltzer Plus 1 BLISTER PACK in 1 CARTON (0280-
1130-40) > 40 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 2 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Chlorpheniramine maleate, and Phenylephrine hydrochloride
0280-1130
Bayer HealthCare LLC, Consumer Car Alka-Seltzer Plus-D Multi-Symptom Sinus and Cold 1 BLISTER PACK in 1 CARTON (0280-1197-20) > 20 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 2 mg/1, 30 mg/1
Acetaminophen, Dextromethorphan hydrobromide, chlorpheniramine maleate, and pseudoephedrine Hydrochloride
0280-1197
Bayer HealthCare LLC, Consumer Car Alka-Seltzer Plus 5000 CAPSULE, LIQUID FILLED in 1 DRUM (0280-1124-05)
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE, and PHENYLEPHRINE HYDROCHLORIDE
0280-1124
Bayer HealthCare LLC, Consumer Car Alka-Seltzer Plus 2 BLISTER PACK in 1 CARTON (0280-1124-20) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE, and PHENYLEPHRINE HYDROCHLORIDE
0280-1124
DOH 690-292 May 2016 44 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCBayer HealthCare LLC, Consumer Car Alka-Seltzer Plus 2 BLISTER PACK in 1 CARTON (0280-
1125-20) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE, and PHENYLEPHRINE HYDROCHLORIDE
0280-1125
Bayer HealthCare LLC, Consumer Car Alka-Seltzer Plus Severe Cold, Mucus and Congestion 1 BLISTER PACK in 1 CARTON (0280-1159-20) > 20 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
250 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan hydrobromide, guaifenesin, and Phenylephrine hydrochloride
0280-1159
Bayer HealthCare LLC, Consumer Car Alka-Seltzer Plus Severe Cough Mucus and Congestion 2 BLISTER PACK in 1 CARTON (0280-0505-20) > 20 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
250 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Alka-Seltzer Plus Severe Cough Mucus and Congestion
0280-0505
Bayer HealthCare LLC, Consumer Car Alka-Seltzer Plus Severe Sinus Cold and Cough 2 BLISTER PACK in 1 CARTON (0280-0507-20) > 20 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
250 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Guaifenesin, Phenylephrine hydrochloride
0280-0507
Bayer HealthCare LLC, Consumer Car Alka-Seltzer Plus Day Cold and Flu 2 BLISTER PACK in 1 CARTON (0280-1134-20) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
0280-1134
Bayer HealthCare LLC, Consumer Car Alka-Seltzer Plus 1600 POUCH in 1 CASE (0280-1410-32) > 2 TABLET, EFFERVESCENT in 1POUCH
325 mg/1, 10 mg/1, 7.8 mg/1
Aspirin, Dextromethorphan hydrobromide, and Phenylephrine bitartrate
0280-1410
DOH 690-292 May 2016 45 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCBayer HealthCare LLC, Consumer Car Alka-Seltzer Plus 1600 POUCH in 1 CASE (0280-1430-
32) > 2 TABLET, EFFERVESCENT in 1POUCH
500 mg/1, 6.25 mg/1, 7.8 mg/1, 10 mg/1
Aspirin, Doxylamine succinate, Phenylephrine bitartrate, and Dextromethorphan hydrobromide
0280-1430
Bayer HealthCare LLC, Consumer Car Alka-Seltzer Plus Max Cough, Mucus and Congestion 2 BLISTER PACK in 1 CARTON (0280-1001-20) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
10 mg/1, 200 mg/1 Dextromethorphan hydrobromide and GUAIFENESIN
0280-1001
Bedrock Brands, LLC Maximum Strength Flu HBP 1 BLISTER PACK in 1 CARTON (76000-461-08) > 24 TABLET, FILM COATED in 1 BLISTER PACK
500 mg/1, 15 mg/1, 2 mg/1 Acetaminophen, Dextromethorphan HBr, Chlorpheniramine maleate
76000-461
Bedrock Brands, LLC Cough and Cold Relief HBP 3 BLISTER PACK in 1 CARTON (76000-411-08) > 8 TABLET in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate and Dextromethorphan HBr
76000-411
Bedrock Brands, LLC High Blood Pressure Chest Congestion and Cough 1 BLISTER PACK in 1 CARTON (76000-533-08) > 24 TABLET, FILM COATED in 1 BLISTER PACK
20 mg/1, 400 mg/1 Dextromethorphan HBr and Guiafenesin
76000-533
Best Choice Childrens Plus Cough and Runny Nose 118 mL in 1 BOTTLE, PLASTIC (63941-130-04)
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE
63941-130
Best Choice Childrens Plus Multi-Symptom Grape 118 mL in 1 BOTTLE, PLASTIC (63941-145-04)
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
63941-145
DOH 690-292 May 2016 46 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCBest Choice Childrens Plus Cough and Sore Throat 118 mL in 1 BOTTLE, PLASTIC
(63941-124-04)160 mg/5mL, 160 mg/5mL Acetaminophen,
DEXTROMETHORPHAN HYDROBROMIDE
63941-124
Best Choice Night Time Original 177 mL in 1 BOTTLE, PLASTIC (63941-112-06)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
63941-112
Best Choice Night Time Cherry 177 mL in 1 BOTTLE, PLASTIC (63941-113-06)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
63941-113
Best Choice Night Time Cherry 296 mL in 1 BOTTLE, PLASTIC (63941-213-01)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
63941-213
Best Choice Day Time 177 mL in 1 BOTTLE, PLASTIC (63941-142-06)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
63941-142
Best Choice Night Time Cough 177 mL in 1 BOTTLE, PLASTIC (63941-072-06)
15 mg/15mL, 135 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
63941-072
Best Choice Tussin Sugar Free Cough 118 mL in 1 BOTTLE, PLASTIC (63941-100-04)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN,
63941-100
Best Choice Tussin DM 118 mL in 1 BOTTLE, PLASTIC (63941-018-04)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN
63941-018
Best Choice Tussin DM 237 mL in 1 BOTTLE, PLASTIC (63941-218-08)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN
63941-218
DOH 690-292 May 2016 47 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCBest Choice (Valu Merchandisers ComChildrens Plus Cough and Runny Nose 1 BOTTLE, PLASTIC in 1 BOX (63941-
297-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide
63941-297
Best Choice (Valu Merchandisers ComChildrens Plus Multi Symptom Cold 1 BOTTLE, PLASTIC in 1 BOX (63941-304-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Phenylephrine hydrochloride
63941-304
Best Choice (Valu Merchandisers ComCold and Flu 177 mL in 1 BOTTLE, PLASTIC (63941-342-06)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
63941-342
Best Choice (Valu Merchandisers ComCold and Flu 296 mL in 1 BOTTLE, PLASTIC (63941-342-10)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
63941-342
Best Choice (Valu Merchandisers ComCold and Flu 177 mL in 1 BOTTLE, PLASTIC (63941-346-06)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
63941-346
Best Choice (Valu Merchandisers ComCold and Flu 296 mL in 1 BOTTLE, PLASTIC (63941-346-10)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
63941-346
Best Choice (Valu Merchandisers ComDaytime Cold and Flu 177 mL in 1 BOTTLE, PLASTIC (63941-466-06)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
63941-466
DOH 690-292 May 2016 48 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCBest Choice (Valu Merchandisers ComDaytime Cold and Flu 296 mL in 1 BOTTLE, PLASTIC
(63941-466-10)325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
63941-466
Best Choice (Valu Merchandisers ComChildrens Cold and Cough 1 BOTTLE, PLASTIC in 1 BOX (63941-013-04) > 118 mL in 1 BOTTLE,PLASTIC
2 mg/10mL, 10 mg/10mL, 5 mg/10mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
63941-013
Best Choice (Valu Merchandisers ComCough Relief 1 BOTTLE, PLASTIC in 1 BOX (63941-309-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 63941-309
Best Choice (Valu Merchandisers ComCough Relief 177 mL in 1 BOTTLE, PLASTIC (63941-345-06)
30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
63941-345
Best Choice (Valu Merchandisers ComTussin Cough and Chest Congestion DM 1 BOTTLE, PLASTIC in 1 BOX (63941-384-04) > 118 mL in 1 BOTTLE,PLASTIC
10 mg/10mL, 100 mg/10mL Dextromethorphan HBr, Guaifenesin
63941-384
Best Choice (Valu Merchandisers ComTussin Cough and Chest Congestion DM 1 BOTTLE, PLASTIC in 1 BOX (63941-385-04) > 118 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
63941-385
Best Choice (Valu Merchandisers ComTussin Cough and Chest Congestion DM 1 BOTTLE, PLASTIC in 1 BOX (63941-385-08) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
63941-385
Best Choice (Valu Merchandisers ComMucus Relief DM MAX 117 mL in 1 BOTTLE (63941-338-08) 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan HBr, Guaifenesin
63941-338
Best Choice (Valu Merchandisers ComTussin 1 BOTTLE, PLASTIC in 1 BOX (63941-382-04) > 118 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine
63941-382
Best Choice (Valu Merchandisers ComChildrens Day Time Cold and Cough 1 BOTTLE in 1 BOX (63941-378-04) > 118 mL in 1 BOTTLE
2.5 mg/5mL, 5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
63941-378
DOH 690-292 May 2016 49 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCBetter Living Brands, LLC Aspirin Free Cold Head Congestion Day Time 2 BLISTER PACK in 1 CARTON
(21130-503-08) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Phenylephrine HCl, Dextromethorphan HBr and Guiafenesin
21130-503
Better Living Brands, LLC Daytime Cold and Pain Relief 2 BLISTER PACK in 1 CARTON (21130-768-24) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Phenylephrine HCl, Dextromethorphan HBr and Guiafenesin
21130-768
Better Living Brands, LLC Cold, Flu and Sore Throat Relief 2 BLISTER PACK in 1 PACKAGE (21130-916-09) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
21130-916
Better Living Brands, LLC Severe Congestion and Cold 2 BLISTER PACK in 1 PACKAGE (21130-917-09) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
21130-917
Better Living Brands, LLC Pain Relief 2 BLISTER PACK in 1 CARTON (21130-560-08) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
21130-560
Better Living Brands, LLC IMMEDIATE-RELEASE MUCUS RELIEF DM 3 BLISTER PACK in 1 CARTON (21130-533-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
20 mg/1, 400 mg/1 Dextromethorphan HBr, Guaifenesin
21130-533
Better Living Brands, LLC Mucus Relief DM 3 BLISTER PACK in 1 CARTON (21130-933-01) > 10 TABLET in 1 BLISTER PACK
400 mg/1, 20 mg/1 Guaifenesin, Dextromethorphan HBr
21130-933
Big Lots Stores, Inc. sound body cold and flu relief 355 mL in 1 BOTTLE (50594-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
50594-335
DOH 690-292 May 2016 50 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCBig Lots Stores, Inc. sound body cold and flu relief 355 mL in 1 BOTTLE (50594-459-40) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
50594-459
Big Lots Stores, Inc. Sound Body Cold and Flu Relief 12 BLISTER PACK in 1 CARTON (50594-014-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
50594-014
Bio-Pharm, Inc. Assured Childrens Cold and Cough 118 mL in 1 BOTTLE (59741-193-06) 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine Maleate, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
59741-193
Bio-Pharm, Inc. Assured Day time Cold and Cough 118 mL in 1 BOTTLE (59741-201-06) 5 mg/5mL, 2.5 mg/5mL Dextromethorphan Hydrobromide and Phenylephrine Hydrochloride
59741-201
Bio-Pharm, Inc. Tussin DM 1 BOTTLE in 1 CARTON (59741-116-10) > 118 mL in 1 BOTTLE (59741-116-06)
100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
59741-116
BJWC berkley and jensen tussin 1 BOTTLE in 1 CARTON (68391-001-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
68391-001
BJWC berkley and jensen adult tussin dm 1 BOTTLE in 1 CARTON (68391-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
68391-359
Blacksmith Brands, Inc. PediaCare Childrens Plus Cough and Runny Nose 1 BOTTLE in 1 BOX (52183-375-04) > 113 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 160 mg/5mL
Chloropheniramine Maleate and Dextromethorphan Hydrobromide and Acetaminophen
52183-375
Blacksmith Brands, Inc. PediaCare LongActing Cough 1 BOTTLE in 1 CARTON (52183-369-04) > 118 mL in 1 BOTTLE
7.5 mg/5mL Dextromethorphan HBr 52183-369
Blacksmith Brands, Inc. PediaCare Childrens Plus Cough and Sore Throat 1 BOTTLE in 1 BOX (52183-355-04) > 113 mL in 1 BOTTLE
5 mg/5mL, 160 mg/5mL Dextromethorphan Hydrobromide and Acetaminophen
52183-355
DOH 690-292 May 2016 51 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCBlacksmith Brands, Inc. PediaCare Childrens Plus Flu 1 BOTTLE in 1 BOX (52183-365-04)
> 113 mL in 1 BOTTLE5 mg/5mL, 160 mg/5mL, 1 mg/5mL
Chloropheniramine Maleate and Dextromethorphan Hydrobromide and Phenylephrine Hydrochloride and Ace
52183-365
Blacksmith Brands, Inc. PediaCare Childrens Plus Multisymptom Cold 1 BOTTLE in 1 BOX (52183-385-04) > 113 mL in 1 BOTTLE
5 mg/5mL, 160 mg/5mL, 1 mg/5mL
Chloropheniramine Maleate and Dextromethorphan Hydrobromide and Phenylephrine Hydrochloride and Acet
52183-385
Blacksmith Brands, Inc. PediaCare Childrens Cough and Congestion 1 BOTTLE in 1 BOX (52183-395-04) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide and Guaifenesin
52183-395
Bryant Ranch Prepack MUCOSA DM 30 TABLET in 1 BOTTLE (63629-4458-1)
400 mg/1, 20 mg/1 GUAIFENESIN DEXTROMETHORPHAN
63629-4458
Bryant Ranch Prepack MUCOSA DM 20 TABLET in 1 BOTTLE (63629-4458-2)
400 mg/1, 20 mg/1 GUAIFENESIN DEXTROMETHORPHAN
63629-4458
BUREL PHARMACEUTICALS, INC RelCof DM 473 mL in 1 BOTTLE (35573-321-16) 4 mg/5mL, 15 mg/5mL, 7.5 mg/5mL
Brompheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
35573-321
BUREL PHARMACEUTICALS, INC Relhist DMX 60 TABLET in 1 BOTTLE (35573-322-60)
15 mg/1, 380 mg/1, 10 mg/1
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
35573-322
Capellon Pharmaceuticals, LLC Rescon DM 25 mL in 1 BOTTLE (64543-105-01) 2 mg/5mL, 10 mg/5mL, 30 mg/5mL
Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, and Pseudoephedrine Hydrochloride
64543-105C
DOH 690-292 May 2016 52 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCapellon Pharmaceuticals, LLC Rescon DM 118 mL in 1 BOTTLE (64543-105-04) 2 mg/5mL, 10 mg/5mL, 30
mg/5mLChlorpheniramine Maleate, Dextromethorphan Hydrobromide, and Pseudoephedrine Hydrochloride
64543-105
Capellon Pharmaceuticals, LLC Rescon DM 473 mL in 1 BOTTLE (64543-105-16) 2 mg/5mL, 10 mg/5mL, 30 mg/5mL
Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, and Pseudoephedrine Hydrochloride
64543-105
Capital Pharmaceutical CAPMIST 90 TABLET in 1 BOTTLE (29978-606-90)
30 mg/1, 400 mg/1, 30 mg/1
Dextromethorphan Hydrobromide, Guaifenesin, Pseudoephedrine Hydrochloride
29978-606
Capital Pharmaceutical, LLC Aquanaz 100 TABLET in 1 BOTTLE (29978-587-01)
15 mg/1, 400 mg/1, 10 mg/1
Dextromethorphan Hydrobromide, Guaifenesin and Phenylephrine Hydrochloride
29978-587
Capital Pharmaceutical, LLC Capmist DM 2 BLISTER PACK in 1 BOX (29978-601-30) > 15 TABLET in 1 BLISTERPACK
15 mg/1, 400 mg/1, 60 mg/1
Dextromethorphan Hydrobromide, Guaifenesin and Pseudoephedrine Hydrochloride
29978-601
Capital Pharmaceutical, LLC Capmist DM 90 TABLET in 1 BOTTLE (29978-601-90)
15 mg/1, 400 mg/1, 60 mg/1
Dextromethorphan Hydrobromide, Guaifenesin and Pseudoephedrine Hydrochloride
29978-601
Capital Pharmaceutical, LLC Capron DM 6 BOTTLE in 1 BOX (29978-127-15) > 15 mL in 1 BOTTLE
7.5 mg/5mL, 7.5 mg/5mL Dextromethorphan HBr and Pyrilamine Maleate
29978-127
DOH 690-292 May 2016 53 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCapital Pharmaceutical, LLC Capron DM 1 BOTTLE in 1 BOX (29978-127-16)
> 473 mL in 1 BOTTLE7.5 mg/5mL, 7.5 mg/5mL Dextromethorphan HBr and
Pyrilamine Maleate29978-127
Capricorn Pharma Inc. Expectorant plus Cough Relief 12 GRANULE in 1 CARTON (66007-204-01)
5 mg/1, 100 mg/1 Guaifenesin and Dextromethorphan
66007-204
Cardinal Health Cold Head Congestion 2 BLISTER PACK in 1 CARTON (49781-011-24) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
49781-011
Cardinal Health leader cold head congestion 2 BLISTER PACK in 1 CARTON (37205-958-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
37205-958
Cardinal Health Leader Nite Time 8 BLISTER PACK in 1 CARTON (49781-074-16) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49781-074
Cardinal Health Leader Nite Time 12 BLISTER PACK in 1 CARTON (49781-074-24) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49781-074
Cardinal Health Leader Nite Time Cold Flu Relief 177 mL in 1 BOTTLE (37205-779-37) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate
37205-779
Cardinal Health Leader Nite Time Cold Flu Relief 296 mL in 1 BOTTLE (37205-779-42) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate
37205-779
DOH 690-292 May 2016 54 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCardinal Health Leader nite time 177 mL in 1 BOTTLE (37205-781-37) 500 mg/15mL, 15
mg/15mL, 6.25 mg/15mLacetaminophen,dextromethorphan HBr, doxylamine succinate
37205-781
Cardinal Health Leader nite time 296 mL in 1 BOTTLE (37205-781-42) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
37205-781
Cardinal Health leader nite time 296 mL in 1 BOTTLE (37205-851-42) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate liquid
37205-851
Cardinal Health leader nite time 355 mL in 1 BOTTLE (37205-856-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37205-856
Cardinal Health leader nite time 237 mL in 1 BOTTLE (37205-586-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37205-586
Cardinal Health leader nite time 177 mL in 1 BOTTLE (37205-586-37) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37205-586
Cardinal Health leader nite time 355 mL in 1 BOTTLE (37205-586-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37205-586
Cardinal Health leader nite time 296 mL in 1 BOTTLE (37205-586-42) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37205-586
Cardinal Health leader nite time 237 mL in 1 BOTTLE (37205-587-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37205-587
DOH 690-292 May 2016 55 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCardinal Health leader nite time 177 mL in 1 BOTTLE (37205-587-37) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
37205-587
Cardinal Health leader nite time 355 mL in 1 BOTTLE (37205-587-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37205-587
Cardinal Health leader nite time 296 mL in 1 BOTTLE (37205-587-42) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37205-587
Cardinal Health Leader Nite Time 1 BLISTER PACK in 1 CARTON (37205-707-53) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
37205-707
Cardinal Health Leader Nite Time 2 BLISTER PACK in 1 CARTON (37205-707-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
37205-707
Cardinal Health Leader Nite Time 2 BLISTER PACK in 1 CARTON (37205-707-73) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
37205-707
Cardinal Health Leader Severe Sinus Congestion 10 BLISTER PACK in 1 CARTON (49781-056-20) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Phenylephrine Hydrochloride
49781-056
DOH 690-292 May 2016 56 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCardinal Health leader nite time 237 mL in 1 BOTTLE (49781-054-08) 650 mg/30mL, 20
mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
49781-054
Cardinal Health Leader Day Time 6 BLISTER PACK in 1 CARTON (49781-055-12) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
49781-055
Cardinal Health Leader Mucus Relief 2 BLISTER PACK in 1 CARTON (49781-036-20) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
49781-036
Cardinal Health Leader Mucus Relief 10 BLISTER PACK in 1 CARTON (49781-038-20) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
49781-038
Cardinal Health Leader Day Time 237 mL in 1 BOTTLE (49781-052-08) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
49781-052
Cardinal Health Leader Severe Cold and Flu 12 BLISTER PACK in 1 CARTON (49781-067-24) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
49781-067
Cardinal Health Leader Mucus Relief 10 BLISTER PACK in 1 CARTON (49781-125-20) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
49781-125
DOH 690-292 May 2016 57 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCardinal Health leader cold head congestion 2 BLISTER PACK in 1 CARTON
(37205-828-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
37205-828
Cardinal Health Leader Cold Head Congestion 2 BLISTER PACK in 1 CARTON (37205-959-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
37205-959
Cardinal Health Leader Day Time 6 BLISTER PACK in 1 CARTON (37205-705-53) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
37205-705
Cardinal Health Leader Day Time 12 BLISTER PACK in 1 CARTON (37205-705-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
37205-705
Cardinal Health Leader Day Time 8 BLISTER PACK in 1 CARTON (37205-705-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
37205-705
Cardinal Health leader day time 177 mL in 1 BOTTLE (37205-719-30) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
37205-719
Cardinal Health leader day time 237 mL in 1 BOTTLE (37205-719-34) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
37205-719
Cardinal Health leader day time 355 mL in 1 BOTTLE (37205-719-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
37205-719
DOH 690-292 May 2016 58 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCARDINAL HEALTH Cold Head Congestion 1 BLISTER PACK in 1 BOX (37205-
756-62) > 24 TABLET, FILM COATEDin 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
37205-756
Cardinal Health leader flu and severe cold and cough 6 POWDER, FOR SOLUTION in 1 CARTON (37205-678-91)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
37205-678
Cardinal Health leader flu and severe cold and cough 6 POWDER, FOR SOLUTION in 1 CARTON (49781-126-06)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49781-126
Cardinal Health Leader Childrens Cold and Cough 1 BOTTLE in 1 CARTON (37205-969-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
37205-969
Cardinal Health leader cough dm 1 BOTTLE in 1 CARTON (37205-697-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 37205-697
Cardinal Health leader cough dm 1 BOTTLE in 1 CARTON (37205-698-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 37205-698
Cardinal Health leader cough dm 1 BOTTLE in 1 CARTON (49781-138-03) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 49781-138
Cardinal Health leader nite time cough 355 mL in 1 BOTTLE (37205-695-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr, Doxylamine succinate
37205-695
Cardinal Health leader tussin dm 1 BOTTLE in 1 CARTON (37205-970-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
37205-970
Cardinal Health leader tussin dm 1 BOTTLE in 1 CARTON (37205-970-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
37205-970
Cardinal Health Leader Childrens Mucus Relief Cough 1 BOTTLE in 1 CARTON (37205-993-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
37205-993
DOH 690-292 May 2016 59 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCardinal Health Leader Adult Tussin DM 1 BOTTLE in 1 CARTON (37205-712-
26) > 118 mL in 1 BOTTLE20 mg/10mL, 200 mg/10mL Dextromethorphan HBr,
Guaifenesin37205-712
Cardinal Health leader tussin 1 BOTTLE in 1 CARTON (37205-686-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL dextromethorphan hbr, guaifenesin
37205-686
Cardinal Health Leader Chest Congestion Relief Plus DMDM 1 TABLET in 1 CARTON (37205-538-01)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
37205-538
Cardinal Health Leader Chest Congestion Relief Plus DMDM 50 TABLET in 1 BOTTLE, PLASTIC (37205-538-71)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
37205-538
Cardinal Health LEADER iNTENSE COUGH RELIEVER 1 BOTTLE, PLASTIC in 1 CARTON (37205-610-01) > 120 mL in 1 BOTTLE, PLASTIC (37205-610-26)
20 mg/5mL, 300 mg/5mL Dextromethorphan Hydrobromide / Guaifenesin
37205-610
Cardinal Health Leader tussin dm max 1 BOTTLE in 1 CARTON (37205-629-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
37205-629
Cardinal Health Leader tussin dm max 1 BOTTLE in 1 CARTON (37205-629-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
37205-629
Cardinal Health Leader TabTussin DM 2 TABLET in 1 CARTON (37205-675-01)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
37205-675
Cardinal Health Leader TabTussin DM 12 TABLET in 1 BLISTER PACK (37205-675-62)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
37205-675
Cardinal Health Leader Childrens Mucus Relief 1 BOTTLE in 1 CARTON (49781-053-04) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
49781-053
Cardinal Health leader tussin cf max 1 BOTTLE in 1 CARTON (37205-696-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
37205-696
Cardinal Health leader tussin cf 1 BOTTLE in 1 CARTON (37205-709-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
37205-709
DOH 690-292 May 2016 60 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCardinal Health leader tussin cf 1 BOTTLE in 1 CARTON (37205-709-
34) > 237 mL in 1 BOTTLE20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
37205-709
Cardinal Health Leader Day time Cough and Cold 1 BOTTLE in 1 CARTON (37205-994-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
37205-994
Cardinal Health Guaifenesin and Dextromethorphan 5 CUP, UNIT-DOSE in 1 BAG (55154-9420-5) > 10 mL in 1 CUP, UNIT-DOSE
200 mg/10mL, 20 mg/10mL Guaifenesin and Dextromethorphan
55154-9420
Cardinal Health Guaifenesin and Dextromethorphan 5 CUP, UNIT-DOSE in 1 BAG (55154-9446-5) > 5 mL in 1 CUP, UNIT-DOSE
100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan
55154-9446
Care One (American Sales Company) Childrens Plus Cough and Runny Nose 1 BOTTLE, PLASTIC in 1 BOX (41520-297-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide
41520-297
Care One (American Sales Company) Childrens Plus Multi Symptom Cold 1 BOTTLE, PLASTIC in 1 BOX (41520-704-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Phenylephrine hydrochloride
41520-704
Care One (American Sales Company) Multi Symptom Nitetime 24 BLISTER PACK in 1 CARTON (41520-071-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
41520-071
Care One (American Sales Company) Nitetime 2 BLISTER PACK in 1 CARTON (41520-480-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
41520-480
DOH 690-292 May 2016 61 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCare One (American Sales Company) Nitetime 2 BLISTER PACK in 1 CARTON
(41520-480-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
41520-480
Care One (American Sales Company) Nitetime Cold Flu Relief 24 BLISTER PACK in 1 CARTON (41520-445-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
41520-445
Care One (American Sales Company) Mucus Relief 177 mL in 1 BOTTLE, PLASTIC (41520-036-06)
650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41520-036
Care One (American Sales Company) Childrens Cold and Cough 1 BOTTLE, PLASTIC in 1 BOX (41520-613-04) > 118 mL in 1 BOTTLE,PLASTIC
2 mg/10mL, 10 mg/10mL, 5 mg/10mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
41520-613
Care One (American Sales Company) Childrens Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (41520-454-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 41520-454
Care One (American Sales Company) Tussin Cough Long Acting 1 BOTTLE, PLASTIC in 1 BOX (41520-383-04) > 118 mL in 1 BOTTLE,PLASTIC
30 mg/10mL Dextromethorphan HBr 41520-383
Care One (American Sales Company) Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (41520-308-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 41520-308
Care One (American Sales Company) Tussin DM Cough and Chest Congestion 1 BOTTLE, PLASTIC in 1 BOX (41520-385-04) > 118 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
41520-385
DOH 690-292 May 2016 62 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCare One (American Sales Company) Mucus Relief 177 mL in 1 BOTTLE, PLASTIC
(41520-037-06)20 mg/20mL, 400 mg/20mL, 10 mg/20mL
dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride
41520-037
Care One (American Sales Company) Triacting Day Time Cold and Cough 1 BOTTLE, PLASTIC in 1 BOX (41520-378-04) > 118 mL in 1 BOTTLE,PLASTIC
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
41520-378
Caribe Natural, LLC BRONCO SILEN-DM 118 mL in 1 BOTTLE, PLASTIC (59561-202-04)
20 mg/10mL, 400 mg/10mL DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
59561-202
Chain Drug Consortium Mucus Relief 50 TABLET in 1 BOX (68016-179-50) 20 mg/1, 400 mg/1 Dextromehtorphan HBr / Guaifenesin
68016-179
Chain Drug Consortium LLC Adult Long Lasting-Cough Relief 1 BOTTLE in 1 CARTON (68016-026-20) > 20 CAPSULE in 1 BOTTLE
15 mg/1 Dextromethorphan HBr,USP 68016-026
Chain Drug Consortium, LCC Daytime Cold and Flu Relief Plus 2 CARTON in 1 BLISTER PACK (68016-719-20) > 10 CAPSULE in 1 CARTON
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan hydrobromide, Phenylephrine hydrochloride
68016-719
Chain Drug Consortium, LLC Childrens Plus Cough and Runny Nose 118 mL in 1 BOTTLE, PLASTIC (68016-130-04)
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide
68016-130
Chain Drug Consortium, LLC COLD and FLU Nighttime Relief 237 mL in 1 BOTTLE (68016-709-08) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Doxylamine succinate, and Dextromethorphan HBr
68016-709
Chain Drug Consortium, LLC COLD and FLU Nighttime Relief 237 mL in 1 BOTTLE (68016-710-08) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Doxylamine succinate, and Dextromethorphan HBr
68016-710
DOH 690-292 May 2016 63 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCChain Drug Consortium, LLC COLD and FLU Nighttime Relief 355 mL in 1 BOTTLE (68016-710-12) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Doxylamine succinate, and Dextromethorphan HBr
68016-710
Chain Drug Consortium, LLC Night Time 120 mL in 1 BOTTLE (68016-135-00) 325 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
68016-135
Chain Drug Consortium, LLC Night Time 177 mL in 1 BOTTLE, PLASTIC (68016-113-06)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
68016-113
Chain Drug Consortium, LLC Night-Time Original 236 mL in 1 BOTTLE (68016-144-00) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
68016-144
Chain Drug Consortium, LLC Night-Time Original 354 mL in 1 BOTTLE (68016-144-01) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
68016-144
Chain Drug Consortium, LLC Night-Time Cherry 236 mL in 1 BOTTLE (68016-146-00) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
68016-146
Chain Drug Consortium, LLC Night-Time Cherry 354 mL in 1 BOTTLE (68016-146-01) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
68016-146
DOH 690-292 May 2016 64 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCChain Drug Consortium, LLC Multi symptom Nighttime 2 BLISTER PACK in 1 CARTON
(68016-202-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
68016-202
Chain Drug Consortium, LLC Multi symptom Nighttime 2 BLISTER PACK in 1 CARTON (68016-202-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
68016-202
Chain Drug Consortium, LLC Nighttime Cold and flu Relief 8 CARTON in 1 BLISTER PACK (68016-599-16) > 2 CAPSULE, LIQUID FILLED in 1 CARTON
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate,
68016-599
Chain Drug Consortium, LLC Nighttime Cold and flu Relief 12 CARTON in 1 BLISTER PACK (68016-599-24) > 2 CAPSULE, LIQUID FILLED in 1 CARTON
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate,
68016-599
Chain Drug Consortium, LLC COLD and FLU Nighttime Relief 355 mL in 1 BOTTLE (68016-707-12) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Doxylamine succinate, and Dextromethorphan HBr
68016-707
Chain Drug Consortium, LLC COLD and FLU Day Time Multi-Symptom Relief 237 mL in 1 BOTTLE (68016-706-08) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Phenylephrine HCl, and Dextromethorphan HBr
68016-706
Chain Drug Consortium, LLC COLD and FLU Day Time Multi-Symptom Relief 354 mL in 1 BOTTLE (68016-706-12) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Phenylephrine HCl, and Dextromethorphan HBr
68016-706
Chain Drug Consortium, LLC Day Time Cold non drowsy cold and Flu Relief 2 BLISTER PACK in 1 CARTON (68016-470-20) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
68016-470
DOH 690-292 May 2016 65 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCChain Drug Consortium, LLC Daytime Cold and Flu Relief 2 BLISTER PACK in 1 CARTON
(68016-598-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine
68016-598
Chain Drug Consortium, LLC Daytime Cold and Flu Relief 2 BLISTER PACK in 1 CARTON (68016-598-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine
68016-598
Chain Drug Consortium, LLC Daytime 2 BLISTER PACK in 1 CARTON (68016-199-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
68016-199
Chain Drug Consortium, LLC Daytime 2 BLISTER PACK in 1 CARTON (68016-199-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
68016-199
Chain Drug Consortium, LLC Flu Relief Therapy Day Time 245 mL in 1 BOTTLE, PLASTIC (68016-155-08)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
68016-155
Chain Drug Consortium, LLC Day Time 177 mL in 1 BOTTLE, PLASTIC (68016-142-06)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
68016-142
Chain Drug Consortium, LLC Day Time 296 mL in 1 BOTTLE, PLASTIC (68016-142-01)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
68016-142
DOH 690-292 May 2016 66 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCChain Drug Consortium, LLC Daytime Cold and Flu 355 mL in 1 BOTTLE, PLASTIC
(68016-727-02)325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
68016-727
Chain Drug Consortium, LLC Daytime Cold and Flu 236 mL in 1 BOTTLE, PLASTIC (68016-727-08)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
68016-727
Chain Drug Consortium, LLC Childrens Cold, Cough and Sore Throat 118 mL in 1 BOTTLE (68016-224-00) 325 mg/10mL, 200 mg/10mL, 10 mg/10mL, 5 mg/10mL
ACETAMINOPHEN, GUAIFENESIN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
68016-224
Chain Drug Consortium, LLC Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (68016-156-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 68016-156
Chain Drug Consortium, LLC Tussin Long Acting Cough 1 BOTTLE, PLASTIC in 1 BOX (68016-098-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 68016-098
Chain Drug Consortium, LLC Night Time Cherry 296 mL in 1 BOTTLE, PLASTIC (68016-072-01)
15 mg/15mL, 6.25 mg/15mL
DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
68016-072
Chain Drug Consortium, LLC COUGH Nighttime Cough Relief 236 mL in 1 BOTTLE (68016-708-08) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr and Doxylamine succinate
68016-708
Chain Drug Consortium, LLC Tussin DM 237 mL in 1 BOTTLE (68016-855-56) 10 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
68016-855
Chain Drug Consortium, LLC Tussin DM 354 mL in 1 BOTTLE (68016-855-57) 10 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
68016-855
DOH 690-292 May 2016 67 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCChain Drug Consortium, LLC DM MAX 177 mL in 1 BOTTLE (68016-222-00) 20 mg/20mL, 400 mg/20mL DEXTROMETHORPHAN
HYDROBROMIDE, GUAIFENESIN
68016-222
Chain Drug Consortium, LLC Childrens Mucus Relief COUGH 118 mL in 1 BOTTLE (68016-158-04) 5 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
68016-158
Chain Drug Consortium, LLC Tussin DM 118 mL in 1 BOTTLE, PLASTIC (68016-018-04)
10 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
68016-018
Chain Drug Consortium, LLC Tussin DM 237 mL in 1 BOTTLE, PLASTIC (68016-018-08)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN
68016-018
Chain Drug Consortium, LLC Tussin Sugar Free 118 mL in 1 BOTTLE, PLASTIC (68016-100-04)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN
68016-100
Chain Drug Consortium, LLC Tussin CF 118 mL in 1 BOTTLE, PLASTIC (68016-126-04)
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
68016-126
Chain Drug Consortium, LLC Tussin CF 237 mL in 1 BOTTLE, PLASTIC (68016-126-08)
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
68016-126
Chain Drug Consortium, LLC Severe Congestion and Cough MAX 177 mL in 1 BOTTLE (68016-221-00) 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
68016-221
DOH 690-292 May 2016 68 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCChain Drug Consortium, LLC Childrens Multi-Symptom Cold 118 mL in 1 BOTTLE (68016-134-00) 100 mg/5mL, 5 mg/5mL,
2.5 mg/5mLGUAIFENESIN, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
68016-134
Chain Drug Consortium,LLC Nighttime Cold and Flu Relief Plus 2 CARTON in 1 BLISTER PACK (68016-720-20) > 10 CAPSULE in 1 CARTON
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Doxylamine succinate, Phenylephrine hydrochloride
68016-720
Chain Drug Marketing Association Cold Head Congestion Nighttime 2 BLISTER PACK in 1 CARTON (63868-074-24) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
63868-074
Chain Drug Marketing Association Cold Multi Symptom Nighttime 2 BLISTER PACK in 1 CARTON (63868-072-24) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
63868-072
Chain Drug Marketing Association Severe Cold Head Congestion 2 BLISTER PACK in 1 CARTON (63868-075-24) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
63868-075
DOH 690-292 May 2016 69 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCChain Drug Marketing Association Mucus Relief Severe Cold 2 BLISTER PACK in 1 CARTON
(63868-716-20) > 10 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
63868-716
Chain Drug Marketing Association Mucus Relief Cold Flu and Sore Throat 2 BLISTER PACK in 1 CARTON (63868-719-20) > 10 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
63868-719
Chain Drug Marketing Association Pressure Pain Cold PE 2 BLISTER PACK in 1 CARTON (63868-721-24) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
63868-721
Chain Drug Marketing Association Severe Cold Multi Symptom 2 BLISTER PACK in 1 CARTON (63868-073-24) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
63868-073
DOH 690-292 May 2016 70 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCChain Drug Marketing Association Severe Cold and Flu 2 BLISTER PACK in 1 CARTON
(63868-003-24) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
63868-003
Chain Drug Marketing Association Cold and Cough 2 BLISTER PACK in 1 CARTON (63868-004-20) > 10 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
63868-004
Chain Drug Marketing Association Quality Choice Daytime Severe Cold and Cough 6 GRANULE, FOR SOLUTION in 1 BOX (63868-763-06)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr and Phenylephrine HCL
63868-763
Chain Drug Marketing Association Pressure Pain Cough PE 2 BLISTER PACK in 1 CARTON (63868-720-24) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
63868-720
Chain Drug Marketing Association Quality Choice Mucus Relief DM 1 BOTTLE in 1 CARTON (63868-753-50) > 50 TABLET in 1 BOTTLE
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
63868-753
CHAIN DRUG MARKETING ASSOCIATIFlu HBP 2 BLISTER PACK in 1 CARTON (63868-142-20) > 10 TABLET, FILM COATED in 1 BLISTER PACK
500 mg/1, 2 mg/1, 15 mg/1 Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr
63868-142
CHAIN DRUG MARKETING ASSOCIATICough and Cold HBP 2 BLISTER PACK in 1 CARTON (63868-145-01) > 8 TABLET, SUGAR COATED in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate and Dextromethorphan HBr
63868-145
DOH 690-292 May 2016 71 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCHAIN DRUG MARKETING ASSOCIATICough and Cold HBP 3 BLISTER PACK in 1 CARTON
(63868-145-16) > 8 TABLET, SUGAR COATED in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate and Dextromethorphan HBr
63868-145
Cintex Services, LLC BPM-DM-PHEN 473 mL in 1 BOTTLE, PLASTIC (24470-914-16)
2 mg/5mL, 10 mg/5mL, 5 mg/5mL
BROMPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
24470-914
Combe Incorporated Cepacol Sore Throat Plus Cough 2 BLISTER PACK in 1 CARTON (11509-0020-1) > 9 LOZENGE in 1 BLISTER PACK
7.5 mg/1, 5 mg/1 benzocaine and dextromethorphan hydrobromide
11509-0020
Costco Wholesale Company kirkland signature cold 3 BOTTLE in 1 CARTON (63981-903-40) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
63981-903
COSTCO WHOLESALE CORPORATION Cold Multi-Symptom 4 BLISTER PACK in 1 CARTON (63981-591-22) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
63981-591
COSTCO WHOLESALE CORPORATION Nighttime Cold Multi Symptom 1 BLISTER PACK in 1 CARTON (63981-591-46) > 96 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
63981-591
COSTCO WHOLESALE CORPORATION Multi-Symptom Daytime Cold 1 BLISTER PACK in 1 CARTON (63981-560-46) > 96 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
63981-560
DOH 690-292 May 2016 72 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCreekwood Pharmaceuticals Inc. Dimetane 118 mL in 1 BOTTLE (15310-106-04) 2 mg/5mL, 30 mg/5mL, 10
mg/5mLBrompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromide
15310-106
CVS Childrens Plus Cough and Runny Nose 118 mL in 1 BOTTLE, PLASTIC (59779-242-44)
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE
59779-242
CVS Childrens Plus Flu 118 mL in 1 BOTTLE, PLASTIC (59779-144-44)
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
59779-144
CVS Night Time Cough and Sore Throat Cool Blast 237 mL in 1 BOTTLE, PLASTIC (59779-666-34)
1000 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Tylenol Cough and Sore Throat 59779-666
CVS Night Time Cherry 177 mL in 1 BOTTLE, PLASTIC (59779-140-36)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Doxylamine Succinate, Acetaminophen, Dextromethorphan Hydrobromide
59779-140
CVS Cough Relief Grape 118 mL in 1 BOTTLE, PLASTIC (59779-159-26)
15 mg/5mL Delsym Grape 59779-159
CVS Tussin Cough Long Acting 237 mL in 1 BOTTLE, PLASTIC (59779-300-34)
10 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
59779-300
DOH 690-292 May 2016 73 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCVS Night Time Cherry 296 mL in 1 BOTTLE, PLASTIC
(59779-040-21)15 mg/15mL, 135 mg/5mL DEXTROMETHORPHAN
HYDROBROMIDE, DOXYLAMINE SUCCINATE
59779-040
CVS Tussin Sugar Free Cough 237 mL in 1 BOTTLE, PLASTIC (59779-578-34)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN
59779-578
CVS Pharmacy Multi Symptom Cold Relief 1 BOTTLE in 1 CARTON (59779-903-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
59779-903
CVS Pharmacy Childrens Flu Relief 1 BOTTLE, PLASTIC in 1 BOX (59779-933-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan Hydrobromide, Phenylephrine HCI
59779-933
CVS Pharmacy cough and sore throat 1 BOTTLE in 1 CARTON (59779-196-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 5 mg/5mL Acetaminophen, Dextromethorphan HBr
59779-196
CVS Pharmacy Flu HBP 2 BLISTER PACK in 1 CARTON (59779-461-09) > 10 TABLET, FILM COATED in 1 BLISTER PACK
500 mg/1, 15 mg/1, 2 mg/1 Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr
59779-461
CVS Pharmacy Nighttime 1 BLISTER PACK in 1 CARTON (59779-977-53) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
59779-977
CVS Pharmacy Nighttime 4 BLISTER PACK in 1 CARTON (59779-977-58) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
59779-977
DOH 690-292 May 2016 74 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCVS Pharmacy Nighttime 2 BLISTER PACK in 1 CARTON
(59779-977-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
59779-977
CVS Pharmacy Nighttime 2 BLISTER PACK in 1 CARTON (59779-977-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
59779-977
CVS Pharmacy Nighttime 3 BLISTER PACK in 1 CARTON (59779-977-65) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
59779-977
CVS Pharmacy Nighttime 4 BLISTER PACK in 1 CARTON (59779-977-67) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
59779-977
CVS Pharmacy Nighttime 5 BLISTER PACK in 1 CARTON (59779-977-71) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
59779-977
CVS Pharmacy Nighttime 2 BLISTER PACK in 1 CARTON (59779-977-73) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
59779-977
CVS Pharmacy NIGHTTIME 177 mL in 1 BOTTLE (59779-908-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan HBr, doxylamine succinate
59779-908
DOH 690-292 May 2016 75 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCVS Pharmacy NIGHTTIME 295 mL in 1 BOTTLE (59779-908-38) 500 mg/15mL, 15
mg/15mL, 6.25 mg/15mLacetaminophen, dextromethorphan HBr, doxylamine succinate
59779-908
CVS Pharmacy NIGHTTIME 354 mL in 1 BOTTLE (59779-908-40) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan HBr, doxylamine succinate
59779-908
CVS Pharmacy NIGHTTIME 473 mL in 1 BOTTLE (59779-908-43) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan HBr, doxylamine succinate
59779-908
CVS Pharmacy nighttime cold flu relief 12 BLISTER PACK in 1 CARTON (59779-803-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
59779-803
CVS Pharmacy nighttime cold flu relief 24 BLISTER PACK in 1 CARTON (59779-803-67) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
59779-803
CVS Pharmacy nighttime cold flu relief 8 BLISTER PACK in 1 CARTON (59779-803-73) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
59779-803
CVS Pharmacy Nighttime Cold Flu Relief 2 BLISTER PACK in 1 CARTON (59779-465-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
59779-465
CVS Pharmacy Nighttime Cold Flu Relief 3 BLISTER PACK in 1 CARTON (59779-465-36) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
59779-465
DOH 690-292 May 2016 76 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCVS Pharmacy Nighttime Cold Flu Relief 4 BLISTER PACK in 1 CARTON
(59779-465-48) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
59779-465
CVS Pharmacy nighttime 177 mL in 1 BOTTLE (59779-459-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
59779-459
CVS Pharmacy nighttime 237 mL in 1 BOTTLE (59779-459-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
59779-459
CVS Pharmacy nighttime 295 mL in 1 BOTTLE (59779-459-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
59779-459
CVS Pharmacy nighttime 2 BOTTLE in 1 PACKAGE (59779-459-50) > 355 mL in 1 BOTTLE (59779-459-40)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
59779-459
CVS Pharmacy Night Time Cold and Flu Relief 16 BLISTER PACK in 1 CARTON (59779-671-16) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
59779-671
CVS Pharmacy cold and cough nighttime 237 mL in 1 BOTTLE (59779-293-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
59779-293
CVS Pharmacy Nighttime Cold and Flu Relief 177 mL in 1 BOTTLE (59779-335-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
59779-335
CVS Pharmacy Nighttime Cold and Flu Relief 237 mL in 1 BOTTLE (59779-335-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
59779-335
DOH 690-292 May 2016 77 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCVS Pharmacy Nighttime Cold and Flu Relief 295 mL in 1 BOTTLE (59779-335-38) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
59779-335
CVS Pharmacy Nighttime Cold and Flu Relief 355 mL in 1 BOTTLE (59779-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
59779-335
CVS Pharmacy Nighttime Cold and Flu Relief 2 BOTTLE in 1 PACKAGE (59779-335-50) > 355 mL in 1 BOTTLE
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
59779-335
CVS Pharmacy CVS Nighttime Cold/Flu Relief 177 mL in 1 BOTTLE (59779-041-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
59779-041
CVS Pharmacy CVS Nighttime Cold/Flu Relief 590 mL in 1 BOTTLE (59779-041-33) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
59779-041
CVS Pharmacy CVS Nighttime Cold/Flu Relief 296 mL in 1 BOTTLE (59779-041-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
59779-041
CVS Pharmacy CVS Nighttime Cold/Flu Relief 355 mL in 1 BOTTLE (59779-041-40) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
59779-041
CVS Pharmacy Cold Relief 237 mL in 1 BOTTLE, PLASTIC (59779-739-08)
325 mg/15mL, 10 mg/15mL, 6.25 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate, Phenylephrine HCl
59779-739
DOH 690-292 May 2016 78 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCVS Pharmacy Severe Nighttime 237 mL in 1 BOTTLE (59779-763-34) 650 mg/30mL, 20
mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
59779-763
CVS Pharmacy Severe Nighttime 355 mL in 1 BOTTLE (59779-763-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
59779-763
CVS Pharmacy Cold Relief 237 mL in 1 BOTTLE, PLASTIC (59779-941-08)
650 mg/30mL, 20 mg/30mL, 400 mg/30mL, 10 mg/30mL
Dextromethorphan HBr, Guaifenesin
59779-941
CVS Pharmacy Severe Daytime 237 mL in 1 BOTTLE (59779-603-34) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
59779-603
CVS Pharmacy Severe Daytime 355 mL in 1 BOTTLE (59779-603-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
59779-603
CVS Pharmacy Severe Daytime 12 BLISTER PACK in 1 CARTON (59779-631-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
59779-631
CVS Pharmacy Daytime 177 mL in 1 BOTTLE (59779-656-30) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, phenylephrine hcl
59779-656
CVS Pharmacy Daytime 237 mL in 1 BOTTLE (59779-656-34) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, phenylephrine hcl
59779-656
DOH 690-292 May 2016 79 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCVS Pharmacy Daytime 295 mL in 1 BOTTLE (59779-656-38) 325 mg/15mL, 10
mg/15mL, 5 mg/15mLacetaminophen, dextromethorphan hbr, phenylephrine hcl
59779-656
CVS Pharmacy Daytime 355 mL in 1 BOTTLE (59779-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, phenylephrine hcl
59779-656
CVS Pharmacy Cold Relief 2 BLISTER PACK in 1 CARTON (59779-402-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
59779-402
CVS Pharmacy Daytime Cold Flu Relief 2 BLISTER PACK in 1 CARTON (59779-472-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
59779-472
CVS Pharmacy Daytime Cold Flu Relief 2 BLISTER PACK in 1 CARTON (59779-472-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
59779-472
CVS Pharmacy Daytime Cold Flu Relief 3 BLISTER PACK in 1 CARTON (59779-472-36) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
59779-472
CVS Pharmacy Daytime Cold Flu Relief 4 BLISTER PACK in 1 CARTON (59779-472-48) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
59779-472
DOH 690-292 May 2016 80 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCVS Pharmacy Flu and Severe Cold and Cough 6 POWDER, FOR SOLUTION in 1
CARTON (59779-096-91)650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
59779-096
CVS Pharmacy daytime 1 BLISTER PACK in 1 CARTON (59779-215-53) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
59779-215
CVS Pharmacy daytime 2 BLISTER PACK in 1 CARTON (59779-215-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
59779-215
CVS Pharmacy daytime 4 BLISTER PACK in 1 CARTON (59779-215-67) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
59779-215
CVS Pharmacy CVS Pharmacy Daytime Severe Cough and Cold 6 GRANULE, FOR SOLUTION in 1 BOX (59779-220-06)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr and Phenylephrine HCL
59779-220
CVS Pharmacy Daytime 16 BLISTER PACK in 1 CARTON (59779-868-16) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
59779-868
CVS Pharmacy Daytime 24 BLISTER PACK in 1 CARTON (59779-868-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
59779-868
CVS Pharmacy Daytime 36 BLISTER PACK in 1 CARTON (59779-868-36) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
59779-868
DOH 690-292 May 2016 81 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCVS Pharmacy Daytime 48 BLISTER PACK in 1 CARTON
(59779-868-48) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
59779-868
CVS Pharmacy Cold Relief 2 BLISTER PACK in 1 CARTON (59779-870-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
59779-870
CVS Pharmacy Flu and Severe Cold 245 mL in 1 BOTTLE, PLASTIC (59779-926-08)
650 mg/30mL, 20 mg/30mL, 10 mg/30mL
ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
59779-926
CVS Pharmacy daytime 1 BLISTER PACK in 1 CARTON (59779-994-53) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
59779-994
CVS Pharmacy daytime 4 BLISTER PACK in 1 CARTON (59779-994-58) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
59779-994
CVS Pharmacy daytime 2 BLISTER PACK in 1 CARTON (59779-994-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
59779-994
CVS Pharmacy daytime 2 BLISTER PACK in 1 CARTON (59779-994-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
59779-994
CVS Pharmacy daytime 4 BLISTER PACK in 1 CARTON (59779-994-67) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
59779-994
CVS Pharmacy daytime 5 BLISTER PACK in 1 CARTON (59779-994-71) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
59779-994
DOH 690-292 May 2016 82 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCVS Pharmacy daytime 2 BLISTER PACK in 1 CARTON
(59779-994-73) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
59779-994
CVS Pharmacy Cold and Cough 1 BOTTLE in 1 CARTON (59779-363-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
59779-363
CVS Pharmacy Cough and Cold 2 BLISTER PACK in 1 CARTON (59779-411-21) > 8 TABLET, SUGAR COATED in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate and Dextromethorphan HBr
59779-411
CVS Pharmacy cough dm 1 BOTTLE in 1 CARTON (59779-924-21) > 89 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan polistirex 59779-924
CVS Pharmacy cough dm 1 BOTTLE in 1 CARTON (59779-924-28) > 148 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan polistirex 59779-924
CVS Pharmacy Cough DM 1 BOTTLE in 1 CARTON (59779-958-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 59779-958
CVS Pharmacy Cough DM 1 BOTTLE in 1 CARTON (59779-958-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 59779-958
CVS Pharmacy Cough DM 1 BOTTLE in 1 CARTON (59779-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 59779-384
CVS Pharmacy Cough DM 1 BOTTLE in 1 CARTON (59779-384-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 59779-384
CVS Pharmacy tussin 1 BOTTLE in 1 CARTON (59779-433-26) > 118 mL in 1 BOTTLE
30 mg/10mL Dextromethorphan Hydrobromide
59779-433
CVS Pharmacy tussin 1 BOTTLE in 1 CARTON (59779-433-34) > 237 mL in 1 BOTTLE
30 mg/10mL Dextromethorphan Hydrobromide
59779-433
CVS Pharmacy Cough DM 1 BOTTLE in 1 CARTON (59779-709-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 59779-709
CVS Pharmacy Tussin DM 1 BOTTLE in 1 BOX (59779-145-04) > 118 mL in 1 BOTTLE
30 mg/10mL, 12.5 mg/10mL
Dextromethorphan HBr, Doxylamine succinate
59779-145
DOH 690-292 May 2016 83 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCVS Pharmacy Tussin DM 1 BOTTLE in 1 BOX (59779-145-08)
> 237 mL in 1 BOTTLE30 mg/10mL, 12.5 mg/10mL
Dextromethorphan HBr, Doxylamine succinate
59779-145
CVS Pharmacy nighttime cough 295 mL in 1 BOTTLE (59779-668-38) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
59779-668
CVS Pharmacy nighttime cough 355 mL in 1 BOTTLE (59779-668-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
59779-668
CVS Pharmacy Tussin DMMaximum Strength 1 BOTTLE in 1 CARTON (59779-967-03) > 118 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL Dextromethorphan HBr, Guaifenesin
59779-967
CVS Pharmacy Tussin DMMaximum Strength 1 BOTTLE in 1 CARTON (59779-967-04) > 237 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL Dextromethorphan HBr, Guaifenesin
59779-967
CVS Pharmacy tussin dm 1 BOTTLE in 1 CARTON (59779-919-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
59779-919
CVS Pharmacy tussin dm 1 BOTTLE in 1 CARTON (59779-919-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
59779-919
CVS Pharmacy chest congestion 1 BOTTLE in 1 CARTON (59779-419-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
59779-419
CVS Pharmacy Tussin DM 1 BOTTLE in 1 CARTON (59779-557-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
59779-557
CVS Pharmacy Tussin DM 1 BOTTLE in 1 CARTON (59779-557-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
59779-557
CVS Pharmacy Tussin DM 1 BOTTLE in 1 CARTON (59779-359-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
59779-359
CVS Pharmacy Tussin DM 1 BOTTLE in 1 CARTON (59779-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
59779-359
CVS Pharmacy Tussin DM 1 BOTTLE in 1 CARTON (59779-359-40) > 355 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
59779-359
DOH 690-292 May 2016 84 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCVS Pharmacy Tussin CF 1 BOTTLE in 1 BOX (59779-047-04)
> 118 mL in 1 BOTTLE20 mg/10mL, 400 mg/10mL, 10 mg/10mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
59779-047
CVS Pharmacy Tussin CF 1 BOTTLE in 1 CARTON (59779-516-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
59779-516
CVS Pharmacy Tussin CF 1 BOTTLE in 1 CARTON (59779-516-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
59779-516
CVS Pharmacy Tussin CF 1 BOTTLE in 1 CARTON (59779-516-40) > 355 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
59779-516
CVS Pharmacy Tussin CF 1 BOTTLE, PLASTIC in 1 BOX (59779-412-04) > 118 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
59779-412
CVS Pharmacy Tussin CF 1 BOTTLE, PLASTIC in 1 BOX (59779-412-08) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
59779-412
CVS Pharmacy Severe Congestion and Cough 3 BLISTER PACK in 1 CARTON (59779-648-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
200 mg/1, 5 mg/1, 10 mg/1 Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
59779-648
CVS Pharmacy, Inc. CVS - Childrens Mucus Relief Cough, Cold and Sore Throat
118 mL in 1 BOTTLE (69842-006-24) 325 mg/10mL, 10 mg/10mL, 200 mg/10mL, 5 mg/10mL
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin and Phenylephrine hydrochloride
69842-006
CVS Pharmacy, Inc. CVS Sore Throat Mixed Berry Flavor 18 LOZENGE in 1 CARTON (59779-649-18)
7.5 mg/1, 5 mg/1 BENZOCAINE, DEXTROMETHORPHAN HYDROBROMIDE
59779-649
DOH 690-292 May 2016 85 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCCVS Pharmacy, Inc. Childrens Cough and Chest Congestion DM 1 BOTTLE in 1 CARTON (59779-907-
24) > 118 mL in 1 BOTTLE5 mg/5mL, 100 mg/5mL Dextromethorphan HBr,
Guaifenesin59779-907
CVS Pharmacy, Inc. Childrens Cough and Cold CF 1 BOTTLE in 1 CARTON (59779-984-24) > 118 mL in 1 BOTTLE
10 mg/10mL, 100 mg/10mL, 5 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCL
59779-984
CVS Pharmacy, Inc. CVS Pharmacy Cough Relief Honey Lemon Flavor 16 LOZENGE in 1 CARTON (59779-064-16)
5 mg/1, 5 mg/1 DEXTROMETHORPHAN HYDROBROMIDE, MENTHOL
59779-064
CVS Pharmacy, Inc. Childrens Daytime Cold and Cough 1 BOTTLE in 1 CARTON (59779-890-24) > 118 mL in 1 BOTTLE
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine hydrochloride
59779-890
Cypress Pharmaceutical, Inc. De-Chlor 473 mL in 1 BOTTLE (60258-521-16) 15 mg/5mL, 10 mg/5mL, 2 mg/5mL
Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride, Chlorpheniramine Maleate
60258-521
Dannso Corp./d.b.a. Essential ProducBroncomar 1 BOTTLE in 1 CARTON (70242-102-06) > 177 mL in 1 BOTTLE
250 mg/10mL, 13.33 mg/10mL, 200 mg/10mL, 5 mg/10mL
Acetaminofen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
70242-102
Dannso Corp./d.b.a. Essential ProducBroncomar 1 BOTTLE in 1 CARTON (70242-101-06) > 177 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
70242-101
Dannso Corp./d.b.a. Essential ProducBroncomar 1 BOTTLE in 1 CARTON (70242-103-06) > 177 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
70242-103
davAgen Pharmaceutical, LLC Tussin DM 1 BOTTLE, PLASTIC in 1 CARTON (76140-106-08) > 236 mL in 1 BOTTLE, PLASTIC
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide and Guaifenesin
76140-106
davAgen Pharmaceutical, LLC Tussin CF 1 BOTTLE, PLASTIC in 1 CARTON (76140-105-08) > 236 mL in 1 BOTTLE, PLASTIC
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
76140-105
D
DOH 690-292 May 2016 86 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDeliz Pharmaceutical Corp DELTUSS DMX Cough Suppressant Nasal Decongestant
Antihistamine GRAPE Flavor1 BOTTLE in 1 CARTON (58238-225-04) > 118 mL in 1 BOTTLE
1 mg/5mL, 15 mg/5mL, 30 mg/5mL
DEXCHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, PSEUDOEPHEDRINE HYDROCHLORIDE
58238-225
Deliz Pharmaceutical Corp TRISPEC DMX Pediatric Drops Cough Suppressant Expectorant CHERRY RASPBERRY Flavor
1 BOTTLE in 1 PACKAGE (58238-229-02) > 60 mL in 1 BOTTLE
10 mg/5mL, 187 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
58238-229
Deliz Pharmaceutical Corp TRISPEC DMX Cough Suppressant Expectorant Peach Flavor
1 BOTTLE in 1 PACKAGE (58238-227-04) > 118 mL in 1 BOTTLE
10 mg/5mL, 187 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
58238-227
Deliz Pharmaceutical Corp TRISPEC PSE Pediatric Drops Cough Suppressant Expectorant Nasal Decongestant GRAPE Flavor
1 BOTTLE in 1 CARTON (58238-230-02) > 60 mL in 1 BOTTLE
10 mg/5mL, 187 mg/5mL, 30 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PSEUDOEPHEDRINE HYDROCHLORIDE
58238-230
Deliz Pharmaceutical Corp TRISPEC PSE Cough Suppressant Expectorant Nasal Decongestant GRAPE Flavor
1 BOTTLE in 1 CARTON (58238-228-04) > 118 mL in 1 BOTTLE
10 mg/5mL, 187 mg/5mL, 30 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PSEUDOEPHEDRINE HYDROCHLORIDE
58238-228
DeMoulas Market Basket NIGHT-TIME 354 mL in 1 BOTTLE (53942-501-28) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
53942-501
DOH 690-292 May 2016 87 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDeMoulas Market Basket NIGHT-TIME 354 mL in 1 BOTTLE (53942-502-28) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
53942-502
DeMoulas Market Basket Cold, Flu and Sore Throat 177 mL in 1 BOTTLE (53942-516-25) 650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
53942-516
DeMoulas Market Basket DAY-TIME 354 mL in 1 BOTTLE (53942-506-28) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
53942-506
DeMoulas Market Basket Tussin DM 237 mL in 1 BOTTLE (53942-503-26) 10 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
53942-503
DeMoulas Market Basket Tussin CF Multi-Symptom Cold 237 mL in 1 BOTTLE (53942-504-26) 10 mg/5mL, 100 mg/5mL, 5 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
53942-504
Discount Drug Mart Original Night-Time 354 mL in 1 BOTTLE (53943-501-28) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
53943-501
DOH 690-292 May 2016 88 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDiscount Drug Mart Night-Time 354 mL in 1 BOTTLE (53943-502-28) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
53943-502
Discount Drug Mart Day-Time 354 mL in 1 BOTTLE (53943-506-28) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HCL
53943-506
Discount Drug Mart Night-Time 354 mL in 1 BOTTLE (53943-508-28) 30 mg/30mL, 12.5 mg/30mL
DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
53943-508
Discount Drug Mart MAXIUM STRENGTH DM MAX 117 mL in 1 BOTTLE (53943-518-25) 20 mg/20mL, 400 mg/20mL DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
53943-518
Discount Drug Mart Tussin DM 237 mL in 1 PACKAGE (53943-503-26)
10 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
53943-503
DISCOUNT DRUG MART Tussin Peak Cold sugar-free COUGH PLUS CHEST CONGESTION DM
1 BOTTLE in 1 CARTON (53943-023-20) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
53943-023
Discount Drug Mart Tussin CF 237 mL in 1 BOTTLE (53943-504-26) 10 mg/5mL, 100 mg/5mL, 5 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
53943-504
Discount Drug Mart MAXIUM STRENGTH SEVERE CONGESTION and COUGH MAX
177 mL in 1 BOTTLE (53943-517-25) 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
53943-517
DOH 690-292 May 2016 89 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDispensing Solutions, Inc. good sense tussin dm 118 mL in 1 BOTTLE (68258-8905-4) 10 mg/5mL, 100 mg/5mL Dextromethorphan HBr,
Guaifenesin68258-8905
DLC Laboratories, Inc. Bactimicina Childrens Cough and Cold 1 BOTTLE in 1 BOX (24286-1551-4) > 118 mL in 1 BOTTLE
1 mg/5mL, 7.5 mg/5mL CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE
24286-1551
DLC Laboratories, Inc. BACTIMICINA COUGH AND COLD 1 BOTTLE in 1 BOX (24286-1546-4) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
24286-1546
Dolgencorp Inc DG Health cold multi symptom 2 BLISTER PACK in 1 CARTON (55910-014-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55910-014
Dolgencorp Inc rexall night time cold and flu 237 mL in 1 BOTTLE (55910-872-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55910-872
Dolgencorp Inc rexall night time cold and flu 296 mL in 1 BOTTLE (55910-872-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55910-872
Dolgencorp Inc DG Health cold and flu relief 296 mL in 1 BOTTLE (55910-041-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
55910-041
DOH 690-292 May 2016 90 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDolgencorp Inc DG Health Cold and Flu Relief 10 BLISTER PACK in 1 CARTON
(55910-300-60) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55910-300
Dolgencorp Inc DG Health Cold and Flu Relief 6 BLISTER PACK in 1 CARTON (55910-548-53) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
55910-548
Dolgencorp Inc dg health flu and severe cold and cough 6 POWDER, FOR SOLUTION in 1 CARTON (55910-096-91)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55910-096
Dolgencorp Inc DG Health Cold and Flu Relief 237 mL in 1 BOTTLE (55910-656-34) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
55910-656
Dolgencorp Inc DG Health Cold and Flu Relief 296 mL in 1 BOTTLE (55910-656-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
55910-656
Dolgencorp Inc DG Health Cold and Flu Relief 355 mL in 1 BOTTLE (55910-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
55910-656
Dolgencorp Inc rexall dm cough and congestion relief 1 BOTTLE in 1 CARTON (55910-799-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
55910-799
Dolgencorp Inc DG Health Childrens Mucus Relief Cough 1 BOTTLE in 1 CARTON (55910-419-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
55910-419
Dolgencorp Inc dg health childrens mucus relief 1 BOTTLE in 1 CARTON (55910-839-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
55910-839
DOH 690-292 May 2016 91 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDolgencorp Inc Mucus Relief Cold, Flu and Sore Throat 237 mL in 1 BOTTLE, PLASTIC
(55910-233-08)400 mg/20mL, 20 mg/20mL, 650 mg/20mL, 10 mg/20mL
Mucinex Cold, Flu and Sore Throat Maximum Strength
55910-233
Dolgencorp, Inc. Mucus Relief DM Max 266 mL in 1 BOTTLE, PLASTIC (55910-232-09)
400 mg/20mL, 20 mg/20mL Mucinex DM Max Maximum Strength
55910-232
Dolgencorp, Inc. (DOLLAR GENERAL &Childrens Plus Cough and Runny Nose 1 BOTTLE, PLASTIC in 1 BOX (55910-297-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide
55910-297
Dolgencorp, Inc. (DOLLAR GENERAL &Childrens Plus Cough and Runny Nose 1 BOTTLE, PLASTIC in 1 BOX (55910-298-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide
55910-298
Dolgencorp, Inc. (DOLLAR GENERAL &Childrens Plus Multi Symptom Cold 1 BOTTLE, PLASTIC in 1 BOX (55910-303-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
55910-303
Dolgencorp, Inc. (DOLLAR GENERAL &Childrens Plus Multi Symptom Cold 1 BOTTLE, PLASTIC in 1 BOX (55910-043-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Phenylephrine hydrochloride
55910-043
Dolgencorp, Inc. (DOLLAR GENERAL &Childrens Plus Flu 1 BOTTLE, PLASTIC in 1 BOX (55910-031-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan Hydrobromide, Phenylephrine HCI
55910-031
DOH 690-292 May 2016 92 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDolgencorp, Inc. (DOLLAR GENERAL &Night Time Cold and Flu Relief 48 BLISTER PACK in 1 CARTON
(55910-471-48) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
55910-471
Dolgencorp, Inc. (DOLLAR GENERAL &Nitetime 4 BLISTER PACK in 1 CARTON (55910-480-48) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55910-480
Dolgencorp, Inc. (DOLLAR GENERAL &NiteTime Cold plus Flu Releif 48 BLISTER PACK in 1 CARTON (55910-045-48) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55910-045
Dolgencorp, Inc. (DOLLAR GENERAL &Mucus Relief 266 mL in 1 BOTTLE, PLASTIC (55910-336-09)
650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55910-336
Dolgencorp, Inc. (DOLLAR GENERAL &Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (55910-309-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 55910-309
Dolgencorp, Inc. (DOLLAR GENERAL &Mucus Relief DM 266 mL in 1 BOTTLE, PLASTIC (55910-505-08)
20 mg/20mL, 400 mg/20mL Dextromethorphan HBr, Guaifenesin
55910-505
Dolgencorp, Inc. (DOLLAR GENERAL &Mucus Relief DM Max 266 mL in 1 BOTTLE, PLASTIC (55910-338-09)
20 mg/20mL, 400 mg/20mL Dextromethorphan HBr, Guaifenesin
55910-338
Dolgencorp, Inc. (DOLLAR GENERAL &Mucus Relief Severe Cough and Congestion 266 mL in 1 BOTTLE (55910-013-09) 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride
55910-013
Dolgencorp, Inc. (DOLLAR GENERAL &Fast Acting Mucus Relief 266 mL in 1 BOTTLE, PLASTIC (55910-037-09)
20 mg/20mL, 400 mg/20mL, 10 mg/20mL
dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride
55910-037
DOH 690-292 May 2016 93 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDolgencorp, Inc. (DOLLAR GENERAL &Triacting Daytime Cold Cough 1 BOTTLE, PLASTIC in 1 BOX (55910-
378-04) > 118 mL in 1 BOTTLE,PLASTIC
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
55910-378
Dolgencorp, LLC DG Health Cold Head Congestion 2 BLISTER PACK in 1 CARTON (55910-393-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55910-393
DOLGENCORP, LLC Cold Head Congestion 2 BLISTER PACK in 1 CARTON (55910-473-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
55910-473
DOLGENCORP, LLC Night Time Cold Multi-Symptom 1 BLISTER PACK in 1 CARTON (55910-555-08) > 24 TABLET in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
55910-555
Dolgencorp, LLC dg health night time cold and flu relief 296 mL in 1 BOTTLE (55910-335-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55910-335
Dolgencorp, LLC dg health night time cold and flu relief 355 mL in 1 BOTTLE (55910-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55910-335
Dolgencorp, LLC dg health cold and flu relief 10 BLISTER PACK in 1 CARTON (55910-977-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55910-977
DOH 690-292 May 2016 94 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDolgencorp, LLC rexall night time cold and flu 296 mL in 1 BOTTLE (55910-990-38) 500 mg/15mL, 15
mg/15mL, 6.25 mg/15mLacetaminophen, dextromethorphan hydrobromide, doxylamine succinate
55910-990
Dolgencorp, LLC dg health cough and sore throat 237 mL in 1 BOTTLE (55910-666-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
55910-666
Dolgencorp, LLC dg health cold and flu relief 296 mL in 1 BOTTLE (55910-908-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
55910-908
Dolgencorp, LLC dg health cold and flu relief 237 mL in 1 BOTTLE (55910-459-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55910-459
Dolgencorp, LLC dg health cold and flu relief 296 mL in 1 BOTTLE (55910-459-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55910-459
Dolgencorp, LLC dg health cold and flu relief 355 mL in 1 BOTTLE (55910-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55910-459
Dolgencorp, LLC DG Health Pain Relief Cold 237 mL in 1 BOTTLE (55910-920-34) 325 mg/15mL, 10 mg/15mL, 6.25 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
55910-920
Dolgencorp, LLC Night Time Cold Max 1 BOTTLE in 1 CARTON (55910-997-20) > 240 mL in 1 BOTTLE
325 mg/15mL, 10 mg/15mL, 6.25 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate, phenylephrine hydrochloride
55910-997
DOH 690-292 May 2016 95 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDolgencorp, LLC dg health cold and flu relief 237 mL in 1 BOTTLE (55910-763-34) 650 mg/30mL, 20
mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
55910-763
Dolgencorp, LLC dg health cold and flu relief 355 mL in 1 BOTTLE (55910-763-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
55910-763
Dolgencorp, LLC dg health mucus relief 10 BLISTER PACK in 1 CARTON (55910-370-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55910-370
Dolgencorp, LLC Severe Cold and Mucus 1 BOTTLE in 1 CARTON (55910-995-20) > 240 mL in 1 BOTTLE
325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hydrobromide, phenylephrine hydrochloride, guaifenesin
55910-995
Dolgencorp, LLC DG Health Fast Acting Mucus Relief 2 BLISTER PACK in 1 CARTON (55910-922-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55910-922
Dolgencorp, LLC DG Health Cold and Flu Relief 237 mL in 1 BOTTLE (55910-737-34) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
55910-737
Dolgencorp, LLC dg health cold and flu severe 12 BLISTER PACK in 1 CARTON (55910-499-62) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55910-499
DOH 690-292 May 2016 96 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDolgencorp, LLC DG Health Fast Acting Mucus Relief 10 BLISTER PACK in 1 CARTON
(55910-106-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55910-106
Dolgencorp, LLC dg health cold head congestion severe 2 BLISTER PACK in 1 CARTON (55910-234-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55910-234
Dolgencorp, LLC DG Health cold multi symptom 2 BLISTER PACK in 1 CARTON (55910-308-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
55910-308
Dolgencorp, LLC DG Health Mucus Relief 10 BLISTER PACK in 1 CARTON (55910-381-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55910-381
DOLGENCORP, LLC Cold Multi-Symptom Severe 2 BLISTER PACK in 1 CARTON (55910-035-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55910-035
DOLGENCORP, LLC Cold and Flu 2 BLISTER PACK in 1 CARTON (55910-054-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55910-054
DOLGENCORP, LLC Cold Relief 2 BLISTER PACK in 1 CARTON (55910-470-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
55910-470
DOH 690-292 May 2016 97 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDolgencorp, LLC dg health cold plus flu relief 2 BLISTER PACK in 1 CARTON
(55910-994-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55910-994
DOLGENCORP, LLC Cough and Cold 2 BLISTER PACK in 1 CARTON (55910-411-21) > 8 TABLET, SUGAR COATED in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate, Dextromethorphan HBr
55910-411
Dolgencorp, LLC DG Health Cough DM 1 BOTTLE in 1 CARTON (55910-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 55910-384
Dolgencorp, LLC DG Health Cough DM 1 BOTTLE in 1 CARTON (55910-958-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 55910-958
Dolgencorp, LLC dg health cough 296 mL in 1 BOTTLE (55910-668-38) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
55910-668
Dolgencorp, LLC dg health cough 355 mL in 1 BOTTLE (55910-668-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
55910-668
Dolgencorp, LLC DG Health Tussin 1 BOTTLE in 1 CARTON (55910-591-26) > 118 mL in 1 BOTTLE
30 mg/10mL, 12.5 mg/10mL
dextromethorphan hbr, doxylamine succinate
55910-591
Dolgencorp, LLC dg health tussin dm 1 BOTTLE in 1 CARTON (55910-359-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
55910-359
Dolgencorp, LLC DG Health tussin cf 1 BOTTLE in 1 CARTON (55910-516-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
55910-516
Dolgencorp, LLC DG Health Triacting 1 BOTTLE in 1 CARTON (55910-444-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
55910-444
DOH 690-292 May 2016 98 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDollar General Childrens Plus Cough and Runny Nose 118 mL in 1 BOTTLE, PLASTIC
(55910-130-04)160 mg/5mL, 1 mg/5mL, 5 mg/5mL
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE
55910-130
Dollar General Childrens Plus Multi-Symptom Cold Grape 118 mL in 1 BOTTLE, PLASTIC (55910-145-04)
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
55910-145
Dollar General Night Time Original 296 mL in 1 BOTTLE, PLASTIC (55910-112-01)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55910-112
Dollar General Night Time Cherry 296 mL in 1 BOTTLE, PLASTIC (55910-113-01)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate,
55910-113
Dollar General Cough Relief 118 mL in 1 BOTTLE, PLASTIC (55910-156-04)
15 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
55910-156
Dollar General Night Time Cherry 296 mL in 1 BOTTLE, PLASTIC (55910-072-01)
15 mg/15mL, 135 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE,
55910-072
Dollar General Tussin Sugar Free Cough 118 mL in 1 BOTTLE, PLASTIC (55910-100-04)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN
55910-100
Dollar General Tussin DM 118 mL in 1 BOTTLE, PLASTIC (55910-018-04)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN
55910-018
DOH 690-292 May 2016 99 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDomel Laboratories DOMETUSS-G 4 TABLET in 1 PACKAGE (53809-205-
04)325 mg/1, 100 mg/1, 10 mg/1, 5 mg/1
ACETAMINOPHEN, GUAIFENESIN, DEXTROMETHRPHAN HBr, PHENYLEPHRINE HCL
53809-205
Domel Laboratories DOMETUSS-DM 30 mL in 1 BOTTLE (53809-201-01) 200 mg/5mL, 30 mg/5mL GUAIFENESIN, DEXTROMETHORPHAN HBr
53809-201
Domel Laboratories DOMETUSS-DM 118 mL in 1 BOTTLE (53809-201-04) 200 mg/5mL, 30 mg/5mL GUAIFENESIN, DEXTROMETHORPHAN HBr
53809-201
Domel Laboratories DOMETUSS-DMX 30 mL in 1 BOTTLE (53809-203-01) 200 mg/5mL, 30 mg/5mL, 10 mg/5mL
GUAIFENESIN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
53809-203
Domel Laboratories DOMETUSS-DMX 118 mL in 1 BOTTLE (53809-203-04) 200 mg/5mL, 30 mg/5mL, 10 mg/5mL
GUAIFENESIN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
53809-203
Domel Laboratories DOMETUSS-DMX 473 mL in 1 BOTTLE (53809-203-16) 200 mg/5mL, 30 mg/5mL, 10 mg/5mL
GUAIFENESIN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
53809-203
DZA Brands LLC healthy accents cold head congestion 2 BLISTER PACK in 1 CARTON (55316-393-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55316-393
DZA Brands LLC healthy accents multi symptom cold 1 BOTTLE in 1 CARTON (55316-903-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
55316-903
DOH 690-292 May 2016 100 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDZA Brands LLC Health Mart Multi Symptom Fever and Cold 1 BOTTLE in 1 CARTON (55316-005-
26) > 118 mL in 1 BOTTLE160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
55316-005
DZA Brands LLC healthy accents nighttime 1 BOTTLE in 1 CARTON (55316-908-30) > 177 mL in 1 BOTTLE
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
55316-908
DZA Brands LLC healthy accents nighttime 1 BOTTLE in 1 CARTON (55316-908-38) > 296 mL in 1 BOTTLE
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
55316-908
DZA Brands LLC Healthy Accents nighttime 10 BLISTER PACK in 1 CARTON (55316-977-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hbr, Doxylamine Succinate
55316-977
DZA Brands LLC Healthy Accents nighttime 12 BLISTER PACK in 1 CARTON (55316-977-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hbr, Doxylamine Succinate
55316-977
DZA Brands LLC Healthy Accents Cold and Cough 237 mL in 1 BOTTLE (55316-599-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
55316-599
DZA Brands LLC healthy accents cough and sore throat 237 mL in 1 BOTTLE (55316-666-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
55316-666
DZA Brands LLC healthy accents nighttime cold and flu 177 mL in 1 BOTTLE (55316-459-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55316-459
DZA Brands LLC healthy accents nighttime cold and flu 237 mL in 1 BOTTLE (55316-459-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55316-459
DOH 690-292 May 2016 101 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDZA Brands LLC healthy accents nighttime cold and flu 296 mL in 1 BOTTLE (55316-459-38) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
55316-459
DZA Brands LLC healthy accents nighttime cold and flu 355 mL in 1 BOTTLE (55316-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55316-459
DZA Brands LLC healthy accents nighttime cold and flu 177 mL in 1 BOTTLE (55316-335-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55316-335
DZA Brands LLC healthy accents nighttime cold and flu 237 mL in 1 BOTTLE (55316-335-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55316-335
DZA Brands LLC healthy accents nighttime cold and flu 296 mL in 1 BOTTLE (55316-335-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55316-335
DZA Brands LLC healthy accents nighttime cold and flu 355 mL in 1 BOTTLE (55316-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55316-335
DZA Brands LLC Healthy Accents Nighttime 177 mL in 1 BOTTLE (55316-041-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
55316-041
DZA Brands LLC Healthy Accents Nighttime 296 mL in 1 BOTTLE (55316-041-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
55316-041
DOH 690-292 May 2016 102 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDZA Brands LLC healthy accents nighttime cold and flu 12 BLISTER PACK in 1 CARTON
(55316-056-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55316-056
DZA Brands LLC Healthy Accents Cold and Flu 12 BLISTER PACK in 1 CARTON (55316-500-62) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55316-500
DZA Brands LLC Healthy Accents Mucus Relief 15 BLISTER PACK in 1 CARTON (55316-381-39) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55316-381
DZA Brands LLC Healthy Accents Mucus Relief 3 BLISTER PACK in 1 CARTON (55316-922-39) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55316-922
DZA Brands LLC Healthy Accents Mucus Relief 15 BLISTER PACK in 1 CARTON (55316-799-39) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55316-799
DZA Brands LLC Healthy Accents cold head congestion 2 BLISTER PACK in 1 CARTON (55316-234-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55316-234
DZA Brands LLC healthy accents daytime cold and flu 2 BLISTER PACK in 1 CARTON (55316-215-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55316-215
DOH 690-292 May 2016 103 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDZA Brands LLC healthy accents severe cold 6 POWDER, FOR SOLUTION in 1
CARTON (55316-096-91)650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55316-096
DZA Brands LLC healthy accents daytime 6 BLISTER PACK in 1 CARTON (55316-994-53) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 acetaminophen, dextromethorphan hbr, phenylephrine hcl
55316-994
DZA Brands LLC healthy accents daytime 10 BLISTER PACK in 1 CARTON (55316-994-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 acetaminophen, dextromethorphan hbr, phenylephrine hcl
55316-994
DZA Brands LLC healthy accents daytime 12 BLISTER PACK in 1 CARTON (55316-994-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 acetaminophen, dextromethorphan hbr, phenylephrine hcl
55316-994
DZA Brands LLC healthy accents daytime 8 BLISTER PACK in 1 CARTON (55316-994-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 acetaminophen, dextromethorphan hbr, phenylephrine hcl
55316-994
DZA Brands LLC healthy accents daytime 177 mL in 1 BOTTLE (55316-656-30) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
55316-656
DZA Brands LLC healthy accents daytime 237 mL in 1 BOTTLE (55316-656-34) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
55316-656
DZA Brands LLC healthy accents daytime 296 mL in 1 BOTTLE (55316-656-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
55316-656
DZA Brands LLC healthy accents daytime 355 mL in 1 BOTTLE (55316-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
55316-656
DOH 690-292 May 2016 104 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCDZA Brands LLC Healthy Accents Cold 2 BLISTER PACK in 1 CARTON
(55316-402-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55316-402
DZA Brands LLC healthy accents cold and cough DM 1 BOTTLE in 1 CARTON (55316-987-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
55316-987
DZA Brands LLC Healthy Accents Childrens Cold and Cough 1 BOTTLE in 1 CARTON (55316-031-26) > 118 mL in 1 BOTTLE
2 mg/10mL, 10 mg/10mL, 5 mg/10mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
55316-031
DZA Brands LLC Healthy Accents Tussin Cough 1 BOTTLE in 1 CARTON (55316-300-26) > 118 mL in 1 BOTTLE
30 mg/10mL Dextromethorphan Hydrobromide
55316-300
DZA Brands LLC healthy accents cough relief 1 BOTTLE in 1 CARTON (55316-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 55316-384
DZA Brands LLC Healthy Accents Night Time Cough 296 mL in 1 BOTTLE (55316-668-38) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
55316-668
DZA Brands LLC Healthy Accents Night Time Cough 355 mL in 1 BOTTLE (55316-668-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
55316-668
DZA Brands LLC healthy accents tussin dm 1 BOTTLE in 1 CARTON (55316-578-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
55316-578
DZA Brands LLC healthy accents tussin dm 1 BOTTLE in 1 CARTON (55316-359-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
55316-359
DZA Brands LLC healthy accents tussin dm 1 BOTTLE in 1 CARTON (55316-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
55316-359
DZA Brands LLC healthy accents tussin cf 1 BOTTLE in 1 CARTON (55316-516-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
55316-516
DOH 690-292 May 2016 105 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDC
Eagle Distributors,Inc ConRX DayTime 50 POUCH in 1 BOX (68737-238-22) > 2 TABLET in 1 POUCH
5 mg/1, 325 mg/1, 10 mg/1, 200 mg/1
Phenylephrine Hydrochloride, Acetaminophen, Dextromethorphan Hydrobromide, and Guaifenesin
68737-238
Eagle Distributors,Inc. ConRx NightTime 50 POUCH in 1 BOX (68737-239-23) > 2 TABLET in 1 POUCH
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine Succinate
68737-239
Eagle Distributors,Inc. ConRx 50 POUCH in 1 BOX (68737-227-11) > 2 TABLET in 1 POUCH
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
68737-227
Eagle Distributors,Inc. ConRx Cold 50 POUCH in 1 BOX (68737-232-16) > 2 TABLET in 1 POUCH
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
68737-232
Edwards Pharmaceuticals, Inc. Rynex 10 mL in 1 BOTTLE (0485-0204-10) 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
0485-0204
Edwards Pharmaceuticals, Inc. Rynex 473 mL in 1 BOTTLE (0485-0204-16) 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
0485-0204
E
DOH 690-292 May 2016 106 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCEDWARDS PHARMACEUTICALS, INC. ED-A-HIST DM 100 TABLET, COATED in 1 BOTTLE,
PLASTIC (0485-0240-01)4 mg/1, 10 mg/1, 10 mg/1 CHLORPHENIRAMINE
MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
0485-0240
EDWARDS PHARMACEUTICALS, INC. ED A-HIST DM 473 mL in 1 BOTTLE, PLASTIC (0485-0171-16)
15 mg/5mL, 4 mg/5mL, 10 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, CHLORPHENIRAMINE MALEATE, and PHENYLEPHRINE HYDROCHLORIDE
0485-0171
EFFICIENT LABORATORIES INC Rompe Pecho Max Multi Symptoms 1 BOTTLE in 1 CARTON (58593-828-08) > 237 mL in 1 BOTTLE
650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethophan HBr, Phenylephrine HCl, Guaifenesin
58593-828
Efficient Laboratories Inc Rompe Pecho 178 mL in 1 BOTTLE (58593-225-06) 10 mg/5mL, 10 mg/5mL, 10 mg/5mL
Dextromethorphan, Brompheniramine Maleate, Phenylephrine Hydrochloride
58593-225
Efficient Laboratories Inc Rompe Pecho 118 mL in 1 BOTTLE (58593-275-04) 10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
58593-275
Efficient Laboratories Inc Rompe Pecho 178 mL in 1 BOTTLE (58593-275-06) 10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
58593-275
Efficient Laboratories Inc Rompe Pecho 237 mL in 1 BOTTLE (58593-275-08) 10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
58593-275
Efficient Laboratories Inc Rompe Pecho 10 mL in 1 POUCH (58593-275-10) 10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
58593-275
DOH 690-292 May 2016 107 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCEfficient Laboratories Inc Rompe Pecho 118 mL in 1 BOTTLE (58593-235-04) 10 mg/5mL, 100 mg/5mL, 5
mg/5mLDextromethorphan HBr, Guaifenesin, Phenylephrine HCL
58593-235
Efficient Laboratories Inc Rompe Pecho 178 mL in 1 BOTTLE (58593-235-06) 10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCL
58593-235
Efficient Laboratories Inc Rompe Pecho 237 mL in 1 BOTTLE (58593-235-08) 10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCL
58593-235
Efficient Laboratories Inc. Mielim y mas 118 mL in 1 BOTTLE (58593-295-04) 15 mg/5mL Dextromethorphan 58593-295
Efficient Laboratories Inc. Mielim y mas 178 mL in 1 BOTTLE (58593-295-06) 15 mg/5mL Dextromethorphan 58593-295
Equaline Childrens Plus Cough and Runny Nose 118 mL in 1 BOTTLE, PLASTIC (41163-130-04)
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE,
41163-130
Equaline Night Time Original 296 mL in 1 BOTTLE, PLASTIC (41163-180-19)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
41163-180
Equaline Night Time Original 177 mL in 1 BOTTLE, PLASTIC (41163-180-16)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
41163-180
DOH 690-292 May 2016 108 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCEqualine Night Time Cherry 177 mL in 1 BOTTLE, PLASTIC
(41163-182-16)500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
41163-182
Equaline Cough Relief 118 mL in 1 BOTTLE, PLASTIC (41163-156-04)
15 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
41163-156
Equaline Tussin Cough Long Acting 118 mL in 1 BOTTLE, PLASTIC (41163-098-04)
10 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
41163-098
EQUALINE (SuperValu) Cold and Flu Relief 24 BLISTER PACK in 1 CARTON (41163-071-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
41163-071
EQUALINE (SuperValu) Nighttime Cold and Flu Relief 24 BLISTER PACK in 1 CARTON (41163-480-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
41163-480
EQUALINE (SuperValu) Mucus Relief Cold Flu Sore Throat 117 mL in 1 BOTTLE (41163-036-06) 650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41163-036
EQUALINE (SuperValu) Daytime Cold and Flu Relief 24 BLISTER PACK in 1 CARTON (41163-470-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41163-470
EQUALINE (SuperValu) Daytime Cold and Flu Relief 24 BLISTER PACK in 1 CARTON (41163-068-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41163-068
DOH 690-292 May 2016 109 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCEQUALINE (SuperValu) Mucus Relief 177 mL in 1 BOTTLE, PLASTIC
(41163-035-06)20 mg/20mL, 650 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41163-035
EQUALINE (SuperValu) Mucus Relief Severe Congestion Cough 117 mL in 1 BOTTLE (41163-037-06) 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41163-037
EQUALINE (SuperValu) Mucus Relief Severe Congestion and Cough 177 mL in 1 BOTTLE, PLASTIC (41163-047-06)
20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41163-047
EQUATE (Walmart Stores, Inc.) NiteTime Cold and Flu 2 BOTTLE, PLASTIC in 1 KIT (49035-044-24) > 355 mL in 1 BOTTLE,PLASTIC
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
49035-044
EQUATE (Walmart Stores, Inc.) Daytime Cold and Flu 355 mL in 1 BOTTLE, PLASTIC (49035-466-12)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49035-466
EQUATE (Walmart Stores, Inc.) Mucus Relief Severe Congestion and Cough 266 mL in 1 BOTTLE, PLASTIC (49035-037-09)
20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
49035-037
EQUATE (Walmart Stores, Inc.) Tussin CF 1 BOTTLE, PLASTIC in 1 BOX (49035-412-08) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
49035-412
Exchange Select Mucus Relief Cold, Flu and Sore Throat 177 mL in 1 BOTTLE, PLASTIC (55301-233-06)
400 mg/20mL, 20 mg/20mL, 650 mg/20mL, 10 mg/20mL
Mucinex Fast Max Cold, Flu and Sore Throat Maximum Strength
55301-233
DOH 690-292 May 2016 110 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCExchange Select Mucus Relief Severe Congestion and Cough 177 mL in 1 BOTTLE, PLASTIC
(55301-234-06)400 mg/20mL, 20 mg/20mL, 10 mg/20mL
Mucinex Fast Max Severe Congestion and Cough Maximum Strength
55301-234
Family Dollar Night Time Cherry 296 mL in 1 BOTTLE, PLASTIC (55319-140-31)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide and Doxylamine Succinate
55319-140
Family Dollar Night Time Original 296 mL in 1 BOTTLE, PLASTIC (55319-146-01)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide and Doxylamine Succinate
55319-146
Family Dollar Nighttime Multi-Symptom Cold and Flu Relief 1 BLISTER PACK in 1 CARTON (55319-535-02) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
55319-535
Family Dollar Cold and Flu Relief 2 BLISTER PACK in 1 CARTON (55319-660-21) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55319-660
Family Dollar Multi-Symptom Cold Flu and Sore Throat 2 BLISTER PACK in 1 PACKAGE (55319-616-09) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55319-616
Family Dollar Flu Relief Therapy Day Time 245 mL in 1 BOTTLE, PLASTIC (55319-210-48)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55319-210
Family Dollar Cold and Flu Relief 1 BLISTER PACK in 1 CARTON (55319-659-21) > 16 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
55319-659
F
DOH 690-292 May 2016 111 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCFamily Dollar Non-Drowsy Daytime Multi-Symptom Cold and Flu 2 BLISTER PACK in 1 CARTON
(55319-534-21) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
55319-534
Family Dollar Day Time 296 mL in 1 BOTTLE, PLASTIC (55319-341-61)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen.Dextromethorphan Hydrobromide and Phenylephrine Hydrochloride
55319-341
Family Dollar Cough and Cold HBP 2 BLISTER PACK in 1 CARTON (55319-411-21) > 8 TABLET, SUGAR COATED in 1 BLISTER PACK
4 mg/1, 30 mg/1 chlorpheniramine maleate and dextromethorphan hbr
55319-411
Family Dollar Cough Relief 118 mL in 1 BOTTLE, PLASTIC (55319-310-44)
15 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
55319-310
Family Dollar Night Time Cough Cherry 296 mL in 1 BOTTLE, PLASTIC (55319-042-01)
15 mg/15mL, 135 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
55319-042
Family Dollar Mucus Relief DM 1 BOTTLE, PLASTIC in 1 CARTON (55319-533-01) > 30 TABLET, FILM COATED in 1 BOTTLE, PLASTIC
20 mg/1, 400 mg/1 Dextromethorphan HBr and Guiafenesin
55319-533
Family Dollar Tussin DM 237 mL in 1 BOTTLE, PLASTIC (55319-040-88)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN
55319-040
Family Dollar Tussin CF 118 mL in 1 BOTTLE, PLASTIC (55319-241-14)
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
55319-241
Family Dollar (FAMILY WELLNESS) Childrens Plus Multi Symptom Cold 1 BOTTLE, PLASTIC in 1 BOX (55319-304-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
55319-304
DOH 690-292 May 2016 112 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCFamily Dollar (FAMILY WELLNESS) Cold and Flu 296 mL in 1 BOTTLE, PLASTIC
(55319-342-10)500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55319-342
Family Dollar (FAMILY WELLNESS) Cold and Flu 296 mL in 1 BOTTLE, PLASTIC (55319-346-10)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55319-346
Family Dollar (FAMILY WELLNESS) Nighttime Cold and Flu Relief 2 BLISTER PACK in 1 CARTON (55319-480-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55319-480
Family Dollar (FAMILY WELLNESS) Nighttime Cold and Flu Relief 2 BLISTER PACK in 1 CARTON (55319-480-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55319-480
Family Dollar (FAMILY WELLNESS) Nighttime Multi Symptom Cold and Flu Relief 48 BLISTER PACK in 1 CARTON (55319-771-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
55319-771
Family Dollar (FAMILY WELLNESS) Severe cold and flu 237 mL in 1 BOTTLE, PLASTIC (55319-416-08)
650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Phenylephrine HCI
55319-416
Family Dollar (FAMILY WELLNESS) Severe Cold Multi Symptom 237 mL in 1 BOTTLE, PLASTIC (55319-001-08)
650 mg/30mL, 20 mg/30mL, 400 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55319-001
DOH 690-292 May 2016 113 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCFamily Dollar (FAMILY WELLNESS) Daytime Severe Cold and Cough Relief 245 mL in 1 BOTTLE, PLASTIC
(55319-316-08)650 mg/30mL, 20 mg/30mL, 10 mg/30mL
ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
55319-316
Family Dollar (FAMILY WELLNESS) Daytime Cold and Flu 296 mL in 1 BOTTLE, PLASTIC (55319-066-10)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55319-066
Family Dollar (FAMILY WELLNESS) Non-Drowsy Daytime Multi Symptom Cold and Flu Relief
16 BLISTER PACK in 1 CARTON (55319-468-16) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
55319-468
Family Dollar (FAMILY WELLNESS) Daytime Cold and Flu Relief 2 BLISTER PACK in 1 CARTON (55319-470-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55319-470
Family Dollar (FAMILY WELLNESS) Daytime Cold and Flu Relief 2 BLISTER PACK in 1 CARTON (55319-470-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55319-470
Family Dollar (FAMILY WELLNESS) Childrens Cold and Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (55319-313-04) > 118 mL in 1 BOTTLE,PLASTIC
2 mg/10mL, 10 mg/10mL, 5 mg/10mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
55319-313
Family Dollar (FAMILY WELLNESS) Mucus Relief 177 mL in 1 BOTTLE, PLASTIC (55319-336-06)
20 mg/20mL, 650 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55319-336
Family Dollar (FAMILY WELLNESS) Night Time Cough 296 mL in 1 BOTTLE, PLASTIC (55319-345-10)
30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
55319-345
DOH 690-292 May 2016 114 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCFamily Dollar (FAMILY WELLNESS) Tussin Cough and Chest Congestion DM 1 BOTTLE, PLASTIC in 1 BOX (55319-
385-08) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
55319-385
Family Dollar (FAMILY WELLNESS) Mucus Relief Cough 1 BOTTLE, PLASTIC in 1 BOX (55319-294-04) > 118 mL in 1 BOTTLE,PLASTIC
5 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifensin
55319-294
Family Dollar (FAMILY WELLNESS) Mucus Relief Severe Congestion and Cough 177 mL in 1 BOTTLE, PLASTIC (55319-337-06)
20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55319-337
Family Dollar (FAMILY WELLNESS) Multi Symptom Cold CF 1 BOTTLE, PLASTIC in 1 BOX (55319-382-04) > 118 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine
55319-382
Family Dollar (FAMILY WELLNESS) Cold and Cough Day Time 1 BOTTLE, PLASTIC in 1 BOX (55319-378-04) > 118 mL in 1 BOTTLE,PLASTIC
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
55319-378
Family Dollar (FAMILY WELLNESS) Mucus Relief 1 BOTTLE, PLASTIC in 1 BOX (55319-109-30) > 30 TABLET in 1 BOTTLE,PLASTIC
400 mg/1, 20 mg/1 Guaifenesin, Dextromethorphan HBr
55319-109
FAZ Marketing Multi Symptom Cold 1 BOTTLE in 1 BOX (50061-381-04) > 118 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL, 5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
50061-381
FAZ Marketing Multi Symptom Cold CF 1 BOTTLE, PLASTIC in 1 BOX (50061-412-04) > 118 mL in 1 BOTTLE,PLASTIC
10 mg/5mL, 200 mg/5mL, 5 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
50061-412
First Aid Beverages, Inc. First Aid Shot Therapy Cold Relief 40 mL in 1 BOTTLE, PLASTIC (57815-031-01)
20 mg/40mL, 10 mg/40mL, 8.5 mg/40mL
Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride, and Menthol
57815-031
DOH 690-292 May 2016 115 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCFood Lion Flu Relief Therapy Day Time 245 mL in 1 BOTTLE, PLASTIC
(55316-155-08)325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55316-155
Food Lion Cough Relief 118 mL in 1 BOTTLE, PLASTIC (55316-156-04)
15 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
55316-156
Food Lion Childrens Relief Cherry 118 mL in 1 BOTTLE, PLASTIC (55316-158-04)
5 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
55316-158
FORTUNE PHARMACAL COMPANY LI COLTALIN-DM 24 TABLET in 1 CARTON (51467-007-01)
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
51467-007
Freds Inc Childrens Plus Cough and Runny Nose 1 BOTTLE, PLASTIC in 1 BOX (55315-297-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide
55315-297
Freds Inc Childrens Plus Flu 1 BOTTLE, PLASTIC in 1 BOX (55315-300-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan Hydrobromide, Phenylephrine HCI
55315-300
DOH 690-292 May 2016 116 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCFreds Inc Childrens Plus Multi Symptom Cold 1 BOTTLE, PLASTIC in 1 BOX (55315-
304-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Phenylephrine hydrochloride
55315-304
Freds Inc Night time multi symptom cold/flu relief 2 BLISTER PACK in 1 CARTON (55315-480-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55315-480
Freds Inc Cold and Flu 355 mL in 1 BOTTLE, PLASTIC (55315-342-12)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55315-342
Freds Inc Cold and Flu 355 mL in 1 BOTTLE, PLASTIC (55315-344-12)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55315-344
Freds Inc Night Time Cold and Flu Relief 16 BLISTER PACK in 1 CARTON (55315-471-16) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
55315-471
Freds Inc Daytime Flu Relief Therapy 245 mL in 1 BOTTLE, PLASTIC (55315-316-08)
650 mg/30mL, 20 mg/30mL, 10 mg/30mL
ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
55315-316
Freds Inc Daytime cold and flu relief 2 BLISTER PACK in 1 CARTON (55315-468-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55315-468
DOH 690-292 May 2016 117 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCFreds Inc Non Drowsy Day Time 2 BLISTER PACK in 1 CARTON
(55315-470-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55315-470
Freds Inc Cold and Flu 355 mL in 1 BOTTLE, PLASTIC (55315-066-12)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55315-066
Freds Inc Childrens Dibromm Cold and Cough 1 BOTTLE, PLASTIC in 1 BOX (55315-313-04) > 118 mL in 1 BOTTLE,PLASTIC
2 mg/10mL, 10 mg/10mL, 5 mg/10mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
55315-313
Freds Inc Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (55315-309-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 55315-309
Freds Inc Nighttime Cough Relief 355 mL in 1 BOTTLE, PLASTIC (55315-345-12)
30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
55315-345
Freds Inc Adult Tussin Cough and Chest Congestion DM 1 BOTTLE, PLASTIC in 1 BOX (55315-384-04) > 118 mL in 1 BOTTLE,PLASTIC
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
55315-384
Freds Inc Adult Tussin Cough and Chest Congestion DM 1 BOTTLE, PLASTIC in 1 BOX (55315-385-08) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
55315-385
Freds Inc Tussin Multi Symptom Cold CF 1 BOTTLE, PLASTIC in 1 BOX (55315-382-04) > 118 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine
55315-382
Freds Inc Mucus Relief Severe Congestion and Cough 177 mL in 1 BOTTLE, PLASTIC (55315-337-06)
20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55315-337
DOH 690-292 May 2016 118 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCFRED'S, INC. Nighttime Cold Head Congestion 2 BLISTER PACK in 1 CARTON
(55315-473-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
55315-473
Fred's, Inc. COLD and FLU Nighttime Relief 2 BOTTLE in 1 CARTON (55315-357-31) > 355 mL in 1 BOTTLE
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Doxylamine succinate, and Dextromethorphan HBr
55315-357
Fred's, Inc. COLD and FLU Nighttime Relief 355 mL in 1 BOTTLE (55315-358-31) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Doxylamine succinate, and Dextromethorphan HBr
55315-358
Fred's, Inc. NightTime Relief Severe Cold and Flu 354 mL in 1 BOTTLE (55315-365-31) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
acetaminophen, doxylamine succinate, phenylephrine hcl and dextromethorphan hbr
55315-365
Fred's, Inc. Daytime Relief Severe Cold and Flu 354 mL in 1 BOTTLE (55315-359-31) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, phenylephrine hcl, dextromethorphan hbr and guaifenesin
55315-359
FRED'S, INC. Cold Head Congestion 2 BLISTER PACK in 1 CARTON (55315-503-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Phenylephrine HCl, Dextromethorphan HBr and Guaifenesin
55315-503
FRED'S, INC. Cold 2 BLISTER PACK in 1 CARTON (55315-560-08) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
55315-560
FRED'S, INC. Cold Head Congestion Daytime 2 BLISTER PACK in 1 BOX (55315-047-08) > 12 TABLET, FILM COATEDin 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
55315-047
DOH 690-292 May 2016 119 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCFRED'S, INC. Cough and Cold HBP 2 BLISTER PACK in 1 CARTON
(55315-411-21) > 8 TABLET, COATED in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate and Dextromethorphan HBr
55315-411
Gadal Laboratories Inc Broncomar 1 BOTTLE in 1 CARTON (53113-215-06) > 177 mL in 1 BOTTLE
250 mg/10mL, 13.33 mg/10mL, 200 mg/10mL, 5 mg/10mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
53113-215
Gadal Laboratories Inc Broncomar 1 BOTTLE in 1 CARTON (53113-216-06) > 177 mL in 1 BOTTLE
30 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
53113-216
Gadal Laboratories Inc Broncomar 1 BOTTLE in 1 CARTON (53113-217-06) > 177 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
53113-217
Gadal Laboratories Inc Gadavyt Cough 118 mL in 1 BOTTLE (53113-557-04) 10 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
53113-557
Geiss, Destin & Dunn, Inc (GoodsenseNighttime 2 BLISTER PACK in 1 CARTON (50804-480-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
50804-480
Geiss, Destin & Dunn, Inc (GoodsenseNighttime 2 BLISTER PACK in 1 CARTON (50804-480-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
50804-480
Genomma Lab USA Next Night Time 10 CAPSULE, LIQUID FILLED in 1 BOX (50066-357-09)
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan, Doxylamine succinate
50066-357
Genomma Lab USA Next Day Time 10 CAPSULE, LIQUID FILLED in 1 BOX (50066-356-09)
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen 325 mg, Dextromethorphan HBr 10 mg, Phenylephrine HCI 5 mg
50066-356
G
DOH 690-292 May 2016 120 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCGenomma Lab USA, Inc Tukol Maxium Strength Cough and Mucus Relief 20 BLISTER PACK in 1 CARTON
(50066-601-02) > 1 CAPSULE, GELATIN COATED in 1 BLISTER PACK
10 mg/1, 200 mg/1 DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
50066-601
Genomma Lab USA, Inc. Tukol Multi Symptom Cold 118 mL in 1 BOTTLE (50066-504-24) 10 mg/5mL, 100 mg/5mL, 5 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
50066-504
Genomma Lab USA, Inc. Tukol X-Pecto Miel 118 mL in 1 BOTTLE (50066-533-24) 10 mg/5mL, 100 mg/5mL, 5 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
50066-533
Genomma Lab USA, Inc. Tukol A 118 mL in 1 BOTTLE (50066-536-24) 5 mg/5mL, 50 mg/5mL, 2.5 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
50066-536
Geri-Care Pharmaceuticals, Corp Guaiasorb DM 118 mL in 1 BOTTLE, PLASTIC (57896-756-04)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide and Guaifenesin
57896-756
Gil Pharmaceutical Corp GILTUSS PEDIATRIC 1 BOTTLE in 1 CARTON (58552-121-02) > 60 mL in 1 BOTTLE
7.5 mg/mL, 88 mg/mL, 2.5 mg/mL
dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
58552-121
DOH 690-292 May 2016 121 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCGil Pharmaceutical Corp Giltuss 30 mL in 1 BOTTLE (58552-122-01) 28 mg/5mL, 388 mg/5mL,
10 mg/5mLDextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
58552-122
Gil Pharmaceutical Corp Giltuss 237 mL in 1 BOTTLE (58552-122-08) 28 mg/5mL, 388 mg/5mL, 10 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
58552-122
Gil Pharmaceutical Corp GILTUSS TOTAL RELEASE 100 TABLET in 1 BOTTLE (58552-317-01)
388 mg/1, 28 mg/1, 10 mg/1
Guaifenesin, Dextromethorphan HBr, and Phenylephrine HCl
58552-317
Gil Pharmaceutical Corp GILTUSS TOTAL RELEASE 12 BLISTER PACK in 1 CARTON (58552-317-02) > 2 TABLET in 1 BLISTER PACK
388 mg/1, 28 mg/1, 10 mg/1
Guaifenesin, Dextromethorphan HBr, and Phenylephrine HCl
58552-317
GlaxoSmithKline Consumer Healthca Theraflu 6 PACKET in 1 CARTON (0067-7917-06) > 1 POWDER, FOR SOLUTION in1 PACKET
650 mg/1, 20 mg/1, 10 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN, PHENYLEPHRINE
0067-7917
Glendale Inc Glenmax PEB DM FORTE 473 mL in 1 BOTTLE, PLASTIC (70147-223-16)
20 mg/5mL, 10 mg/5mL, 4 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE, and BROMPHENIRAMINE MALEATE
70147-223
Glendale Inc Glenmax PEB DM 473 mL in 1 BOTTLE, PLASTIC (70147-230-16)
10 mg/5mL, 5 mg/5mL, 2 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE, and BROMPHENIRAMINE MALEATE
70147-230
DOH 690-292 May 2016 122 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCGlendale Inc Glentuss 473 mL in 1 BOTTLE, PLASTIC
(70147-233-16)15 mg/5mL, 30 mg/5mL, 6.25 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, PSEUDOEPHEDRINE HYDROCHLORIDE, and DOXYLAMINE SUCCINATE
70147-233
GM Pharmaceuticals, Inc. TEXACLEAR DAYTIME COUGH COLD/FLU 237 mL in 1 BOTTLE, PLASTIC (58809-391-08)
870 mg/30mL, 20 mg/30mL, 10 mg/30mL, 200 mg/30mL
Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
58809-391
GM PHARMACEUTICALS,INC VANACOF DM 240 mL in 1 BOTTLE (58809-555-08) 18 mg/15mL, 200 mg/15mL, 10 mg/15mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
58809-555
Good Neighbor Pharmacy Childrens Plus Multi-Symptom Cold Grape 118 mL in 1 BOTTLE, PLASTIC (46122-036-26)
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Childrens Tylenol Plus Multi-Symptom Cold
46122-036
Good Neighbor Pharmacy Flu Relief Therapy Day Time 245 mL in 1 BOTTLE, PLASTIC (24385-155-08)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
24385-155
Good Neighbor Pharmacy Tussin Cough Long Acting 118 mL in 1 BOTTLE, PLASTIC (24385-098-04)
10 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
24385-098
Good Neighbor Pharmacy Cough Relief 118 mL in 1 BOTTLE, PLASTIC (24385-156-04)
15 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
24385-156
Good Neighbor Pharmacy Cough Relief Grape 118 mL in 1 BOTTLE, PLASTIC (24385-159-04)
15 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
24385-159
Good Neighbor Pharmacy Childrens Mucus Relief 118 mL in 1 BOTTLE, PLASTIC (24385-158-04)
5 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN
24385-158
DOH 690-292 May 2016 123 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCGood Neighbor Pharmacy Triacting Day Time 118 mL in 1 BOTTLE, PLASTIC
(24385-148-04)5 mg/5mL, 2.5 mg/5mL DEXTROMETHORPHAN
HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
24385-148
Good Neighbor Pharmacy Mucus Relief DM Max 177 mL in 1 BOTTLE, PLASTIC (46122-218-30)
400 mg/20mL, 20 mg/20mL Mucinex DM Max Maximum Strength
46122-218
Good Neighbor Pharmacy Mucus Relief Cold, Flu and Sore Throat 177 mL in 1 BOTTLE, PLASTIC (46122-217-30)
400 mg/20mL, 20 mg/20mL, 650 mg/20mL, 10 mg/20mL
Mucinex Cold, Flu and Sore Throat Maximum Strength
46122-217
Good Neighbor Pharmacy Mucus Relief Severe Congestion and Cough 177 mL in 1 BOTTLE, PLASTIC (46122-219-30)
400 mg/20mL, 20 mg/20mL, 10 mg/20mL
Mucinex Congestion and Cough Maximum Strength
46122-219
Good Sense (Geiss, Destin & Dunn, InDaytime 16 BLISTER PACK in 1 CARTON (50804-468-16) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
50804-468
Good Sense (Geiss, Destin & Dunn, InDaytime 24 BLISTER PACK in 1 CARTON (50804-468-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
50804-468
Good Sense (Geiss, Destin & Dunn, InDaytime 2 BLISTER PACK in 1 CARTON (50804-470-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
50804-470
Good Sense (Geiss, Destin & Dunn, InDaytime 2 BLISTER PACK in 1 CARTON (50804-470-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
50804-470
Good Sense (Geiss, Destin & Dunn, InMucus Relief DM 1 BOTTLE, PLASTIC in 1 BOX (50804-109-30) > 30 TABLET, COATED in 1BOTTLE, PLASTIC
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide and Guaifenesin
50804-109
DOH 690-292 May 2016 124 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCGoodSense Cold and Flu Severe 2 BLISTER PACK in 1 CARTON
(50804-163-05) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
50804-163
GoodSense Pressure Plus Pain PE Plus Cold 2 BLISTER PACK in 1 CARTON (50804-174-02) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
50804-174
GoodSense Cold Multi-Symptom 2 BLISTER PACK in 1 CARTON (50804-138-04) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
50804-138
GOYESCAS OF FLA Goyescas 7 Syrups Original 1 BOTTLE in 1 BOX (11856-0001-1) > 177 mL in 1 BOTTLE
10 mg/5mL, 50 mg/5mL, 5 mg/5mL
Dextromethorphan, Guaifenesin, Phenylephrine
11856-0001
GOYESCAS OF FLA Goyescas Broncovac 3 1 BOTTLE in 1 BOX (11856-0025-1) > 177 mL in 1 BOTTLE
100 mg/5mL, 5 mg/5mL, 10 mg/5mL
Dextromethorphan, Guaifenesin, Phenylephrine
11856-0025
GOYESCAS OF FLA Goyescas 7 Syrups with Bee Honey 1 BOTTLE in 1 BOX (11856-0026-1) > 177 mL in 1 BOTTLE
100 mg/5mL, 5 mg/5mL, 10 mg/5mL
Dextrmethorphan, Guaifenesin, Phenylephrine
11856-0026
GOYESCAS OF FLA Goyescas 7 Syrups Alcohol and Sugar Free 1 BOTTLE in 1 BOX (11856-0031-1) > 177 mL in 1 BOTTLE
100 mg/5mL, 5 mg/5mL, 10 mg/5mL
Dextromethorphan, Guaifenesin, Phenylephrine
11856-0031
GOYESCAS OF FLA Goyescas Broncovac 1 1 BOTTLE in 1 BOX (11856-0016-1) > 177 mL in 1 BOTTLE
5 mg/5mL, 10 mg/5mL, 50 mg/5mL
Dextromethorphan, Guaifenesin, Phenylephrine
11856-0016
GOYESCAS OF FLA Goyescas Broncovac 2 1 BOTTLE in 1 BOX (11856-0017-1) > 177 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 10 mg/5mL
Dextromethorphan, Guafenesin, Phenylephrine
11856-0017
DOH 690-292 May 2016 125 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCGrandall Distributing Co., Inc. Adult Flu and Cough sanaflu 12 CAPSULE, GELATIN COATED in 1
BOX (48201-001-12)250 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
48201-001
Grandall Distributing Co., Inc. sanaflu Night-Time Xtreme Multi-Symptom Cold/Flu Relief Cherry Flavor
1 BOTTLE in 1 PACKAGE (48201-008-01) > 177 mL in 1 BOTTLE
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
ACETAMINOPHEN, DEXTROMETHORPHAN HBR, DOXYLAMINE SUCCINATE
48201-008
GREAT LAKES WHOLESALE, MARKETI Multi-Symptom Cold Daytime 2 BLISTER PACK in 1 CARTON (64092-870-24) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
64092-870
Green Choice for Life Green Tussin SUGAR FREE 180 mL in 1 CARTON (55287-101-06)
10 mg/15mL, 100 mg/15mL Green Tussin SUGAR FREE DM 55287-101
Green Choice for Life Green Tussin 1 BOTTLE in 1 CARTON (55287-100-06) > 180 mL in 1 BOTTLE
100 mg/15mL, 10 mg/15mL Guaifenesin, Dextromethorphan HBr
55287-100
Greenbrier International NiteTime 1 BLISTER PACK in 1 CARTON (33992-0621-0) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine Succinate
33992-0621
Greenbrier International Daytime 1 BLISTER PACK in 1 CARTON (33992-0611-0) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
33992-0611
GREENBRIER INTERNATIONAL, INC. Cold and Flu Severe 2 BLISTER PACK in 1 CARTON (33992-5031-8) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
33992-5031
DOH 690-292 May 2016 126 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCGREENBRIER INTERNATIONAL, INC. Cold Multi-Symptom 1 BLISTER PACK in 1 CARTON
(33992-0503-2) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Phenylephrine HCl, Dextromethorphan HBr and Guaifenesin
33992-0503
GREENBRIER INTERNATIONAL, INC. Cold Multi-Symptom 2 BLISTER PACK in 1 CARTON (33992-0503-8) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Phenylephrine HCl, Dextromethorphan HBr and Guaifenesin
33992-0503
Guardian Drug Company Tussnex FM Cold, Flu and Sore Throat 177 mL in 1 CARTON (53041-618-58)
650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acteaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
53041-618
Guardian Drug Company Childrens Tussnex 1 BOTTLE in 1 CARTON (53041-622-03) > 118 mL in 1 BOTTLE
325 mg/10mL, 10 mg/10mL, 5 mg/10mL, 200 mg/10mL
Acteaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
53041-622
Guardian Drug Company Childrens Metapp Daytime 1 BOTTLE in 1 CARTON (53041-577-03) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
53041-577
Guardian Drug Company Maximum strength Tussnex FM DM Max 177 mL in 1 BOTTLE (53041-628-58) 20 mg/20mL, 400 mg/20mL Dextromethorphan HBr, Guaifenesin
53041-628
Guardian Drug Company Childrens Tussnex Multi-symptom cold 1 BOTTLE in 1 CARTON (53041-615-03) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
53041-615
Guardian Drug Company Tussnex FM Severe cough and congestion 177 mL in 1 BOTTLE (53041-617-58) 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
53041-617
DOH 690-292 May 2016 127 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDC
H E B rx act cough and sore throat 237 mL in 1 BOTTLE (37808-698-34) 500 mg/15mL, 15 mg/15mL Acetaminophen, Dextromethorphan HBr
37808-698
H E B Cold and Cough 237 mL in 1 BOTTLE (37808-800-34) 500 mg/15mL, 15 mg/15mL Acetaminophen, Dextromethorphan HBr
37808-800
H E B Cold and Cough 237 mL in 1 BOTTLE (37808-902-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
37808-902
H E B rx act nighttime 2 BLISTER PACK in 1 CARTON (37808-977-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
37808-977
H E B rx act cough and sore throat 237 mL in 1 BOTTLE (37808-666-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
37808-666
H E B night time 12 BLISTER PACK in 1 CARTON (37808-056-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37808-056
H E B night time 12 BLISTER PACK in 1 CARTON (37808-061-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
37808-061
H E B night time 237 mL in 1 BOTTLE (37808-335-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37808-335
H E B night time 355 mL in 1 BOTTLE (37808-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37808-335
H
DOH 690-292 May 2016 128 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCH E B night time 296 mL in 1 BOTTLE (37808-459-38) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
37808-459
H E B night time 355 mL in 1 BOTTLE (37808-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37808-459
H E B night time 2 BOTTLE in 1 PACKAGE (37808-459-50) > 355 mL in 1 BOTTLE
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37808-459
H E B Night Time Liquid Caps 2 BLISTER PACK in 1 CARTON (37808-480-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
37808-480
H E B nighttime severe cold and flu 355 mL in 1 BOTTLE (37808-763-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
37808-763
H E B cold multi symptom 237 mL in 1 BOTTLE (37808-920-34) 325 mg/15mL, 10 mg/15mL, 6.25 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
37808-920
H E B daytime severe cold and flu 355 mL in 1 BOTTLE (37808-603-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
37808-603
H E B cold relief 2 BLISTER PACK in 1 CARTON (37808-234-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
37808-234
DOH 690-292 May 2016 129 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCH E B cold relief 2 BLISTER PACK in 1 CARTON
(37808-308-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
37808-308
H E B MAX Cold, Flu, and Sore Throat 117 mL in 1 BOTTLE (37808-316-25) 650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
ACETAMINOPHEN,DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN , PHENYLEPHRINE HCL
37808-316
H E B Rx Act Flu and severe cold and cough 6 POWDER, FOR SOLUTION in 1 CARTON (37808-096-91)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
37808-096
H E B Flu Relief Therapy 245 mL in 1 BOTTLE, PLASTIC (37808-016-08)
650 mg/30mL, 20 mg/30mL, 10 mg/30mL
ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
37808-016
H E B Day Time Cold Flu Relief 2 BLISTER PACK in 1 CARTON (37808-470-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
37808-470
H E B Rx Act Cold Head Congestion 2 BLISTER PACK in 1 CARTON (37808-402-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
37808-402
H E B flu and severe cold and cough 6 POUCH in 1 CARTON (37808-444-91) > 1 POWDER, FOR SOLUTION in1 POUCH
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
37808-444
DOH 690-292 May 2016 130 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCH E B DayTime 296 mL in 1 BOTTLE (37808-656-38) 325 mg/15mL, 10
mg/15mL, 5 mg/15mLacetaminophen, dextromethorphan Hbr, Phenylephrine HCl
37808-656
H E B DayTime 355 mL in 1 BOTTLE (37808-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
37808-656
H E B Day Time 2 BLISTER PACK in 1 CARTON (37808-702-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
37808-702
H E B day time 10 BLISTER PACK in 1 CARTON (37808-994-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
37808-994
H E B day time 12 BLISTER PACK in 1 CARTON (37808-994-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
37808-994
H E B cold and cough 1 BOTTLE in 1 CARTON (37808-987-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
37808-987
H E B Tussin Cough 1 BOTTLE in 1 CARTON (37808-504-34) > 237 mL in 1 BOTTLE
15 mg/5mL Dextromethorphan Hydrobromide
37808-504
H E B Cough DM 1 BOTTLE in 1 CARTON (37808-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 37808-384
H E B Cough DM 1 BOTTLE in 1 CARTON (37808-384-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 37808-384
H E B RX Act Tussin 1 BOTTLE in 1 CARTON (37808-300-34) > 237 mL in 1 BOTTLE
15 mg/5mL Dextromethorphan Hydrobromide
37808-300
DOH 690-292 May 2016 131 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCH E B night time 237 mL in 1 BOTTLE (37808-668-34) 30 mg/30mL, 12.5
mg/30mLDextromethorphan HBr, Doxylamine succinate
37808-668
H E B night time 296 mL in 1 BOTTLE (37808-668-38) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr, Doxylamine succinate
37808-668
H E B night time 355 mL in 1 BOTTLE (37808-668-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr, Doxylamine succinate
37808-668
H E B tussin cough and chest congestion DM 1 BOTTLE in 1 CARTON (37808-799-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
37808-799
H E B tussin cough and chest congestion DM 1 BOTTLE in 1 CARTON (37808-799-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
37808-799
H E B daytime 296 mL in 1 BOTTLE (37808-818-38) 10 mg/15mL, 200 mg/15mL Dextromethorphan HBr, Guaifenesin
37808-818
H E B Tussin DM 1 BOTTLE in 1 CARTON (37808-359-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
37808-359
H E B Tussin DM 1 BOTTLE in 1 CARTON (37808-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
37808-359
H E B Tussin DM 1 BOTTLE in 1 CARTON (37808-359-40) > 355 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
37808-359
H E B tussin dm 1 BOTTLE in 1 CARTON (37808-578-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
37808-578
H E B Tussin 1 BOTTLE in 1 CARTON (37808-601-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
37808-601
H E B Tussin 1 BOTTLE in 1 CARTON (37808-601-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
37808-601
H E B Rx Act Tussin CF 1 BOTTLE in 1 CARTON (37808-516-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
37808-516
DOH 690-292 May 2016 132 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCH E B Rx Act Tussin CF 1 BOTTLE in 1 CARTON (37808-516-
34) > 237 mL in 1 BOTTLE10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
37808-516
H E B H E B MAX SEVERE CONGESTION and COUGH 177 mL in 1 BOTTLE (37808-317-25) 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
37808-317
H.E.B Night Time Original 296 mL in 1 BOTTLE, PLASTIC (59640-112-01)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate,
59640-112
H.E.B Night Time Cherry 296 mL in 1 BOTTLE, PLASTIC (59640-113-01)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromidem, Doxylamine Succinate
59640-113
H.E.B Flu Relief Therapy Day Time 245 mL in 1 BOTTLE, PLASTIC (59640-155-08)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
59640-155
H.E.B Tussin Cough Long Acting 237 mL in 1 BOTTLE, PLASTIC (59640-098-08)
10 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
59640-098
H.E.B Night Time Cherry 177 mL in 1 BOTTLE, PLASTIC (59640-072-06)
15 mg/15mL, 135 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
59640-072
H.E.B Night Time Cherry 296 mL in 1 BOTTLE, PLASTIC (59640-072-01)
15 mg/15mL, 135 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
59640-072
DOH 690-292 May 2016 133 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCH.E.B. Childrens Mucus Relief Cherry 118 mL in 1 BOTTLE, PLASTIC
(59640-158-04)5 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN
HYDROBROMIDE, GUAIFENESIN
59640-158
Han Kook Shin Yak Pharmaceutical C HANSHINNOCOL 10 BOX in 1 CARTON (53153-101-05) > 3 BOTTLE in 1 BOX (53153-101-04) > 30 mL in 1 BOTTLE (53153-101-01)
200 mg/30mL, 2.5 mg/30mL, 15 mg/30mL
Acetaminophen, Cholorpheniramine Maleate, Dextromethorphan Hydrobromide
53153-101
Han Kook Shin Yak Pharmaceutical C HANSHINNOCOL 1 BLISTER PACK in 1 BOX (53153-102-05) > 10 CAPSULE in 1 BLISTERPACK (53153-102-04) > 500 mg in 1CAPSULE (53153-102-01)
100 mg/500mg, 1.25 mg/500mg, 7.5 mg/500mg
Acetaminophen, Cholorpheniramine Maleate, Dextromethorphan Hydrobromide
53153-102
Hannaford Brothers Company plus multi symptom cold 1 BOTTLE in 1 CARTON (41268-903-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
41268-903
Hannaford Brothers Company Night Time 2 BLISTER PACK in 1 CARTON (41268-977-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
41268-977
Hannaford Brothers Company NightTime 177 mL in 1 BOTTLE (41268-041-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
41268-041
Hannaford Brothers Company NightTime 296 mL in 1 BOTTLE (41268-041-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
41268-041
DOH 690-292 May 2016 134 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHannaford Brothers Company daytime 1 BLISTER PACK in 1 CARTON
(41268-215-53) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41268-215
Hannaford Brothers Company daytime 2 BLISTER PACK in 1 CARTON (41268-215-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41268-215
Hannaford Brothers Company Night Time 296 mL in 1 BOTTLE (41268-668-38) 15 mg/15mL, 6.25 mg/15mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
41268-668
Hannaford Brothers Company tussin cough dm 1 BOTTLE in 1 CARTON (41268-359-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
41268-359
Hannaford Brothers Company tussin cough dm 1 BOTTLE in 1 CARTON (41268-359-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
41268-359
Hannaford Brothers Company tussin cough dm 1 BOTTLE in 1 CARTON (41268-359-40) > 355 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
41268-359
Hannaford Brothers Company Tussin Cough DM 1 BOTTLE in 1 CARTON (41268-578-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
41268-578
Harmon Stores Inc. harmon face values night time relief 355 mL in 1 BOTTLE (63940-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
63940-335
Harmon Stores Inc. harmon face values night time relief 296 mL in 1 BOTTLE (63940-459-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
63940-459
Harmon Stores Inc. harmon face values night time relief 355 mL in 1 BOTTLE (63940-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
63940-459
DOH 690-292 May 2016 135 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHarmon Stores Inc. Harmon Face Values Tussin DM 1 BOTTLE in 1 CARTON (63940-359-
34) > 237 mL in 1 BOTTLE20 mg/10mL, 200 mg/10mL Dextromethorphan HBr,
Guaifenesin63940-359
Harmon Stores Inc. harmon face values tussin cf 1 BOTTLE in 1 CARTON (63940-516-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
63940-516
Harris Teeter, LLC Harris Teeter NightTime Cold and Flu 12 BLISTER PACK in 1 CARTON (69256-056-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
69256-056
Harris Teeter, LLC Harris Teeter NightTime 237 mL in 1 BOTTLE (69256-335-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
69256-335
Harris Teeter, LLC Harris Teeter NightTime 335 mL in 1 BOTTLE (69256-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
69256-335
Harris Teeter, LLC Harris Teeter NightTime 237 mL in 1 BOTTLE (69256-459-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
69256-459
Harris Teeter, LLC Harris Teeter NightTime 355 mL in 1 BOTTLE (69256-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
69256-459
Harris Teeter, LLC Harris Teeter DayTime 355 mL in 1 BOTTLE (69256-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
69256-656
Harris Teeter, LLC DayTime Cold Flu 24 BLISTER PACK in 1 CARTON (69256-468-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
69256-468
DOH 690-292 May 2016 136 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHarris Teeter, LLC Cold and Flu Relief 24 BLISTER PACK in 1 CARTON
(69256-470-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
69256-470
Harris Teeter, LLC Harris Teeter Day Time 12 BLISTER PACK in 1 CARTON (69256-994-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
69256-994
Harris Teeter, LLC Harris Teeter Cough DM 1 BOTTLE in 1 CARTON (69256-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 69256-384
Harris Teeter, LLC Harris Teeter Tussin 1 BOTTLE in 1 CARTON (69256-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
69256-359
Harris Teeter, LLC Harris Teeter Tussin 1 BOTTLE in 1 CARTON (69256-799-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
69256-799
Harris Teeter, LLC Harris Teeter Tussin 1 BOTTLE in 1 CARTON (69256-516-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
69256-516
Health Care Products Diabetic Tussin Nighttime Cold and Flu 1 BOTTLE in 1 CARTON (61787-452-04) > 118 mL in 1 BOTTLE
325 mg/5mL, 10 mg/5mL, 12.5 mg/5mL
Acetaminophen, Dextromethorphan HBr, and Diphenhydramine HCl
61787-452
Health Care Products Diabetic Tussin Nighttime Cold and Flu 1 BOTTLE in 1 CARTON (61787-452-08) > 237 mL in 1 BOTTLE
325 mg/5mL, 10 mg/5mL, 12.5 mg/5mL
Acetaminophen, Dextromethorphan HBr, and Diphenhydramine HCl
61787-452
Health Care Products Diabetic Tussin DM 1 BOTTLE in 1 BOX (61787-062-04) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan hydrobromide and Guaifenesin
61787-062
Health Care Products Diabetic Tussin DM Maximum Strength 1 BOTTLE in 1 BOX (61787-064-04) > 118 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL Dextromethorphan Hydrobromide and Guaifenesin
61787-064
DOH 690-292 May 2016 137 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHealth Care Products Diabetic Tussin DM Maximum Strength 1 BOTTLE in 1 BOX (61787-064-08)
> 237 mL in 1 BOTTLE10 mg/5mL, 200 mg/5mL Dextromethorphan
Hydrobromide and Guaifenesin61787-064
Health Mart adult severe congestion and cough 177 mL in 1 BOTTLE (62011-0194-1) 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
62011-0194
Health Mart Childrens mucus relief multi-symptom cold 1 BOTTLE in 1 CARTON (62011-0195-1) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
62011-0195
HealthLife of USA NightTime Cold and Flu Relief 16 CAPSULE, LIQUID FILLED in 1 BOTTLE (69517-103-16)
325 mg/1, 10 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan, Doxylamine
69517-103
HealthLife of USA DayTime Cold and Flu Relief 16 CAPSULE, LIQUID FILLED in 1 BOTTLE (69517-102-16)
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan, Phenylephrine
69517-102
Healthy Accents (DZA Brands, LLC) Severe Cold and Cough Relief 245 mL in 1 BOTTLE, PLASTIC (55316-316-08)
650 mg/30mL, 20 mg/30mL, 10 mg/30mL
ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
55316-316
Healthy Accents (DZA Brands, LLC) Childrens Mucus Relief 1 BOTTLE, PLASTIC in 1 BOX (55316-294-04) > 118 mL in 1 BOTTLE,PLASTIC
5 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifensin
55316-294
HEB Mucus Relief Cold, Flu and Sore Throat 2 BLISTER PACK in 1 CARTON (37808-164-02) > 10 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
37808-164
DOH 690-292 May 2016 138 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHEB Mucus Relief Severe Cold 2 BLISTER PACK in 1 CARTON
(37808-079-02) > 10 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
37808-079
HEB HEB DayTime Flu And Severe Cold And Cough 6 POWDER, FOR SOLUTION in 1 CARTON (37808-539-07)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan hydrobromide, and Phenylephrine hydrochloride
37808-539
HEB Mixed Berry Sore Throat and Cough Lozenges 18 LOZENGE in 1 CARTON (37808-062-18)
7.5 mg/1, 5 mg/1 Benzocaine 37808-062
Hi-Tech Pharmacal Co., Inc. Dextromethorphan HBr and Guaifenesin 4 TRAY in 1 CASE (50383-062-06) > 10 CUP, UNIT-DOSE in 1 TRAY (50383-062-05) > 5 mL in 1 CUP, UNIT-DOSE
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr and Guaifenesin
50383-062
Hi-Tech Pharmacal Co., Inc. Dextromethorphan HBr and Guaifenesin 10 TRAY in 1 CASE (50383-062-07) > 10 CUP, UNIT-DOSE in 1 TRAY > 5 mL in 1 CUP, UNIT-DOSE
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr and Guaifenesin
50383-062
Hi-Tech Pharmacal Co., Inc. Dextromethorphan HBr and Guaifenesin 4 TRAY in 1 CASE (50383-062-11) > 10 CUP, UNIT-DOSE in 1 TRAY (50383-062-10) > 10 mL in 1 CUP, UNIT-DOSE
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr and Guaifenesin
50383-062
Hi-Tech Pharmacal Co., Inc. Dextromethorphan HBr and Guaifenesin 10 TRAY in 1 CASE (50383-062-12) > 10 CUP, UNIT-DOSE in 1 TRAY > 10 mL in 1 CUP, UNIT-DOSE
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr and Guaifenesin
50383-062
Humanwell PuraCap Pharmaceutical Maximum Strength-Cough and Chest Congestion DM 1 BAG in 1 BOX (53345-034-01) > 4000 CAPSULE, LIQUID FILLED in 1 BAG
10 mg/1, 200 mg/1 Maximum Strength-Cough and Chest Congestion DM
53345-034
DOH 690-292 May 2016 139 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHumanwell PuraCap Pharmaceutical Nighttime Cold and Flu 1 BAG in 1 BOX (53345-006-01) >
4000 CAPSULE, LIQUID FILLED in 1 BAG
325 mg/1, 15 mg/1, 6.25 mg/1
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate
53345-006
Humanwell PuraCap Pharmaceutical Nighttime Cold and Flu 1 BAG in 1 BOX (53345-026-01) > 4000 CAPSULE, LIQUID FILLED in 1 BAG
325 mg/1, 15 mg/1, 6.25 mg/1
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate
53345-026
Humanwell PuraCap Pharmaceutical Night Cold Flu Cough and Allergy 1 BAG in 1 BOX (53345-020-01) > 4000 CAPSULE, LIQUID FILLED in 1 BAG
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate, phenylephrine hydrochloride
53345-020
Humanwell PuraCap Pharmaceutical Daytime Severe Cold and Flu 1 BAG in 1 BOX (53345-021-01) > 3000 CAPSULE, LIQUID FILLED in 1 BAG
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
acetaminophen, dextromethorphan hydrobromide, Guaifenesin, phenylephrine hydrochloride
53345-021
Humanwell PuraCap Pharmaceutical DayTime Cold and Flu 1 BAG in 1 BOX (53345-025-01) > 4000 CAPSULE, LIQUID FILLED in 1 BAG
325 mg/1, 10 mg/1, 5 mg/1 acetaminophen, dextromethorphan hydrobromide, phenylephrine hydrochloride
53345-025
Humanwell PuraCap Pharmaceutical DayTime Cold and Flu 1 BAG in 1 BOX (53345-004-01) > 4000 CAPSULE, LIQUID FILLED in 1 BAG
325 mg/1, 10 mg/1, 5 mg/1 acetaminophen, dextromethorphan hydrobromide, phenylephrine hydrochloride
53345-004
Humanwell PuraCap Pharmaceutical Dextromethorphan HBr 15 mg 1 BAG in 1 BOX (53345-011-01) > 12000 CAPSULE, LIQUID FILLED in 1 BAG
15 mg/1 Dextromethorphan HBr 53345-011
DOH 690-292 May 2016 140 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHumanwell PuraCap PharmaceuticalsDextromethorphan HBr 15 mg 1 BAG in 1 BOX (53345-028-01) >
12000 CAPSULE, LIQUID FILLED in 1 BAG
15 mg/1 Dextromethorphan HBr 53345-028
Hy-Vee Severe Cold and Cough Relief 245 mL in 1 BOTTLE, PLASTIC (42507-316-08)
650 mg/30mL, 20 mg/30mL, 10 mg/30mL
ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
42507-316
Hy-Vee Cough Relief Grape 1 BOTTLE, PLASTIC in 1 BOX (42507-308-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 42507-308
Hy-Vee Mucus Relief Cold Flu and Sore Throat 177 mL in 1 BOTTLE, PLASTIC (42507-336-06)
20 mg/20mL, 650 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
42507-336
Hy-Vee Mucus Relief Maximum Strength 177 mL in 1 BOTTLE, PLASTIC (42507-338-06)
20 mg/20mL, 400 mg/20mL Dextromethorphan HBr, Guaifenesin
42507-338
Hy-Vee Mucus Relief DM 177 mL in 1 BOTTLE, PLASTIC (42507-505-06)
20 mg/20mL, 400 mg/20mL Dextromethorphan HBr, Guaifenesin
42507-505
HyVee Inc Multi Symptom Cold Plus 1 BOTTLE in 1 CARTON (42507-903-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
42507-903
HyVee Inc cold 2 BLISTER PACK in 1 CARTON (42507-014-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
42507-014
DOH 690-292 May 2016 141 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHyVee Inc multi symptom fever and cold 1 BOTTLE in 1 CARTON (42507-314-
26) > 118 mL in 1 BOTTLE160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
42507-314
HyVee Inc cold 2 BLISTER PACK in 1 CARTON (42507-393-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
42507-393
HyVee Inc cough and sore throat 1 BOTTLE in 1 CARTON (42507-196-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 5 mg/5mL Acetaminophen, Dextromethorphan HBr
42507-196
HyVee Inc cough and sore throat 1 BOTTLE in 1 CARTON (42507-023-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 5 mg/5mL Acetaminophen, Dextromethorphan HBr
42507-023
HyVee Inc Nighttime 177 mL in 1 BOTTLE (42507-908-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
42507-908
HyVee Inc Nighttime 296 mL in 1 BOTTLE (42507-908-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
42507-908
HyVee Inc Nighttime 473 mL in 1 BOTTLE (42507-908-43) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
42507-908
HyVee Inc night time 355 mL in 1 BOTTLE (42507-872-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-872
HyVee Inc cough and sore throat 237 mL in 1 BOTTLE (42507-666-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
42507-666
DOH 690-292 May 2016 142 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHyVee Inc night time 1 BLISTER PACK in 1 CARTON
(42507-977-53) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
42507-977
HyVee Inc night time 2 BLISTER PACK in 1 CARTON (42507-977-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
42507-977
HyVee Inc night time 2 BLISTER PACK in 1 CARTON (42507-977-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
42507-977
HyVee Inc night time 2 BLISTER PACK in 1 CARTON (42507-977-73) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
42507-977
HyVee Inc Nighttime Cold and Flu 296 mL in 1 BOTTLE (42507-990-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
42507-990
HyVee Inc Cold and Flu 12 BLISTER PACK in 1 CARTON (42507-998-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
42507-998
HyVee Inc Cold and Flu 8 BLISTER PACK in 1 CARTON (42507-998-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
42507-998
HyVee Inc cold and flu 355 mL in 1 BOTTLE (42507-025-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-025
DOH 690-292 May 2016 143 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHyVee Inc Nighttime Cold and Flu 177 mL in 1 BOTTLE (42507-041-30) 500 mg/15mL, 15
mg/15mL, 6.25 mg/15mLacetaminophen, dextromethorphan hydrobromide and doxylamine succinate
42507-041
HyVee Inc Nighttime Cold and Flu 296 mL in 1 BOTTLE (42507-041-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
42507-041
HyVee Inc Nighttime Cold and Flu 473 mL in 1 BOTTLE (42507-041-43) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
42507-041
HyVee Inc Cold and Flu 12 BLISTER PACK in 1 CARTON (42507-056-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-056
HyVee Inc Cold and Flu 8 BLISTER PACK in 1 CARTON (42507-056-73) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-056
HyVee Inc night time cold and flu 177 mL in 1 BOTTLE (42507-335-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-335
HyVee Inc night time cold and flu 237 mL in 1 BOTTLE (42507-335-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-335
HyVee Inc night time cold and flu 296 mL in 1 BOTTLE (42507-335-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-335
DOH 690-292 May 2016 144 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHyVee Inc night time cold and flu 355 mL in 1 BOTTLE (42507-335-40) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-335
HyVee Inc Cold and Flu 237 mL in 1 BOTTLE (42507-401-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-401
HyVee Inc Cold and Flu 355 mL in 1 BOTTLE (42507-401-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-401
HyVee Inc cold and cough 240 mL in 1 BOTTLE (42507-373-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
42507-373
HyVee Inc night time 177 mL in 1 BOTTLE (42507-459-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-459
HyVee Inc night time 237 mL in 1 BOTTLE (42507-459-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-459
HyVee Inc night time 296 mL in 1 BOTTLE (42507-459-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-459
HyVee Inc night time 355 mL in 1 BOTTLE (42507-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-459
HyVee Inc cold and flu 237 mL in 1 BOTTLE (42507-001-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-001
DOH 690-292 May 2016 145 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHyVee Inc cold and flu 355 mL in 1 BOTTLE (42507-001-40) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
42507-001
HyVee Inc severe sinus congestion 10 BLISTER PACK in 1 CARTON (42507-345-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Phenylephrine Hydrochloride
42507-345
HyVee Inc Severe Cold and Flu 12 BLISTER PACK in 1 CARTON (42507-419-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
acetaminophen, dextromethorphan hbr, doxylamine succinate, phenylephrine hcl
42507-419
HyVee Inc Severe Cold and Flu 237 mL in 1 BOTTLE (42507-020-34) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
42507-020
HyVee Inc Severe Cold and Flu 355 mL in 1 BOTTLE (42507-020-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
42507-020
HyVee Inc Severe Cold and Flu 237 mL in 1 BOTTLE (42507-763-34) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
42507-763
HyVee Inc Severe Cold and Flu 355 mL in 1 BOTTLE (42507-763-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
42507-763
DOH 690-292 May 2016 146 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHyVee Inc cold multi symptom 240 mL in 1 BOTTLE (42507-920-34) 325 mg/15mL, 10
mg/15mL, 6.25 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
42507-920
HyVee Inc Nighttime D Cold and Flu 295 mL in 1 BOTTLE (42507-609-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL, 30 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Pseudoephedrine Hydrochloride
42507-609
HyVee Inc Severe Cold and Flu 237 mL in 1 BOTTLE (42507-603-34) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
42507-603
HyVee Inc Severe Cold and Flu 355 mL in 1 BOTTLE (42507-603-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
42507-603
HyVee Inc Mucus Relief 2 BLISTER PACK in 1 CARTON (42507-922-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
42507-922
HyVee Inc mucus relief 10 BLISTER PACK in 1 CARTON (42507-705-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
42507-705
HyVee Inc cold 2 BLISTER PACK in 1 CARTON (42507-234-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
42507-234
DOH 690-292 May 2016 147 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHyVee Inc severe cold and flu 12 BLISTER PACK in 1 CARTON
(42507-251-62) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
42507-251
HyVee Inc Mucus Relief 10 BLISTER PACK in 1 CARTON (42507-381-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
42507-381
HyVee Inc Severe Cold and Flu 6 BLISTER PACK in 1 CARTON (42507-548-53) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
42507-548
HyVee Inc Severe Cold and Flu 12 BLISTER PACK in 1 CARTON (42507-548-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
42507-548
HyVee Inc pain relief cold 2 BLISTER PACK in 1 CARTON (42507-371-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
42507-371
HyVee Inc Cold and Flu 177 mL in 1 BOTTLE (42507-522-30) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
42507-522
HyVee Inc Cold and Flu 237 mL in 1 BOTTLE (42507-522-34) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
42507-522
HyVee Inc Cold and Flu 296 mL in 1 BOTTLE (42507-522-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
42507-522
DOH 690-292 May 2016 148 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHyVee Inc Cold and Flu 355 mL in 1 BOTTLE (42507-522-40) 325 mg/15mL, 10
mg/15mL, 5 mg/15mLacetaminophen, dextromethorphan Hbr, Phenylephrine HCl
42507-522
HyVee Inc Pain Relief Cold 2 BLISTER PACK in 1 CARTON (42507-402-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
42507-402
HyVee Inc day time 2 BLISTER PACK in 1 CARTON (42507-215-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
42507-215
HyVee Inc day time 2 BLISTER PACK in 1 CARTON (42507-215-73) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
42507-215
HyVee Inc Severe Cold Cough and Flu 6 POWDER, FOR SOLUTION in 1 CARTON (42507-096-91)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
42507-096
HyVee Inc cold and flu 12 BLISTER PACK in 1 CARTON (42507-700-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
42507-700
HyVee Inc cold and flu 8 BLISTER PACK in 1 CARTON (42507-700-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
42507-700
HyVee Inc day time 177 mL in 1 BOTTLE (42507-656-30) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
42507-656
DOH 690-292 May 2016 149 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHyVee Inc day time 237 mL in 1 BOTTLE (42507-656-34) 325 mg/15mL, 10
mg/15mL, 5 mg/15mLacetaminophen, dextromethorphan Hbr, Phenylephrine HCl
42507-656
HyVee Inc day time 296 mL in 1 BOTTLE (42507-656-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
42507-656
HyVee Inc day time 355 mL in 1 BOTTLE (42507-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
42507-656
HyVee Inc day time 1 BLISTER PACK in 1 CARTON (42507-994-53) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
42507-994
HyVee Inc day time 2 BLISTER PACK in 1 CARTON (42507-994-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
42507-994
HyVee Inc day time 2 BLISTER PACK in 1 CARTON (42507-994-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
42507-994
HyVee Inc day time 2 BLISTER PACK in 1 CAPSULE (42507-994-73) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
42507-994
HyVee Inc Childrens Cold and Cough 1 BOTTLE in 1 CARTON (42507-987-26) > 118 mL in 1 BOTTLE
2 mg/10mL, 10 mg/10mL, 5 mg/10mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
42507-987
HyVee Inc Tussin Cough 1 BOTTLE in 1 CARTON (42507-300-26) > 118 mL in 1 BOTTLE
30 mg/10mL Dextromethorphan Hydrobromide
42507-300
HyVee Inc cough dm 1 BOTTLE in 1 CARTON (42507-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 42507-384
DOH 690-292 May 2016 150 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHyVee Inc cough dm 1 BOTTLE in 1 CARTON (42507-384-
28) > 148 mL in 1 BOTTLE30 mg/5mL dextromethorphan polistirex 42507-384
HyVee Inc day time 296 mL in 1 BOTTLE (42507-473-38) 15 mg/15mL Dextromethorphan HBr 42507-473
HyVee Inc day time 355 mL in 1 BOTTLE (42507-473-40) 15 mg/15mL Dextromethorphan HBr 42507-473
HyVee Inc cough dm 1 BOTTLE in 1 CARTON (42507-494-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 42507-494
HyVee Inc Cough 355 mL in 1 BOTTLE (42507-500-40) 15 mg/15mL Dextromethorphan HBr 42507-500
HyVee Inc Cough DM 1 BOTTLE in 1 CARTON (42507-958-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 42507-958
HyVee Inc Cough DM 1 BOTTLE in 1 CARTON (42507-958-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 42507-958
HyVee Inc cough dm 1 BOTTLE in 1 CARTON (42507-899-21) > 89 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan polistirex 42507-899
HyVee Inc cough 237 mL in 1 BOTTLE (42507-800-34) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr, Doxylamine succinate
42507-800
HyVee Inc Nighttime Cough 177 mL in 1 BOTTLE (42507-668-30) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
42507-668
HyVee Inc Nighttime Cough 237 mL in 1 BOTTLE (42507-668-34) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
42507-668
HyVee Inc Nighttime Cough 296 mL in 1 BOTTLE (42507-668-38) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
42507-668
HyVee Inc tussin dm 1 BOTTLE in 1 CARTON (42507-578-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
42507-578
DOH 690-292 May 2016 151 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCHyVee Inc Tussin DM 1 BOTTLE in 1 CARTON (42507-359-
26) > 118 mL in 1 BOTTLE20 mg/10mL, 200 mg/10mL Dextromethorphan HBr,
Guaifenesin42507-359
HyVee Inc Tussin DM 1 BOTTLE in 1 CARTON (42507-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
42507-359
HyVee Inc tussin dm max 1 BOTTLE in 1 CARTON (42507-799-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
42507-799
HyVee Inc tussin dm max 1 BOTTLE in 1 CARTON (42507-799-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
42507-799
HyVee Inc Childrens mucus relief 1 BOTTLE in 1 CARTON (42507-839-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
42507-839
HyVee Inc tussin 1 BOTTLE in 1 CARTON (42507-444-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
42507-444
HyVee Inc tussin 1 BOTTLE in 1 CARTON (42507-444-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
42507-444
HyVee Inc Tussin CF 1 BOTTLE in 1 CARTON (42507-516-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
42507-516
HyVee Inc Tussin CF 1 BOTTLE in 1 CARTON (42507-516-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
42507-516
HyVee Inc tussin 1 BOTTLE in 1 CARTON (42507-296-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
42507-296
HyVee Inc tussin 1 BOTTLE in 1 CARTON (42507-296-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
42507-296
DOH 690-292 May 2016 152 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDC
Infirst Healthcare Dr. Cocoa 1 BOTTLE in 1 CARTON (62372-700-04) > 120 mL in 1 BOTTLE
7.5 mg/5mL Dextromethorphan Hydrobromide
62372-700
Infirst Healthcare Dr. Cocoa Daytime Cough and Cold 1 BOTTLE in 1 CARTON (62372-721-04) > 120 mL in 1 BOTTLE
5 mg/5mL, 2.5 mg/5mL Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
62372-721
Insight Pharmaceuticals Sucrets Cough 18 LOZENGE in 1 BOX (63736-566-18)
10 mg/1 Dextromethorphan Hydrobromide
63736-566
Insight Pharmaceuticals LLC Sucrets Cough 6 LOZENGE in 1 BOX (63736-520-06)
10 mg/1 Dextromethorphan Hydrobromide
63736-520
Insight Pharmaceuticals LLC Sucrets Cough 18 LOZENGE in 1 BOX (63736-520-18)
10 mg/1 Dextromethorphan Hydrobromide
63736-520
Insight Pharmaceuticals LLC Sucrets Cough 24 LOZENGE in 1 BOX (63736-520-24)
10 mg/1 Dextromethorphan Hydrobromide
63736-520
Internatiional Ethical Labs Despec-DM Tabs 100 TABLET in 1 BOTTLE (11584-1101-1)
200 mg/1, 30 mg/1, 10 mg/1
Dextromethorphan Hydrobomide, Guaifenesin, Pseudoephedrine Hydrochloride
11584-1101
International Ethical Laboratories, In DESPEC 120 mL in 1 BOTTLE (11584-1046-4) 10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
11584-1046
International Ethical Laboratories, In DESPEC 6 BOTTLE in 1 CARTON (11584-1046-5) > 15 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
11584-1046
International Ethical Labs Despec 30 mL in 1 BOTTLE (11584-1110-1) 5 mg/mL, 50 mg/mL, 2.5 mg/mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
11584-1110
I
DOH 690-292 May 2016 153 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCIriSys, LLC Scot-Tussin DM Maximum Strength Cough Suppressant
and Cold Relief1 BOTTLE in 1 CARTON (15187-036-04) > 118 mL in 1 BOTTLE
2 mg/5mL, 15 mg/5mL chlorpheniramine maleate and dextromethorphan hydrobromide
15187-036
IriSys, LLC Scot-Tussin Diabetes Cough Formula with DM 1 BOTTLE in 1 CARTON (15187-043-04) > 118 mL in 1 BOTTLE
10 mg/5mL dextromethorphan hydrobromide
15187-043
IriSys, LLC Scot-Tussin Senior Maximum Strength Cough Suppressant and Expectorant
1 BOTTLE in 1 CARTON (15187-050-04) > 118 mL in 1 BOTTLE
15 mg/5mL, 200 mg/5mL Dextromethorphan Hydrobromide and Guaifenesin
15187-050
J.P. BUSINESS ENTERPRISE ACETAMINOPHEN DEXTROMETHORPHAN HYDROBROMIDE and DOXYLAMINE SUCCINATE
1 BLISTER PACK in 1 CARTON (59105-005-10) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
59105-005
J.P. BUSINESS ENTERPRISE ACETAMINOPHEN DEXTROMETHORPHAN HYDROBROMIDE and PHENYLEPHRINE HYDROCHLORIDE
1 BLISTER PACK in 1 CARTON (59105-004-10) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 5 mg/1, 10 mg/1 ACETAMINOPHEN, PHENYLEPHRINE HYDROCHLORIDE, and DEXTROMETHORPHAN HYDROBROMIDE
59105-004
J.P. BUSINESS ENTERPRISE DEXTROMETHORPHAN HYDROBROMIDE 1 BOTTLE in 1 CARTON (59105-006-15) > 15 CAPSULE, LIQUID FILLED in1 BOTTLE
15 mg/1 DEXTROMETHORPHAN HYDROBROMIDE
59105-006
JC World Bell Wholesale Co., Inc. Vicks NyQuil 25 PACKET in 1 BOX (50269-557-25) > 2 CAPSULE, LIQUID FILLED in 1PACKET
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine Succinate
50269-557
J
DOH 690-292 May 2016 154 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCJC World Bell Wholesale Co., Inc. Vicks DayQuil 25 PACKET in 1 BOX (50269-811-25)
> 2 TABLET in 1 PACKET325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
50269-811
Johnson & Johnson Consumer Inc., MTYLENOL COLD 240 mL in 1 BOTTLE, PLASTIC (50580-269-08)
325 mg/15mL, 10 mg/15mL, 6.25 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, and Phenylephrine Hydrochloride
50580-269
Johnson & Johnson Consumer Inc., MTYLENOL COLD MAX 240 mL in 1 BOTTLE, PLASTIC (50580-571-01)
325 mg/15mL, 10 mg/15mL, 6.25 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, and Phenylephrine Hydrochloride
50580-571
Johnson & Johnson Consumer Inc., MTYLENOL Cold 240 mL in 1 BOTTLE, PLASTIC (50580-351-08)
325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine hydrochloride
50580-351
Johnson & Johnson Consumer Inc., MTYLENOL Cold Plus Flu 2 BLISTER PACK in 1 CARTON (50580-402-26) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
50580-402
DOH 690-292 May 2016 155 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCJohnson & Johnson Consumer Inc., MTYLENOL Cold Plus Flu 3 CARTON in 1 PACKAGE (50580-
402-72) > 2 BLISTER PACK in 1CARTON (50580-402-26) > 12TABLET, FILM COATED in 1 BLISTERPACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
50580-402
Johnson & Johnson Consumer Inc., MTYLENOL COLD PLUS FLU SEVERE 240 mL in 1 BOTTLE, PLASTIC (50580-403-08)
325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
Acetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
50580-403
Johnson & Johnson Consumer Inc., MTYLENOL Cold Plus Mucus Severe 240 mL in 1 BOTTLE, PLASTIC (50580-511-01)
325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine hydrochloride
50580-511
Johnson & Johnson Consumer Inc., MSudafed PE Pressure Plus Pain Plus Cold 2 BLISTER PACK in 1 CARTON (50580-679-25) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
50580-679
Johnson & Johnson Consumer Inc., MTYLENOL COLD MULTI-SYMPTOM DAYTIME 240 mL in 1 BOTTLE, PLASTIC (50580-257-08)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
50580-257
Johnson & Johnson Consumer Inc., MTYLENOL COLD MAX 2 BLISTER PACK in 1 CARTON (50580-515-01) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 acetaminophen, dextromethorphan hydrobromide, and phenylephrine hydrochloride
50580-515
DOH 690-292 May 2016 156 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCJohnson & Johnson Consumer Inc., MTYLENOL COLD MAX 240 mL in 1 BOTTLE, PLASTIC
(50580-525-01)325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
50580-525
Johnson & Johnson Consumer Inc., MSudafed PE Pressure plus Pain plus Cough 2 BLISTER PACK in 1 CARTON (50580-550-24) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
50580-550
Johnson & Johnson Consumer Inc., MTYLENOL Cold Multi-Symptom Daytime 2 BLISTER PACK in 1 CARTON (50580-406-24) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 acetaminophen, dextromethorphan hydrobromide, and phenylephrine hydrochloride
50580-406
Johnson & Johnson Consumer Inc., MChildrens SUDAFED PE Cold plus Cough 1 BOTTLE in 1 CARTON (50580-785-04) > 118 mL in 1 BOTTLE
5 mg/5mL, 2.5 mg/5mL Dextromethorphan hydrobromide and Phenylephrine hydrochloride
50580-785
JW Holdings Facol Cold and Flu Day 1 BLISTER PACK in 1 KIT (69365-001-02) > 1 CAPSULE, LIQUID FILLED in 1BLISTER PACK
200 mg/1, 35 mg/1, 8 mg/1, 5 mg/1
acetaminophen, guaifenesin, phenylephrine hcl, dextromethorphan hydrobromide
69365-001
JW HOLDINGS Facol Cold and Flu Night 1 BLISTER PACK in 1 CARTON (69365-003-02) > 1 CAPSULE in 1 BLISTER PACK > 10 CAPSULE, LIQUID FILLED in 1 CAPSULE
200 mg/1, 35 mg/1, 5 mg/1, 8 mg/1, 18.75 mg/1
acetaminophen, guaifenesin, phenylephrine hcl, dextromethorphan hbr, diphenhydramine hcl
69365-003
JW HOLDINGS Facol Cold and Flu Day and Night 1 BLISTER PACK in 1 CARTON (69365-004-01) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
18.75 mg/1, 8 mg/1, 5 mg/1, 35 mg/1, 200 mg/1
acetaminphen, guaifenesin, phenylephrine hcl, dextromethorphan hbr, diphenhydramine hcl, lac color, gardenia blue
69365-004
DOH 690-292 May 2016 157 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDC
Kareway Product, Inc. Night Time Cold/Flu Relief Original 295 mL in 1 BOTTLE (67510-1501-0) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-1501
Kareway Product, Inc. Night Time Cold/Flu Relief Original 354 mL in 1 BOTTLE (67510-1501-2) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-1501
Kareway Product, Inc. Night Time Cold/Flu Relief Original 120 mL in 1 BOTTLE (67510-1501-4) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-1501
Kareway Product, Inc. Night Time Cold/Flu Relief Original 177 mL in 1 BOTTLE (67510-1501-6) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-1501
Kareway Product, Inc. Night Time Cold/Flu Relief Cherry 295 mL in 1 BOTTLE (67510-1507-0) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-1507
Kareway Product, Inc. Night Time Cold/Flu Relief Cherry 354 mL in 1 BOTTLE (67510-1507-2) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-1507
Kareway Product, Inc. Night Time Cold/Flu Relief Cherry 120 mL in 1 BOTTLE (67510-1507-4) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-1507
Kareway Product, Inc. Night Time Cold/Flu Relief Cherry 177 mL in 1 BOTTLE (67510-1507-6) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-1507
Kareway Product, Inc. Night Time Cold/Flu Relief Cherry 295 mL in 1 BOTTLE (67510-1561-1) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-1561
K
DOH 690-292 May 2016 158 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKareway Product, Inc. Night Time Cold/Flu Relief Original 295 mL in 1 BOTTLE (67510-1562-1) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-1562
Kareway Product, Inc. Night Time Cold/Flu Relief Original 295 mL in 1 BOTTLE (67510-0501-0) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-0501
Kareway Product, Inc. Night Time Cold/Flu Relief Original 354 mL in 1 BOTTLE (67510-0501-2) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-0501
Kareway Product, Inc. Night Time Cold/Flu Relief Original 120 mL in 1 BOTTLE (67510-0501-4) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-0501
Kareway Product, Inc. Night Time Cold/Flu Relief Original 177 mL in 1 BOTTLE (67510-0501-6) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-0501
Kareway Product, Inc. Night Time Cold/Flu Relief Cherry 295 mL in 1 BOTTLE (67510-0507-0) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-0507
Kareway Product, Inc. Night Time Cold/Flu Relief Cherry 354 mL in 1 BOTTLE (67510-0507-2) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-0507
Kareway Product, Inc. Night Time Cold/Flu Relief Cherry 120 mL in 1 BOTTLE (67510-0507-4) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-0507
Kareway Product, Inc. Night Time Cold/Flu Relief Cherry 177 mL in 1 BOTTLE (67510-0507-6) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
67510-0507
DOH 690-292 May 2016 159 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKareway Product, Inc. Night Time Gelcap 2 BLISTER PACK in 1 BOX (67510-
0521-0) > 20 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan, Doxylamine
67510-0521
Kareway Product, Inc. Night Time Gelcap 1 BLISTER PACK in 1 BOX (67510-0521-1) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan, Doxylamine
67510-0521
Kareway Product, Inc. Night Time Gelcap 1 BLISTER PACK in 1 BOX (67510-0521-2) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan, Doxylamine
67510-0521
Kareway Product, Inc. Night Time Gelcap 2 BLISTER PACK in 1 BOX (67510-0521-4) > 24 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan, Doxylamine
67510-0521
Kareway Product, Inc. Day Time Gelcap 2 BLISTER PACK in 1 BOX (67510-0523-0) > 20 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan, Phenylephrine
67510-0523
Kareway Product, Inc. Day Time Gelcap 1 BLISTER PACK in 1 BOX (67510-0523-1) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan, Phenylephrine
67510-0523
Kareway Product, Inc. Day Time Gelcap 1 BLISTER PACK in 1 BOX (67510-0523-2) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan, Phenylephrine
67510-0523
Kareway Product, Inc. Day Time Gelcap 2 BLISTER PACK in 1 BOX (67510-0523-4) > 24 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan, Phenylephrine
67510-0523
Kareway Product, Inc. Day Time Cold/Flu Relief 295 mL in 1 BOTTLE (67510-0544-0) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan, Phenylephrine
67510-0544
DOH 690-292 May 2016 160 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKareway Product, Inc. Day Time Cold/Flu Relief 354 mL in 1 BOTTLE (67510-0544-2) 325 mg/15mL, 10
mg/15mL, 5 mg/15mLAcetaminophen, Dextromethorphan, Phenylephrine
67510-0544
Kareway Product, Inc. Day Time Cold/Flu Relief 120 mL in 1 BOTTLE (67510-0544-4) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan, Phenylephrine
67510-0544
Kareway Product, Inc. Day Time Cold/Flu Relief 177 mL in 1 BOTTLE (67510-0544-6) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan, Phenylephrine
67510-0544
Kareway Product, Inc. Night Time Cough 295 mL in 1 BOTTLE (67510-0503-1) 15 mg/15mL, 6.25 mg/15mL
Dextromethorphan HBr, Doxylamine succinate
67510-0503
Kareway Product, Inc. Night Time Cough 354 mL in 1 BOTTLE (67510-0503-2) 15 mg/15mL, 6.25 mg/15mL
Dextromethorphan HBr, Doxylamine succinate
67510-0503
Kareway Product, Inc. Night Time Cough 120 mL in 1 BOTTLE (67510-0503-4) 15 mg/15mL, 6.25 mg/15mL
Dextromethorphan HBr, Doxylamine succinate
67510-0503
Kareway Product, Inc. Night Time Cough 177 mL in 1 BOTTLE (67510-0503-6) 15 mg/15mL, 6.25 mg/15mL
Dextromethorphan HBr, Doxylamine succinate
67510-0503
Kareway Product, Inc. Tussin DM 1 BOTTLE in 1 BOX (67510-0527-4) > 120 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
67510-0527
Kareway Product, Inc. Tussin CF 1 BOTTLE in 1 BOX (67510-0506-4) > 120 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
67510-0506
Kinray Preferred Plus Severe Nite Time 237 mL in 1 BOTTLE (61715-111-08) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
61715-111
DOH 690-292 May 2016 161 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKinray Preferred Plus Severe Sinus Congestion 10 BLISTER PACK in 1 CARTON
(61715-141-20) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Phenylephrine Hydrochloride
61715-141
Kinray preferred plus mucus relief 10 BLISTER PACK in 1 CARTON (61715-146-20) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
61715-146
Kinray preferred plus severe cold 10 BLISTER PACK in 1 CARTON (61715-147-20) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
61715-147
Kinray Preferred Plus Severe Day Time 237 mL in 1 BOTTLE (61715-112-08) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
61715-112
Kinray Preferred Plus Day Time Cold and Flu 6 BLISTER PACK in 1 CARTON (61715-106-12) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
61715-106
Kinray Preferred Plus Severe Cold Cough and Flu 6 POWDER, FOR SOLUTION in 1 CARTON (61715-120-06)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
61715-120
Kinray Tussin Cough Long Acting 118 mL in 1 BOTTLE, PLASTIC (63777-098-04)
10 mg/5mL Dextromethorphan Hydrobromide
63777-098
Kinray preferred plus cough dm 1 BOTTLE in 1 CARTON (61715-113-03) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 61715-113
DOH 690-292 May 2016 162 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKinray Preferred Plus Intense Cough Reliever 1 BOTTLE, PLASTIC in 1 CARTON
(61715-077-04) > 120 mL in 1 BOTTLE, PLASTIC
20 mg/5mL, 300 mg/5mL Dextromethorphan Hydrobromide / Guaifenesin
61715-077
Kinray Preferred Plus Chest Congestion Relief DMTDM 1 TABLET in 1 CARTON (61715-013-01)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
61715-013
Kinray Preferred Plus Chest Congestion Relief DMTDM 50 TABLET in 1 BOTTLE, PLASTIC (61715-013-50)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
61715-013
Kinray Preferred Plus TabTussin DM 2 BLISTER PACK in 1 CARTON (61715-066-24) > 12 TABLET in 1 BLISTER PACK
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
61715-066
Kinray preferred plus childrens mucus relief multi symptom cold
1 BOTTLE in 1 CARTON (61715-138-04) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
61715-138
Kinray LLC Cough and Sore Throat Daytime 236 mL in 1 BOTTLE (61715-076-08) 500 mg/15mL, 15 mg/15mL Acetaminophen, Dextromethorphan HBr
61715-076
Kinray LLC Cough and Sore Throat Nighttime 236 mL in 1 BOTTLE (61715-075-08) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
61715-075
Kinray LLC Cough Multi Symptom 236 mL in 1 BOTTLE (61715-074-08) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
61715-074
Kinray, Inc Childrens Plus Cough and Runny Nose 118 mL in 1 BOTTLE, PLASTIC (63777-130-04)
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, DEXTROMETHORPHAN HYDROBROMIDE
63777-130
DOH 690-292 May 2016 163 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKinray, Inc Childrens Plus Multi-Symptom 118 mL in 1 BOTTLE, PLASTIC
(63777-145-04)160 mg/5mL, 1 mg/5mL, 1 mg/5mL, 1 mg/5mL
Acetominophen, Chlorphenramine Maleate, Dextrmethrophan Hydrobromide
63777-145
Kmart Corporation smart sense multi symptom cold 1 BOTTLE in 1 CARTON (49738-903-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
49738-903
Kmart Corporation Smart Sense Childrens Multi Symptom Cold Relief 1 BOTTLE in 1 CARTON (49738-846-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
49738-846
Kmart Corporation smart sense multi symptom fever and cold 1 BOTTLE in 1 CARTON (49738-011-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
49738-011
Kmart Corporation smart sense nighttime 296 mL in 1 BOTTLE (49738-041-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
49738-041
Kmart Corporation smart sense nighttime 473 mL in 1 BOTTLE (49738-041-43) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
49738-041
Kmart Corporation smart sense nighttime 296 mL in 1 BOTTLE (49738-335-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49738-335
DOH 690-292 May 2016 164 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKmart Corporation smart sense nighttime 354 mL in 1 BOTTLE (49738-335-40) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
49738-335
Kmart Corporation smart sense nighttime 296 mL in 1 BOTTLE (49738-459-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49738-459
Kmart Corporation smart sense nighttime 354 mL in 1 BOTTLE (49738-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49738-459
Kmart Corporation smart sense nighttime 473 mL in 1 BOTTLE (49738-459-43) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49738-459
Kmart Corporation smart sense nighttime 296 mL in 1 BOTTLE (49738-990-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
- acetaminophen,dextromethorphanhydrobromide and doxylaminesuccinate liquid
49738-990
Kmart Corporation Smart Sense NightTime Cold and Flu 354 mL in 1 BOTTLE (49738-872-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49738-872
Kmart Corporation smart sense nighttime cold and flu relief 296 mL in 1 BOTTLE (49738-908-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
49738-908
Kmart Corporation Smart Sense nighttime cold and flu 12 BLISTER PACK in 1 CARTON (49738-507-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
acetaminophen, dextromethorphan hbr, doxylamine succinate, phenylephrine hcl
49738-507
DOH 690-292 May 2016 165 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKmart Corporation Smart Sense Severe Cold and Flu NightTime 354 mL in 1 BOTTLE (49738-763-40) 650 mg/30mL, 20
mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
49738-763
Kmart Corporation Smart Sense cold flu and sore throat 10 BLISTER PACK in 1 CARTON (49738-381-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
49738-381
Kmart Corporation KMart - Fast Maximum Cold, Flu and Sore Throat Relief 180 mL in 1 BOTTLE (49738-995-18) 650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin and Phenylephrine hydrochloride
49738-995
Kmart Corporation Smart Sense DayTime 354 mL in 1 BOTTLE (49738-603-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
49738-603
Kmart Corporation Smart Sense daytime cold and flu 12 BLISTER PACK in 1 CARTON (49738-548-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
49738-548
Kmart Corporation Smart Sense Severe Cold 10 BLISTER PACK in 1 CARTON (49738-922-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
49738-922
Kmart Corporation smart sense daytime 296 mL in 1 BOTTLE (49738-656-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
49738-656
DOH 690-292 May 2016 166 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKmart Corporation smart sense daytime 354 mL in 1 BOTTLE (49738-656-40) 325 mg/15mL, 10
mg/15mL, 5 mg/15mLacetaminophen, dextromethorphan Hbr, Phenylephrine HCl
49738-656
Kmart Corporation smart sense flu and severe cold and cough 6 POWDER, FOR SOLUTION in 1 CARTON (49738-096-91)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49738-096
Kmart Corporation smart sense cold and cough 1 BOTTLE in 1 CARTON (49738-987-34) > 237 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
49738-987
Kmart Corporation Smart Sense Cough DM 1 BOTTLE in 1 CARTON (49738-958-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 49738-958
Kmart Corporation Smart Sense Cough DM 1 BOTTLE in 1 CARTON (49738-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 49738-384
Kmart Corporation Smart Sense Cough DM 1 BOTTLE in 1 CARTON (49738-384-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 49738-384
Kmart Corporation smart sense nighttime cough 296 mL in 1 BOTTLE (49738-668-38) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
49738-668
Kmart Corporation smart sense nighttime cough 354 mL in 1 BOTTLE (49738-668-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
49738-668
Kmart Corporation smart sense tussin dm 1 BOTTLE in 1 CARTON (49738-359-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
49738-359
Kmart Corporation smart sense tussin dm 1 BOTTLE in 1 CARTON (49738-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
49738-359
Kmart Corporation Smart Sense Mucus Relief Cough 1 BOTTLE in 1 CARTON (49738-419-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
49738-419
DOH 690-292 May 2016 167 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKmart Corporation smart sense cough and chest congestion 1 BOTTLE in 1 CARTON (49738-143-
26) > 118 mL in 1 BOTTLE20 mg/10mL, 200 mg/10mL Dextromethorphan HBr,
Guaifenesin49738-143
Kmart Corporation smart sense cough and chest congestion 1 BOTTLE in 1 CARTON (49738-143-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
49738-143
Kmart Corporation Smart Sense tussin dm max 1 BOTTLE in 1 CARTON (49738-799-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
49738-799
Kmart Corporation Smart Sense Adult Tussin DM 1 BOTTLE in 1 CARTON (49738-578-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
49738-578
Kmart Corporation smart sense cough and chest congestion 1 BOTTLE in 1 CARTON (49738-522-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
49738-522
Kmart Corporation KMart - Fast Maximum DM MAX 180 mL in 1 BOTTLE (49738-998-18) 20 mg/20mL, 400 mg/20mL Dextromethorphan Hydrobromide and Guaifenesin
49738-998
Kmart Corporation smart sense tussin cf 1 BOTTLE in 1 CARTON (49738-516-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49738-516
Kmart Corporation smart sense tussin cf 1 BOTTLE in 1 CARTON (49738-516-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49738-516
Kmart Corporation KMart - Fast Maximum Severe Congestion and Cough 177 mL in 1 BOTTLE (49738-997-24) 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan Hydrobromide, Guaifenesin and Phenylephrine hydrochloride
49738-997
Kmart Corporation smart sense multi symptom cold 1 BOTTLE in 1 CARTON (49738-280-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49738-280
Kmart Corporation smart sense multi symptom cold 1 BOTTLE in 1 CARTON (49738-280-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49738-280
DOH 690-292 May 2016 168 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKmart Corporation smart sense adults tussin cf 1 BOTTLE in 1 CARTON (49738-301-
26) > 118 mL in 1 BOTTLE20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49738-301
Kmart Corporation smart sense adults tussin cf 1 BOTTLE in 1 CARTON (49738-301-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49738-301
Kramer Laboratories Safetussin 240 mL in 1 BOTTLE, PLASTIC (55505-190-36)
7.5 mg/5mL, 3.125 mg/5mL Dextromethorphan Doxylamine Succinate
55505-190
Kramer Laboratories Safetussin 240 mL in 1 BOTTLE, PLASTIC (55505-189-36)
10 mg/5mL, 100 mg/5mL Dextromethorpan Guaifenesin 55505-189
Kramer Laboratories Safetussin 120 mL in 1 BOTTLE, PLASTIC (55505-111-33)
10 mg/5mL, 100 mg/5mL Dextromethorpan Guaifenesin 55505-111
Kramer Laboratories Safetussin 120 mL in 1 BOTTLE, PLASTIC (55505-173-33)
7.5 mg/5mL, 3.125 mg/5mL Dextromethorphan Doxylamine Succinate
55505-173
KRAMER NOVIS GENCONTUSS 473 mL in 1 BOTTLE, PLASTIC (52083-650-16)
2 mg/5mL, 10 mg/5mL, 5 mg/5mL
CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
52083-650
Kramer Novis G-P-TUSS DXP 473 mL in 1 BOTTLE (52083-602-16) 2 mg/5mL, 20 mg/5mL, 10 mg/5mL
dexbrompheniramine, dextromethorphan, and phenylephrine
52083-602
Kramer Novis SUPRESS A 30 mL in 1 BOTTLE, PLASTIC (52083-057-01)
1 mg/mL, 10 mg/mL, 5 mg/mL
Dexbromopheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
52083-057
DOH 690-292 May 2016 169 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKramer Novis ABATUSS DMX 1 BOTTLE in 1 CARTON (52083-625-
16) > 473 mL in 1 BOTTLE1 mg/5mL, 15 mg/5mL, 30 mg/5mL
DEXCHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, PSEUDOEPHEDRINE HYDROCHLORIDE
52083-625
KRAMER NOVIS Presgen B 480 mL in 1 BOTTLE (52083-637-16) 20 mg/5mL, 4 mg/5mL, 10 mg/5mL
dextromethorphan hydrobromide, brompheniramine maleate, phenylephrine hydrochloride
52083-637
KRAMER NOVIS Tussi Pres B 30 mL in 1 BOTTLE (52083-237-01) 20 mg/5mL, 4 mg/5mL, 10 mg/5mL
dextromethorphan hydrobromide, brompheniramine maleate, phenylephrine hydrochloride
52083-237
KRAMER NOVIS Tussi Pres B 120 mL in 1 BOTTLE (52083-237-04) 20 mg/5mL, 4 mg/5mL, 10 mg/5mL
dextromethorphan hydrobromide, brompheniramine maleate, phenylephrine hydrochloride
52083-237
KRAMER NOVIS Tussi Pres B 480 mL in 1 BOTTLE (52083-237-16) 20 mg/5mL, 4 mg/5mL, 10 mg/5mL
dextromethorphan hydrobromide, brompheniramine maleate, phenylephrine hydrochloride
52083-237
Kramer Novis ZYNCOF 30 mL in 1 BOTTLE, PLASTIC (52083-400-01)
20 mg/5mL, 400 mg/5mL Dextromethorphan HBr and Guaifenesin
52083-400
Kramer Novis ZYNCOF 120 mL in 1 BOTTLE, PLASTIC (52083-400-04)
20 mg/5mL, 400 mg/5mL Dextromethorphan HBr and Guaifenesin
52083-400
Kramer Novis ZYNCOF 474 mL in 1 BOTTLE, PLASTIC (52083-400-16)
20 mg/5mL, 400 mg/5mL Dextromethorphan HBr and Guaifenesin
52083-400
DOH 690-292 May 2016 170 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKRAMER NOVIS ZYNCOF 2 TABLET in 1 PACKET (52083-410-
02)20 mg/1, 400 mg/1 Dextromethorphan
Hydrobromide, Guaifenesin52083-410
KRAMER NOVIS ZYNCOF 60 TABLET in 1 BOTTLE, PLASTIC (52083-410-60)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide, Guaifenesin
52083-410
Kramer Novis G-ZYNCOF 473 mL in 1 BOTTLE, PLASTIC (52083-600-16)
20 mg/5mL, 400 mg/5mL Dextromethorphan HBr and Guaifenesin
52083-600
KRAMER NOVIS PECGEN DMX 474 mL in 1 BOTTLE, PLASTIC (52083-630-16)
10 mg/5mL, 187 mg/5mL Dextromethorphan HBr, Guaifenesin
52083-630
KRAMER NOVIS Sorbugen 480 mL in 1 BOTTLE (52083-660-16) 15 mg/7.5mL, 150 mg/7.5mL
dextromethorphan hydrobromide, glycerol guaiacolate
52083-660
Kramer Novis G-TRON 474 mL in 1 BOTTLE (52083-678-16) 15 mg/5mL, 350 mg/5mL, 10 mg/5mL
Dextromethorphan Hbr, Guiafenesin, Phenylephrine HCl
52083-678
KRAMER NOVIS G-TRON PEDIATRIC DROPS 30 mL in 1 BOTTLE, DROPPER (52083-679-01)
5 mg/mL, 100 mg/mL, 2.5 mg/mL
Dextromethorphan HBr,Guaifenesin,Phenylephrine HCL
52083-679
Kramer Novis G-TUSICOF 474 mL in 1 BOTTLE (52083-639-16) 20 mg/5mL, 400 mg/5mL, 10 mg/5mL
dextromethorphan, guaifenesin, and phenylephrine
52083-639
Kramer Novis Desgen 30 mL in 1 BOTTLE, DROPPER (52083-641-01)
5 mg/mL, 50 mg/mL, 2.5 mg/mL
Dextromethorphan Hbr, Guiafenesin, Phenylephrine HCl
52083-641
KRAMER NOVIS Desgen DM 480 mL in 1 BOTTLE (52083-645-16) 15 mg/5mL, 100 mg/5mL, 5 mg/5mL
dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride
52083-645
Kramer Novis DESGEN DM 474 mL in 1 BOTTLE (52083-646-16) 10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan HBr ,Guaifenesin ,Phenylephrine HCl
52083-646
DOH 690-292 May 2016 171 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKramer Novis TUSICOF 30 mL in 1 BOTTLE (52083-239-01) 20 mg/5mL, 400 mg/5mL,
10 mg/5mLdextromethorphan, guaifenesin, and phenylephrine
52083-239
Kramer Novis TUSICOF 120 mL in 1 BOTTLE (52083-239-04) 20 mg/5mL, 400 mg/5mL, 10 mg/5mL
dextromethorphan, guaifenesin, and phenylephrine
52083-239
Kramer Novis TUSICOF 474 mL in 1 BOTTLE (52083-239-16) 20 mg/5mL, 400 mg/5mL, 10 mg/5mL
dextromethorphan, guaifenesin, and phenylephrine
52083-239
Kramer Novis Tusslin 474 mL in 1 BOTTLE (52083-622-16) 28 mg/5mL, 388 mg/5mL, 10 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
52083-622
Kramer Novis Tusslin 30 mL in 1 BOTTLE, DROPPER (52083-623-01)
7.5 mg/mL, 88 mg/mL, 2.5 mg/mL
Dextromethorphan Hbr, Guiafenesin, Phenylephrine HCl
52083-623
KRAMER NOVIS Tusslin TR 100 TABLET in 1 BOTTLE (52083-617-10)
28 1/1, 388 1/1, 10 1/1 dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride
52083-617
Kramer Novis PECGEN PSE Cough Suppressant Expectorant Nasal Decongestant GRAPE Flavor
474 mL in 1 BOTTLE (52083-628-16) 10 mg/5mL, 187 mg/5mL, 30 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PSEUDOEPHEDRINE HYDROCHLORIDE
52083-628
KRAMER NOVIS DESGEN DM Tabs 100 TABLET in 1 BOTTLE, PLASTIC (52083-648-10)
10 mg/1, 200 mg/1, 30 mg/1
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PSEUDOEPHEDRINE HYDROCHLORIDE
52083-648
DOH 690-292 May 2016 172 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKRAMER NOVIS Pecgen DMX 480 mL in 1 BOTTLE (52083-620-16) 125 mg/5mL, 15 mg/5mL guaifenesin,Dextromethorphan
hydrobromide52083-620
Kramer Novis G Tron 474 mL in 1 BOTTLE (52083-601-16) 100 mg/5mL, 10 mg/5mL Guaifenesin Dextromethorphan
52083-601
KRAMER NOVIS Supress DM 30 mL in 1 BOTTLE (52083-058-01) 50 mg/mL, 5 mg/mL dextromethorphan hydrobromide, guaifenesin
52083-058
KRAMER NOVIS Supress DX Pediatric Drops 30 mL in 1 BOTTLE (52083-055-01) 50 mg/mL, 5 mg/mL, 2.5 mg/mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
52083-055
KRAMER NOVIS G-Supress DX 30 mL in 1 BOTTLE (52083-655-01) 50 mg/mL, 5 mg/mL, 2.5 mg/mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
52083-655
Kramer Novis Tussi Pres 120 mL in 1 BOTTLE (52083-231-04) 200 mg/5mL, 5 mg/5mL, 10 mg/5mL
guaifenesin, phenylephrine hydrochloride, dextromethorphan hydrobromide
52083-231
Kramer Novis Tussi Pres 10 mL in 1 PACKET (52083-231-10) 200 mg/5mL, 5 mg/5mL, 10 mg/5mL
guaifenesin, phenylephrine hydrochloride, dextromethorphan hydrobromide
52083-231
Kramer Novis Tussi Pres 480 mL in 1 BOTTLE (52083-231-16) 200 mg/5mL, 5 mg/5mL, 10 mg/5mL
guaifenesin, phenylephrine hydrochloride, dextromethorphan hydrobromide
52083-231
KRAMER NOVIS TUSSI PRES PEDIATRIC 30 mL in 1 BOTTLE (52083-232-01) 75 mg/5mL, 2.5 mg/5mL, 5 mg/5mL
GUAIFENESIN, PHENYLEPHRINE HCL,DEXTROMETHORPHAN HYDROBROMIDE
52083-232
DOH 690-292 May 2016 173 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKRAMER NOVIS TUSSI PRES PEDIATRIC 120 mL in 1 BOTTLE (52083-232-04) 75 mg/5mL, 2.5 mg/5mL, 5
mg/5mLGUAIFENESIN, PHENYLEPHRINE HCL,DEXTROMETHORPHAN HYDROBROMIDE
52083-232
KRAMER NOVIS TUSSI PRES PEDIATRIC 480 mL in 1 BOTTLE (52083-232-16) 75 mg/5mL, 2.5 mg/5mL, 5 mg/5mL
GUAIFENESIN, PHENYLEPHRINE HCL,DEXTROMETHORPHAN HYDROBROMIDE
52083-232
Kramer Novis Tussi Pres 30 mL in 1 BOTTLE (52083-233-01) 200 mg/5mL, 5 mg/5mL, 10 mg/5mL
guaifenesin, phenylephrine hydrochloride, dextromethorphan hydrobromide
52083-233
Kramer Novis Tussi Pres 120 mL in 1 BOTTLE (52083-233-04) 200 mg/5mL, 5 mg/5mL, 10 mg/5mL
guaifenesin, phenylephrine hydrochloride, dextromethorphan hydrobromide
52083-233
Kramer Novis Tussi Pres 480 mL in 1 BOTTLE (52083-233-16) 200 mg/5mL, 5 mg/5mL, 10 mg/5mL
guaifenesin, phenylephrine hydrochloride, dextromethorphan hydrobromide
52083-233
Kramer Novis Presgen 480 mL in 1 BOTTLE (52083-632-16) 200 mg/5mL, 5 mg/5mL, 10 mg/5mL
guaifenesin, phenylephrine hydrochloride, dextromethorphan hydrobromide
52083-632
KRAMER NOVIS PRESGEN PEDIATRIC 480 mL in 1 BOTTLE (52083-653-16) 75 mg/5mL, 2.5 mg/5mL, 5 mg/5mL
GUAIFENESIN, PHENYLEPHRINE HCL,DEXTROMETHORPHAN HYDROBROMIDE
52083-653
DOH 690-292 May 2016 174 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKramer Novis. Guaifenesin Phenylephrine Dextromethorphan 2 TABLET, COATED in 1 PACKET
(52083-249-02)400 mg/1, 20 mg/1, 10 mg/1
Guaifenesin, phenylephrine HCL, Dextromethorphan
52083-249
Kramer Novis. Guaifenesin Phenylephrine Dextromethorphan 60 TABLET, COATED in 1 BOTTLE (52083-249-60)
400 mg/1, 20 mg/1, 10 mg/1
Guaifenesin, phenylephrine HCL, Dextromethorphan
52083-249
Kramer Novis. Tusicof 2 TABLET, COATED in 1 PACKET (52083-289-02)
400 mg/1, 20 mg/1, 10 mg/1
Guaifenesin, phenylephrine HCL, Dextromethorphan
52083-289
Kramer Novis. Tusicof 60 TABLET, COATED in 1 BOTTLE (52083-289-60)
400 mg/1, 20 mg/1, 10 mg/1
Guaifenesin, phenylephrine HCL, Dextromethorphan
52083-289
Kroger Flu Relief Therapy Day Time 245 mL in 1 BOTTLE, PLASTIC (30142-155-08)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
30142-155
Kroger Company Multi Symptom Cold 1 BOTTLE in 1 CARTON (30142-903-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
30142-903
Kroger Company Childrens Multi Symptom Fever and Cold 1 BOTTLE in 1 CARTON (30142-023-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
30142-023
Kroger Company childrens pain relief plus 1 BOTTLE in 1 CARTON (30142-196-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 5 mg/5mL Acetaminophen, Dextromethorphan HBr
30142-196
Kroger Company Nite Time 295 mL in 1 BOTTLE (30142-990-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
- acetaminophen,dextromethorphanhydrobromide and doxylaminesuccinate liquid
30142-990
Kroger Company Nite Time 177 mL in 1 BOTTLE (30142-908-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
30142-908
DOH 690-292 May 2016 175 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKroger Company Nite Time 295 mL in 1 BOTTLE (30142-908-38) 500 mg/15mL, 15
mg/15mL, 6.25 mg/15mLacetaminophen,dextromethorphan HBr, doxylamine succinate
30142-908
Kroger Company Nite Time 355 mL in 1 BOTTLE (30142-908-40) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
30142-908
Kroger Company Nite Time 4 BLISTER PACK in 1 CARTON (30142-977-58) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
30142-977
Kroger Company Nite Time 2 BLISTER PACK in 1 CARTON (30142-977-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
30142-977
Kroger Company Nite Time 2 BLISTER PACK in 1 CARTON (30142-977-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
30142-977
Kroger Company Nite Time 4 BLISTER PACK in 1 CARTON (30142-977-67) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
30142-977
Kroger Company nite time 295 mL in 1 BOTTLE (30142-872-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
30142-872
Kroger Company nite time 354 mL in 1 BOTTLE (30142-872-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
30142-872
DOH 690-292 May 2016 176 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKroger Company Nitetime Cold and Flu 12 BLISTER PACK in 1 CARTON
(30142-758-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
30142-758
Kroger Company Nitetime Cold and Flu 24 BLISTER PACK in 1 CARTON (30142-758-67) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
30142-758
Kroger Company nite time 177 mL in 1 BOTTLE (30142-335-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
30142-335
Kroger Company nite time 237 mL in 1 BOTTLE (30142-335-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
30142-335
Kroger Company nite time 295 mL in 1 BOTTLE (30142-335-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
30142-335
Kroger Company nite time 354 mL in 1 BOTTLE (30142-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
30142-335
Kroger Company nite time 177 mL in 1 BOTTLE (30142-459-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
30142-459
Kroger Company nite time 237 mL in 1 BOTTLE (30142-459-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
30142-459
Kroger Company nite time 295 mL in 1 BOTTLE (30142-459-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
30142-459
DOH 690-292 May 2016 177 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKroger Company nite time 354 mL in 1 BOTTLE (30142-459-40) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
30142-459
Kroger Company Nite Time Cold and Flu Relief 177 mL in 1 BOTTLE (30142-041-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
30142-041
Kroger Company Nite Time Cold and Flu Relief 295 mL in 1 BOTTLE (30142-041-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
30142-041
Kroger Company Nite Time Cold and Flu Relief 354 mL in 1 BOTTLE (30142-041-40) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
30142-041
Kroger Company Nite Time 12 BLISTER PACK in 1 CARTON (30142-056-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
30142-056
Kroger Company Nite Time 24 BLISTER PACK in 1 CARTON (30142-056-67) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
30142-056
Kroger Company severe sinus congestion 10 BLISTER PACK in 1 CARTON (30142-345-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Phenylephrine Hydrochloride
30142-345
DOH 690-292 May 2016 178 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKroger Company NiteTime Severe Cold and Flu 354 mL in 1 BOTTLE (30142-763-40) 650 mg/30mL, 20
mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
30142-763
Kroger Company NiteTime 295 mL in 1 BOTTLE (30142-609-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL, 30 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Pseudoephedrine Hydrochloride
30142-609
Kroger Company Mucus Relief 2 BLISTER PACK in 1 CARTON (30142-381-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
30142-381
Kroger Company daytime severe 12 BLISTER PACK in 1 CARTON (30142-548-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
30142-548
Kroger Company cold 2 BLISTER PACK in 1 CARTON (30142-234-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
30142-234
Kroger Company cold 2 BLISTER PACK in 1 CARTON (30142-308-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
30142-308
Kroger Company daytime severe cold and flu 354 mL in 1 BOTTLE (30142-603-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
30142-603
DOH 690-292 May 2016 179 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKroger Company Fast Mucus Relief 10 BLISTER PACK in 1 CARTON
(30142-888-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
30142-888
Kroger Company Fast Mucus Relief 15 BLISTER PACK in 1 CARTON (30142-888-39) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
30142-888
Kroger Company fast mucus relief 10 BLISTER PACK in 1 CARTON (30142-707-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
30142-707
Kroger Company fast mucus relief 15 BLISTER PACK in 1 CARTON (30142-707-39) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
30142-707
Kroger Company Mucus Relief 2 BLISTER PACK in 1 CARTON (30142-971-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
30142-971
Kroger Company daytime 4 BLISTER PACK in 1 CARTON (30142-994-58) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
30142-994
Kroger Company daytime 2 BLISTER PACK in 1 CARTON (30142-994-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
30142-994
DOH 690-292 May 2016 180 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKroger Company daytime 2 BLISTER PACK in 1 CARTON
(30142-994-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
30142-994
Kroger Company daytime 4 BLISTER PACK in 1 CARTON (30142-994-67) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
30142-994
Kroger Company daytime cold and flu 12 BLISTER PACK in 1 CARTON (30142-704-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
30142-704
Kroger Company daytime cold and flu 24 BLISTER PACK in 1 CARTON (30142-704-67) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
30142-704
Kroger Company Day Time 295 mL in 1 BOTTLE (30142-656-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
30142-656
Kroger Company Day Time 354 mL in 1 BOTTLE (30142-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
30142-656
Kroger Company daytime 4 BLISTER PACK in 1 CARTON (30142-215-58) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
30142-215
Kroger Company daytime 2 BLISTER PACK in 1 CARTON (30142-215-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
30142-215
DOH 690-292 May 2016 181 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKroger Company Kroger DayTime Flu plus Severe Cold and Cough 6 POWDER, FOR SOLUTION in 1
CARTON (30142-112-07)650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan hydrobromide, and Phenylephrine hydrochloride
30142-112
Kroger Company flu and severe cold and cough 6 POWDER, FOR SOLUTION in 1 CARTON (30142-096-91)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
30142-096
Kroger Company Childrens Cold and Cough 1 BOTTLE in 1 CARTON (30142-987-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
30142-987
Kroger Company Cough DM 1 BOTTLE in 1 CARTON (30142-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 30142-384
Kroger Company Cough DM 1 BOTTLE in 1 CARTON (30142-958-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 30142-958
Kroger Company NiteTime Cough 295 mL in 1 BOTTLE (30142-668-38) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
30142-668
Kroger Company NiteTime Cough 354 mL in 1 BOTTLE (30142-668-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
30142-668
Kroger Company Tussin DM Max 1 BOTTLE in 1 CARTON (30142-799-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
30142-799
Kroger Company childrens mucus relief cough 1 BOTTLE in 1 CARTON (30142-419-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan hbr, Guaifenesin
30142-419
Kroger Company Tussin 1 BOTTLE in 1 CARTON (30142-359-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
30142-359
Kroger Company Tussin 1 BOTTLE in 1 CARTON (30142-359-34) > 236 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
30142-359
DOH 690-292 May 2016 182 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCKroger Company tussin dm 1 BOTTLE in 1 CARTON (30142-578-
26) > 118 mL in 1 BOTTLE20 mg/10mL, 200 mg/10mL Dextromethorphan HBr,
Guaifenesin30142-578
Kroger Company tussin cf 1 BOTTLE in 1 CARTON (30142-516-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
30142-516
Kroger Company tussin cf 1 BOTTLE in 1 CARTON (30142-516-34) > 236 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
30142-516
Kroger Company Childrens Mucus Relief 1 BOTTLE in 1 CARTON (30142-839-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
30142-839
L Perrigo Company good sense cold 2 BLISTER PACK in 1 CARTON (0113-0014-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
0113-0014
L Perrigo Company good sense cold 2 BLISTER PACK in 1 CARTON (0113-0393-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
0113-0393
L Perrigo Company good sense cough and sore throat 237 mL in 1 BOTTLE (0113-0698-34) 500 mg/15mL, 15 mg/15mL Acetaminophen, Dextromethorphan HBr
0113-0698
L Perrigo Company good sense night time 296 mL in 1 BOTTLE (0113-0990-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate
0113-0990
L
DOH 690-292 May 2016 183 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCL Perrigo Company Good Sense night time 6 BLISTER PACK in 1 CARTON (0113-
0977-53) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
0113-0977
L Perrigo Company Good Sense night time 10 BLISTER PACK in 1 CARTON (0113-0977-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
0113-0977
L Perrigo Company Good Sense night time 12 BLISTER PACK in 1 CARTON (0113-0977-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
0113-0977
L Perrigo Company Good Sense night time 8 BLISTER PACK in 1 CARTON (0113-0977-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
0113-0977
L Perrigo Company Good Sense Night Time 177 mL in 1 BOTTLE (0113-0908-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
0113-0908
L Perrigo Company Good Sense Night Time 296 mL in 1 BOTTLE (0113-0908-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
0113-0908
L Perrigo Company Good Sense Night Time 2 BOTTLE in 1 PACKAGE (0113-0908-40) > 177 mL in 1 BOTTLE
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
0113-0908
L Perrigo Company good sense cough and sore throat 237 mL in 1 BOTTLE (0113-0666-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
0113-0666
DOH 690-292 May 2016 184 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCL Perrigo Company Good Sense Night Time 177 mL in 1 BOTTLE (0113-0041-30) 500 mg/15mL, 15
mg/15mL, 6.25 mg/15mLacetaminophen, dextromethorphan hydrobromide, doxylamine succinate
0113-0041
L Perrigo Company Good Sense Night Time 296 mL in 1 BOTTLE (0113-0041-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate
0113-0041
L Perrigo Company Good Sense Severe NightTime 237 mL in 1 BOTTLE (0113-0019-34) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
0113-0019
L Perrigo Company Good Sense Severe NightTime 355 mL in 1 BOTTLE (0113-0019-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
0113-0019
L Perrigo Company good sense cold head congestion 2 BLISTER PACK in 1 CARTON (0113-0234-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0113-0234
L Perrigo Company Good Sense Cold 2 BLISTER PACK in 1 CARTON (0113-0402-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
0113-0402
L Perrigo Company Good Sense cold 12 BLISTER PACK in 1 CARTON (0113-0371-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
0113-0371
DOH 690-292 May 2016 185 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCL Perrigo Company Good Sense Childrens Cold and Cough 1 BOTTLE in 1 CARTON (0113-0987-
26) > 118 mL in 1 BOTTLE1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
0113-0987
L Perrigo Company good sense cough dm 1 BOTTLE in 1 CARTON (0113-0384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 0113-0384
L Perrigo Company good sense cough dm 1 BOTTLE in 1 CARTON (0113-0384-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 0113-0384
L Perrigo Company Good Sense tussin 1 BOTTLE in 1 CARTON (0113-0799-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
0113-0799
L Perrigo Company Good Sense tussin 1 BOTTLE in 1 CARTON (0113-0799-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
0113-0799
L Perrigo Company good sense day time 296 mL in 1 BOTTLE (0113-0818-38) 10 mg/15mL, 200 mg/15mL Dextromethorphan HBr, Guaifenesin
0113-0818
L Perrigo Company good sense tussin cf 1 BOTTLE in 1 CARTON (0113-0516-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
0113-0516
L Perrigo Company good sense tussin cf 1 BOTTLE in 1 CARTON (0113-0516-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
0113-0516
L&R Distributors, Inc. Flu BP 2 BLISTER PACK in 1 CARTON (15127-958-20) > 10 TABLET, FILM COATED in 1 BLISTER PACK
500 mg/1, 2 mg/1, 15 mg/1 Acetaminophen, Chlorpheniramine maleate and Dextromethorphan HBr
15127-958
L&R Distributors, Inc. Cold and Flu 3 BLISTER PACK in 1 CARTON (15127-660-12) > 4 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
15127-660
L&R Distributors, Inc. Cold and Flu 1 BLISTER PACK in 1 CARTON (15127-985-12) > 12 CAPSULE in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
15127-985
DOH 690-292 May 2016 186 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCL&R Distributors, Inc. Cold Multi-Symptom 1 BLISTER PACK in 1 CARTON
(15127-962-24) > 24 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl and Guaifenesin
15127-962
L&R Distributors, Inc. Cold Head Congestion Severe 2 BLISTER PACK in 1 CARTON (15127-964-24) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl and Guaifenesin
15127-964
L&R Distributors, Inc. Cold and Flu 1 BLISTER PACK in 1 CARTON (15127-989-12) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
15127-989
L&R Distributors, Inc. Cold and Flu 1 BLISTER PACK in 1 CARTON (15127-659-12) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
15127-659
L&R Distributors, Inc. Cold and Flu 2 BLISTER PACK in 1 CARTON (15127-503-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 5 mg/1, 200 mg/1, 10 mg/1
Acetaminophen, Phenylephrine HCl, Guaifenesin, Dextromethorphan HBr
15127-503
L&R Distributors, Inc. Cough and Cold 2 BLISTER PACK in 1 CARTON (15127-268-16) > 8 TABLET in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate and Dextromethorphan Hydrobromide
15127-268
L&R Distributors, Inc. Cough Control 1 BOTTLE in 1 PACKAGE (15127-984-20) > 20 CAPSULE, GELATINCOATED in 1 BOTTLE
15 mg/1 Dextromethorphan HBr 15127-984
L&R Distributors, Inc. Cough Control 1 BOTTLE in 1 PACKAGE (15127-661-20) > 20 CAPSULE, LIQUID FILLED in1 BOTTLE
15 mg/1 Dextromethorphan HBr 15127-661
DOH 690-292 May 2016 187 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCL. Perrigo Company good sense cold 1 BOTTLE in 1 CARTON (0113-0903-
26) > 118 mL in 1 BOTTLE160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
0113-0903
L. Perrigo Company Good Sense Night Time Cold and Flu 354 mL in 1 BOTTLE (0113-0872-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0113-0872
L. Perrigo Company good sense nighttime 177 mL in 1 BOTTLE (0113-0459-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0113-0459
L. Perrigo Company good sense nighttime 237 mL in 1 BOTTLE (0113-0459-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0113-0459
L. Perrigo Company good sense nighttime 296 mL in 1 BOTTLE (0113-0459-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0113-0459
L. Perrigo Company good sense nighttime 354 mL in 1 BOTTLE (0113-0459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0113-0459
L. Perrigo Company good sense night time 177 mL in 1 BOTTLE (0113-0335-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0113-0335
L. Perrigo Company good sense night time 237 mL in 1 BOTTLE (0113-0335-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0113-0335
L. Perrigo Company good sense night time 296 mL in 1 BOTTLE (0113-0335-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0113-0335
DOH 690-292 May 2016 188 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCL. Perrigo Company good sense night time 354 mL in 1 BOTTLE (0113-0335-40) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
0113-0335
L. Perrigo Company good sense night time 12 BLISTER PACK in 1 CARTON (0113-0056-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0113-0056
L. Perrigo Company good sense night time 8 BLISTER PACK in 1 CARTON (0113-0056-73) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0113-0056
L. Perrigo Company Good Sense Severe Sinus Congestion 10 BLISTER PACK in 1 CARTON (0113-0345-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Phenylephrine Hydrochloride
0113-0345
L. Perrigo Company Good Sense Severe NightTime Cold and Flu 237 mL in 1 BOTTLE (0113-0763-34) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
0113-0763
L. Perrigo Company Good Sense Severe NightTime Cold and Flu 354 mL in 1 BOTTLE (0113-0763-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
0113-0763
L. Perrigo Company Good Sense Mucus Relief 2 BLISTER PACK in 1 CARTON (0113-0922-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0113-0922
DOH 690-292 May 2016 189 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCL. Perrigo Company good sense severe cold 10 BLISTER PACK in 1 PACKAGE
(0113-0579-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0113-0579
L. Perrigo Company Good Sense Severe Daytime Cold and Flu 237 mL in 1 BOTTLE (0113-0603-34) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
0113-0603
L. Perrigo Company Good Sense Severe Daytime Cold and Flu 355 mL in 1 BOTTLE (0113-0603-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
0113-0603
L. Perrigo Company Good Sense Severe Daytime 6 BLISTER PACK in 1 CARTON (0113-0548-53) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
0113-0548
L. Perrigo Company Good Sense Severe Daytime 12 BLISTER PACK in 1 CARTON (0113-0548-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
0113-0548
L. Perrigo Company Good Sense Mucus Relief 10 BLISTER PACK in 1 CARTON (0113-0381-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0113-0381
L. Perrigo Company good sense cold and flu severe 12 BLISTER PACK in 1 CARTON (0113-0299-62) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0113-0299
DOH 690-292 May 2016 190 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCL. Perrigo Company Good Sense cold 2 BLISTER PACK in 1 CARTON (0113-
0308-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
0113-0308
L. Perrigo Company good sense flu and severe cold and cough 6 POWDER, FOR SOLUTION in 1 CARTON (0113-0096-91)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
0113-0096
L. Perrigo Company Good Sense Daytime 177 mL in 1 BOTTLE (0113-0656-30) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
0113-0656
L. Perrigo Company Good Sense Daytime 237 mL in 1 BOTTLE (0113-0656-34) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
0113-0656
L. Perrigo Company Good Sense Daytime 296 mL in 1 BOTTLE (0113-0656-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
0113-0656
L. Perrigo Company Good Sense Daytime 354 mL in 1 BOTTLE (0113-0656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
0113-0656
L. Perrigo Company good sense daytime 6 BLISTER PACK in 1 CARTON (0113-0994-53) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
0113-0994
L. Perrigo Company good sense daytime 10 BLISTER PACK in 1 CARTON (0113-0994-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
0113-0994
L. Perrigo Company good sense daytime 12 BLISTER PACK in 1 CARTON (0113-0994-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
0113-0994
DOH 690-292 May 2016 191 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCL. Perrigo Company good sense daytime 8 BLISTER PACK in 1 CARTON (0113-
0994-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
0113-0994
L. Perrigo Company Good Sense Cough DM 1 BOTTLE in 1 CARTON (0113-0958-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 0113-0958
L. Perrigo Company Good Sense Cough DM 1 BOTTLE in 1 CARTON (0113-0958-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 0113-0958
L. Perrigo Company Good Sense Nighttime Cough 177 mL in 1 BOTTLE (0113-0668-30) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
0113-0668
L. Perrigo Company Good Sense Nighttime Cough 237 mL in 1 BOTTLE (0113-0668-34) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
0113-0668
L. Perrigo Company good sense tussin dm 1 BOTTLE in 1 CARTON (0113-0578-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
0113-0578
L. Perrigo Company Good Sense Adult Tussin DM 1 BOTTLE in 1 CARTON (0113-0934-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL dextromethorphan hbr, guaifenesin
0113-0934
L. Perrigo Company Good Sense Childrens Mucus Relief Cough 1 BOTTLE in 1 CARTON (0113-0419-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
0113-0419
L. Perrigo Company good sense tussin dm 1 BOTTLE in 1 CARTON (0113-0359-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
0113-0359
L. Perrigo Company good sense tussin dm 1 BOTTLE in 1 CARTON (0113-0359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
0113-0359
L. Perrigo Company good sense tussin 1 BOTTLE in 1 CARTON (0113-0296-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL, 5 mg/5mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
0113-0296
L. Perrigo Company good sense tussin 1 BOTTLE in 1 CARTON (0113-0296-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL, 5 mg/5mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
0113-0296
DOH 690-292 May 2016 192 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCL. Perrigo Company Good Sense Childrens Mucus Relief 1 BOTTLE in 1 CARTON (0113-0839-
26) > 118 mL in 1 BOTTLE5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
0113-0839
L. Perrigo Company Good Sense Tussin CF 1 BOTTLE in 1 CARTON (0113-0703-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
0113-0703
L. Perrigo Company Good Sense Tussin CF 1 BOTTLE in 1 CARTON (0113-0703-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
0113-0703
L.N.K. International, Inc. Multi-Symptom Cold Relief 1 BLISTER PACK in 1 BOX (50844-470-02) > 12 TABLET, FILM COATEDin 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
50844-470
L.N.K. International, Inc. Cough and Cold HBP 2 BLISTER PACK in 1 CARTON (50844-911-21) > 8 TABLET, SUGAR COATED in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate, Dextromethorphan HBr
50844-911
L.N.K. International, Inc. Cough and Cold HBP 2 BLISTER PACK in 1 CARTON (50844-411-21) > 8 TABLET, SUGAR COATED in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate, Dextromethorphan HBr
50844-411
L.N.K. International, Inc. Mucus Relief Cough 1 BOTTLE in 1 CARTON (50844-733-01) > 30 TABLET in 1 BOTTLE
20 mg/1, 400 mg/1 Dextromethorphan HBr and Guaifenesin
50844-733
LABORATORIO MAGNACHEM INTERNBRONCOCHEM 1 BOTTLE, PLASTIC in 1 BOX (65131-116-87) > 120 mL in 1 BOTTLE,PLASTIC
250 mg/10mL, 4 mg/10mL, 13.33 mg/10mL, 200 mg/10mL, 5 mg/10mL
ACETAMINOPHEN-CHLORPHENIRAMINE MALEATE-DEXTROMETHORPHAN HBr-GUAIFENESIN-PHENYLEPHRINE HCl
65131-116
LABORATORIO MAGNACHEM INTERNBRONCOCHEM 1 BOTTLE, PLASTIC in 1 BOX (65131-091-08) > 120 mL in 1 BOTTLE,PLASTIC
30 mg/10mL, 200 mg/10mL DEXTROMETHORPHAN HBr-GYAIFENESIN
65131-091
DOH 690-292 May 2016 193 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCLABOTORIO MAGNACHEM INTERNATBRONCOCHEM 12 BOX in 1 BOX (65131-111-21) >
50 POUCH in 1 BOX (65131-111-95) > 2 TABLET, COATED in 1 POUCH
325 mg/1, 30 mg/1, 5 mg/1, 3 mg/1
Acetaminophen-Dextromethorphan HBr-Phenylephrine HCl-Chlorpheniramine Maleate
65131-111
Larken Laboratories, Inc. LoHist DM 473 mL in 1 BOTTLE (68047-129-16) 2 mg/5mL, 10 mg/5mL, 5 mg/5mL
Brompheniramine Maleate, Dextromethorphan Hydrobromide and Phenylephrine Hydrochloride
68047-129
Larken Laboratories, Inc. EndaCof DM 473 mL in 1 BOTTLE (68047-143-16) 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine Maleate, Dextromethorphan Hydrobromide and Phenylephrine Hydrochloride
68047-143
Larken Laboratories, Inc. NoHist DM 473 mL in 1 BOTTLE (68047-186-16) 4 mg/5mL, 15 mg/5mL, 10 mg/5mL
Chlorpheniramine Maleate, Dextromethorphan Hydrobromide and Phenylephrine Hydrochloride
68047-186
Laser Pharmaceuticals LLC Neo 473 mL in 1 BOTTLE (16477-562-01) 30 mg/5mL, 50 mg/5mL, 3 mg/5mL
Dextromethorphan Hydrobromide, Pseudoephedrine Hydrochloride, and Brompheniramine Maleate
16477-562
Laser Pharmaceuticals LLC Neo 30 mL in 1 BOTTLE (16477-562-30) 30 mg/5mL, 50 mg/5mL, 3 mg/5mL
Dextromethorphan Hydrobromide, Pseudoephedrine Hydrochloride, and Brompheniramine Maleate
16477-562
DOH 690-292 May 2016 194 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCLaser Pharmaceuticals, LLC Donatussin 473 mL in 1 BOTTLE (16477-186-01) 4 mg/5mL, 20 mg/5mL, 10
mg/5mLChlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
16477-186
Laser Pharmaceuticals, LLC Donatussin DM Drops 1 BOTTLE in 1 CARTON (16477-811-30) > 30 mL in 1 BOTTLE
1 mg/mL, 3 mg/mL, 1.5 mg/mL
Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
16477-811
Laser Pharmaceuticals, LLC Neo DM DROPS 1 BOTTLE in 1 CARTON (16477-620-30) > 30 mL in 1 BOTTLE
2.75 mg/mL, .75 mg/mL, 1.75 mg/mL
Dextromethophan Hydrobromide, Chlorpheniramine Maleate, Phenylephrine Hydrochloride
16477-620
Lee Pharmaceuticals Cheracol D 1 BOTTLE, PLASTIC in 1 CARTON (23558-5504-0) > 118 mL in 1 BOTTLE, PLASTIC (23558-5504-1)
10 mg/5mL, 100 mg/5mL Maximum Strength Cough Relief
23558-5504
Lee Pharmaceuticals Cheracol D 1 BOTTLE, PLASTIC in 1 CARTON (23558-5504-2) > 177 mL in 1 BOTTLE, PLASTIC (23558-5504-3)
10 mg/5mL, 100 mg/5mL Maximum Strength Cough Relief
23558-5504
Lex Inc Baczol Cold Medicine 1 BOTTLE in 1 CARTON (49523-505-04) > 120 mL in 1 BOTTLE
250 mg/5mL, 10 mg/5mL, 10 mg/5mL, 4 mg/5mL
ACETAMINOPHEN, PHENYLEPHRINE HYDROCHLORIDE, DEXTROMETHORPHAN HYDROBROMIDE, and CHLORPHENIRAMINE MALEATE
49523-505
Lil' Drug Store Products, Inc Circle K Nighttime Cold and Flu 6 BLISTER PACK in 1 CARTON (66715-5734-0) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine Succinate
66715-5734
DOH 690-292 May 2016 195 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCLil' Drug Store Products, Inc Circle K Nighttime Cold and Flu 237 mL in 1 BOTTLE (66715-5834-4) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan Hydrobromide, and Doxylamine Succinate
66715-5834
Lil' Drug Store Products, Inc Cold and Flu Nighttime 6 BLISTER PACK in 1 CARTON (66715-6834-0) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine Succinate
66715-6834
Lil' Drug Store Products, Inc Nighttime Cold and Flu 237 mL in 1 BOTTLE (66715-6934-4) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine Succinate
66715-6934
Lil' Drug Store Products, Inc DayQuil Severe 1 POUCH in 1 CARTON (66715-9704-1) > 2 TABLET in 1 POUCH
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
66715-9704
Lil' Drug Store Products, Inc DayQuil Severe 2 POUCH in 1 CARTON (66715-9704-2) > 2 TABLET in 1 POUCH
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
66715-9704
Lil' Drug Store Products, Inc DayQuil Severe 3 POUCH in 1 CARTON (66715-9704-3) > 2 TABLET in 1 POUCH
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
66715-9704
DOH 690-292 May 2016 196 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCLil' Drug Store Products, Inc DayQuil Severe 20 POUCH in 1 CARTON (66715-
9704-7) > 2 TABLET in 1 POUCH325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
66715-9704
Lil' Drug Store Products, Inc DayQuil Severe 4 POUCH in 1 CARTON (66715-9704-8) > 2 TABLET in 1 POUCH
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
66715-9704
Lil' Drug Store Products, Inc Circle K Cold 2 POUCH in 1 CARTON (66715-5728-2) > 2 TABLET in 1 POUCH
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
66715-5728
Lil' Drug Store Products, Inc Daytime Cold and Flu 6 BLISTER PACK in 1 CARTON (66715-5731-0) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
66715-5731
Lil' Drug Store Products, Inc Circle K Daytime 237 mL in 1 BOTTLE (66715-5831-4) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
66715-5831
Lil' Drug Store Products, Inc Cold and Flu Daytime 6 BLISTER PACK in 1 CARTON (66715-6831-0) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
66715-6831
DOH 690-292 May 2016 197 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCLil' Drug Store Products, Inc Daytime Cold and Flu 6 BLISTER PACK in 1 CARTON
(66715-5631-0) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
66715-5631
Lil' Drug Store Products, Inc Daytime Cold and Flu 237 mL in 1 BOTTLE (66715-6931-4) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
66715-6931
Lil' Drug Store Products, Inc Adult Tussin DM 1 BOTTLE in 1 CARTON (66715-6858-4) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide and Guaifenesin
66715-6858
Lil' Drug Store Products, Inc. NyQuil 1 BLISTER PACK in 1 CARTON (66715-9713-0) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine succinate
66715-9713
Lil' Drug Store Products, Inc. NyQuil 1 POUCH in 1 CARTON (66715-9713-1) > 2 CAPSULE, LIQUID FILLED in 1POUCH
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine succinate
66715-9713
Lil' Drug Store Products, Inc. NyQuil 2 POUCH in 1 CARTON (66715-9713-2) > 2 CAPSULE, LIQUID FILLED in 1POUCH
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine succinate
66715-9713
Lil' Drug Store Products, Inc. NyQuil 3 POUCH in 1 CARTON (66715-9713-3) > 2 CAPSULE, LIQUID FILLED in 1POUCH
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine succinate
66715-9713
DOH 690-292 May 2016 198 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCLil' Drug Store Products, Inc. NyQuil 4 POUCH in 1 CARTON (66715-9713-
8) > 2 CAPSULE, LIQUID FILLED in 1POUCH
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine succinate
66715-9713
Lil' Drug Store Products, Inc. Lil Drug Store Cold Relief 3 POUCH in 1 CARTON (66715-9728-3) > 2 TABLET in 1 POUCH
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
66715-9728
Lil' Drug Store Products, Inc. Lil Drug Store Cold Relief 30 POUCH in 1 CARTON (66715-9728-4) > 2 TABLET in 1 POUCH
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
66715-9728
Lil' Drug Store Products, Inc. Lil Drug Store Cold Relief 10 POUCH in 1 CARTON (66715-9728-8) > 2 TABLET in 1 POUCH
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
66715-9728
Lil' Drug Store Products, Inc. Lil Drug Store Cold Relief 3 POUCH in 1 CARTON (66715-9828-3) > 2 TABLET in 1 POUCH
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
66715-9828
Lil' Drug Store Products, Inc. Lil Drug Store Cold Relief 30 POUCH in 1 CARTON (66715-9828-4) > 2 TABLET in 1 POUCH
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
66715-9828
DOH 690-292 May 2016 199 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCLil' Drug Store Products, Inc. Lil Drug Store Cold Relief 10 POUCH in 1 CARTON (66715-
9828-8) > 2 TABLET in 1 POUCH325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
66715-9828
Lil' Drug Store Products, Inc. DayQuil 1 BLISTER PACK in 1 CARTON (66715-9708-0) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
66715-9708
Lil' Drug Store Products, Inc. DayQuil 1 POUCH in 1 CARTON (66715-9708-1) > 2 CAPSULE, LIQUID FILLED in 1POUCH
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
66715-9708
Lil' Drug Store Products, Inc. DayQuil 2 POUCH in 1 CARTON (66715-9708-2) > 2 CAPSULE, LIQUID FILLED in 1POUCH
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
66715-9708
Lil' Drug Store Products, Inc. DayQuil 4 POUCH in 1 CARTON (66715-9708-8) > 2 CAPSULE, LIQUID FILLED in 1POUCH
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
66715-9708
Lil' Drug Store Products, Inc. Mucinex DM 1 POUCH in 1 CARTON (66715-9724-1) > 2 TABLET in 1 POUCH
600 mg/1, 30 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
66715-9724
LIVE BETTER (The Great Atlantic & PaNighttime Cold Flu Relief 2 BLISTER PACK in 1 CARTON (53187-480-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
53187-480
DOH 690-292 May 2016 200 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCLIVE BETTER (The Great Atlantic & PaDaytime 2 BLISTER PACK in 1 CARTON
(53187-470-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
53187-470
LLC Federal Solutions Guaifenesin and Dextromethorphan Hydrobromide 100 CUP, UNIT-DOSE in 1 BOX (24451-133-05) > 5 mL in 1 CUP, UNIT-DOSE
100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
24451-133
LLC Federal Solutions Guaifenesin and Dextromethorphan Hydrobromide 100 CUP, UNIT-DOSE in 1 BOX (24451-133-10) > 10 mL in 1 CUP, UNIT-DOSE
100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
24451-133
Llorens Pharmaceutical International Tusnel 178 mL in 1 BOTTLE (54859-502-06) 15 mg/5mL, 200 mg/5mL, 30 mg/5mL
Dextromethorphan, Guiafenesin, Pseudoephedrine HCl
54859-502
Llorens Pharmaceutical International Tusnel 3786 mL in 1 BOTTLE (54859-502-10)
15 mg/5mL, 200 mg/5mL, 30 mg/5mL
Dextromethorphan, Guiafenesin, Pseudoephedrine HCl
54859-502
Llorens Pharmaceutical International Tusnel 474 mL in 1 BOTTLE (54859-502-16) 15 mg/5mL, 200 mg/5mL, 30 mg/5mL
Dextromethorphan, Guiafenesin, Pseudoephedrine HCl
54859-502
Llorens Pharmaceutical International Tusnel 118 mL in 1 BOTTLE (54859-544-04) 5 mg/5mL, 50 mg/5mL, 15 mg/5mL
Dextromethorphan, Guiafenesin, Pseudoephedrine HCl
54859-544
Llorens Pharmaceutical International Tusnel DM 60 mL in 1 BOTTLE, DROPPER (54859-603-02)
25 mg/mL, 7.5 mg/mL, 2.5 mg/mL
Dextromethorphan, Guiafenesin, Pseudoephedrine HCl
54859-603
LLORENS PHARMACEUTICALS INTERNTusnel Diabetic 118 mL in 1 BOTTLE (54859-505-04) 10 mg/5mL, 100 mg/5mL Dextromethorphan, Guaifenesin
54859-505
LLORENS PHARMACEUTICALS INTERNTusnel Diabetic 472 mL in 1 BOTTLE (54859-505-16) 10 mg/5mL, 100 mg/5mL Dextromethorphan, Guaifenesin
54859-505
DOH 690-292 May 2016 201 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCLLORENS PHARMACEUTICALS INTERNTusnel 60 TABLET in 1 BOTTLE (54859-801-
60)30 mg/1, 400 mg/1, 60 mg/1
Dextromethorphan HBr, Guaifenesin, Pseudoephedrine HCl
54859-801
Major Pharmaceuticals Childrens Plus Cough and Runny Nose 118 mL in 1 BOTTLE, PLASTIC (0904-5874-20)
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE
0904-5874
Major Pharmaceuticals all nite 237 mL in 1 BOTTLE (0904-6465-09) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0904-6465
Major Pharmaceuticals Major Night Time Multi Symptom 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK (0904-5764-12)
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
0904-5764
Major Pharmaceuticals Major Night Time Multi Symptom 16 CAPSULE, LIQUID FILLED in 1 BLISTER PACK (0904-5764-44)
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
0904-5764
Major Pharmaceuticals All-Nite Cold and Flu 177 mL in 1 BOTTLE (0904-5776-21) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
0904-5776
Major Pharmaceuticals All-Nite Cold and Flu 237 mL in 1 BOTTLE (0904-5777-09) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
0904-5777
M
DOH 690-292 May 2016 202 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMajor Pharmaceuticals Multi-Symptom Mapap Cold Formula 2 BLISTER PACK in 1 CARTON (0904-
5786-24) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
0904-5786
Major Pharmaceuticals Day Time Cold and Flu Relief 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK (0904-5763-12)
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
0904-5763
Major Pharmaceuticals Day Time Cold and Flu Relief 16 CAPSULE, LIQUID FILLED in 1 BLISTER PACK (0904-5763-44)
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
0904-5763
Major Pharmaceuticals dimaphen dm 1 BOTTLE in 1 CARTON (0904-6463-20) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
0904-6463
Major Pharmaceuticals DIBROMM 118 mL in 1 BOTTLE, PLASTIC (0904-5782-20)
1 mg/5mL, 2.5 mg/5mL, 5 mg/5mL
BROMPHENIRAMINE MALEATE, PHENYLEPHRINE HYDROCHLORIDE, DEXTROMETHORPHAN HYDROBROMIDE
0904-5782
Major Pharmaceuticals Cough and Cold 2 BLISTER PACK in 1 CARTON (0904-5817-44) > 8 TABLET, SUGAR COATED in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate, Dextromethorphan HBr
0904-5817
Major Pharmaceuticals Robafen Cough 20 CAPSULE, LIQUID FILLED in 1 BOTTLE (0904-5752-95)
15 mg/1 Dextromethorphan HBr 0904-5752
Major Pharmaceuticals Cough Relief 118 mL in 1 BOTTLE, PLASTIC (0904-5875-20)
15 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
0904-5875
Major Pharmaceuticals cough dm 1 BOTTLE in 1 CARTON (0904-6312-56) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 0904-6312
DOH 690-292 May 2016 203 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMajor Pharmaceuticals Tussin DM 118 mL in 1 BOTTLE, PLASTIC (0904-
0053-20)10 mg/5mL, 100 mg/5mL Dextromethorphan
Hydrobromide and GUAIFENESIN
0904-0053
Major Pharmaceuticals Tussin Sugar Free Cough 118 mL in 1 BOTTLE, PLASTIC (0904-5180-20)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN
0904-5180
Major Pharmaceuticals Mucus Relief DM 500 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (0904-6013-40)
20 mg/1, 400 mg/1 Dextromethorphan HBr and Guiafenesin
0904-6013
Major Pharmaceuticals Robafen DM Max 1 BOTTLE in 1 CARTON (0904-6046-20) > 118 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL Dextromethorphan HBr, Guaifenesin
0904-6046
Major Pharmaceuticals robafen 1 BOTTLE in 1 CARTON (0904-6464-20) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
0904-6464
Major Pharmaceuticals Tussin Multi Symptom Cold CF 1 BOTTLE, PLASTIC in 1 BOX (0904-6537-20) > 118 mL in 1 BOTTLE, PLASTIC
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine
0904-6537
Major Pharmaceuticals Tussin CF 118 mL in 1 BOTTLE, PLASTIC (0904-5770-20)
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
0904-5770
Major Pharmaceuticals Robafen DM Cough Sugar Free Clear 118 mL in 1 BOTTLE (0904-6306-20) 100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
0904-6306
Major Pharmaceuticals Robafen CF Cough and cold 1 BOTTLE in 1 CARTON (0904-6309-20) > 118 mL in 1 BOTTLE
100 mg/5mL, 10 mg/5mL, 5 mg/5mL
Guaifenesin, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
0904-6309
MAJOR PHARMACEUTICALS INC MUCUS RELIEF DM 30 TABLET in 1 BOTTLE, PLASTIC (0904-6233-46)
400 mg/1, 20 mg/1 GUAIFENESIN, DEXTROMETHORPHAN HBr
0904-6233
DOH 690-292 May 2016 204 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMAJOR PHARMACEUTICALS INC MUCUS RELIEF DM 60 TABLET in 1 BOTTLE, PLASTIC
(0904-6233-52)400 mg/1, 20 mg/1 GUAIFENESIN,
DEXTROMETHORPHAN HBr0904-6233
Major Pharmaceuticals, Inc Pedia Relief 120 mL in 1 BOTTLE, PLASTIC (0904-5050-20)
1 mg/5mL, 15 mg/5mL, 5 mg/5mL
Chlorpheniramine maleate and Pseudoephedrine hydrochloride and Dextromethorphan hydrobromide
0904-5050
Major Pharmeceuticals Tussin Sugar Free Cough 237 mL in 1 BOTTLE, PLASTIC (0904-5180-09)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN
0904-5180
Marc Glassman, Inc. Nighttime Cold and Flu 355 mL in 1 BOTTLE, PLASTIC (68998-343-12)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
68998-343
Marc Glassman, Inc. Nighttime Cold and Flu 355 mL in 1 BOTTLE, PLASTIC (68998-344-12)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
68998-344
Marc Glassman, Inc. Daytime Cold and Flu 355 mL in 1 BOTTLE, PLASTIC (68998-466-12)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
68998-466
Marc Glassman, Inc. Day Time Cold and Flu 355 mL in 1 BOTTLE, PLASTIC (68998-311-12)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
68998-311
Marc Glassman, Inc. Night Time Cough 355 mL in 1 BOTTLE, PLASTIC (68998-345-12)
30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
68998-345
DOH 690-292 May 2016 205 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMarc Glassman, Inc. Tussin DM 1 BOTTLE, PLASTIC in 1 BOX (68998-
385-08) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
68998-385
Marc Glassman, Inc. TUSSIN DM MAX ADULT COUGH PLUS CHEST CONGESTION
1 BOTTLE in 1 CARTON (68998-386-20) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
68998-386
Marc Glassman, Inc. Tussin CF 237 mL in 1 BOTTLE, PLASTIC (68998-382-08)
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
68998-382
Matrixx Initiatives, Inc. Zicam 240 mL in 1 BOTTLE, UNIT-DOSE (62750-023-10)
325 mg/15mL, 10 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
62750-023
Matrixx Initiatives, Inc. Zicam 240 mL in 1 BOTTLE, UNIT-DOSE (62750-022-10)
325 mg/15mL, 10 mg/15mL, 200 mg/15mL
acetaminophen, dextromethorphan hydrobromide and guaifenesin
62750-022
Matrixx Initiatives, Inc. Duract 2 BLISTER PACK in 1 CARTON (62750-041-10) > 6 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK
30 mg/1 Dextromethorphan Hydrobromide
62750-041
Matrixx Initiatives, Inc. Duract 2 BLISTER PACK in 1 CARTON (62750-042-10) > 6 TABLET, ORALLY DISINTEGRATING in 1 BLISTER PACK
30 mg/1 Dextromethorphan Hydrobromide
62750-042
Matrixx Initiatives, Inc. Zicam 1 BOTTLE, PLASTIC in 1 CARTON (62750-016-10) > 16.3 mL in 1 BOTTLE, PLASTIC
6 mg/.25mL dextromethorphan hydrobromide
62750-016
DOH 690-292 May 2016 206 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMcKesson sunmark Cold 1 BOTTLE in 1 CARTON (49348-879-
34) > 118 mL in 1 BOTTLE160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
49348-879
McKesson health mart night time cold and flu 296 mL in 1 BOTTLE (62011-0082-1) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
62011-0082
McKesson health mart night time cold and flu 355 mL in 1 BOTTLE (62011-0082-2) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
62011-0082
McKesson health mart night time 296 mL in 1 BOTTLE (62011-0083-1) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
62011-0083
McKesson health mart night time 355 mL in 1 BOTTLE (62011-0083-2) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
62011-0083
McKesson sunmark nite time 177 mL in 1 BOTTLE (49348-975-36) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49348-975
McKesson sunmark nite time 237 mL in 1 BOTTLE (49348-975-37) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49348-975
McKesson sunmark nite time 355 mL in 1 BOTTLE (49348-975-39) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49348-975
McKesson sunmark nite time 295 mL in 1 BOTTLE (49348-975-49) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49348-975
DOH 690-292 May 2016 207 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMcKesson Sunmark nite time 177 mL in 1 BOTTLE (49348-742-36) 500 mg/15mL, 15
mg/15mL, 6.25 mg/15mLacetaminophen,dextromethorphan HBr, doxylamine succinate
49348-742
McKesson Sunmark nite time 295 mL in 1 BOTTLE (49348-742-49) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
49348-742
McKesson McKesson Nite Time 177 mL in 1 BOTTLE (49348-743-36) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
49348-743
McKesson McKesson Nite Time 295 mL in 1 BOTTLE (49348-743-49) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
49348-743
Mckesson sunmark nite time 177 mL in 1 BOTTLE (49348-061-36) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49348-061
Mckesson sunmark nite time 237 mL in 1 BOTTLE (49348-061-37) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49348-061
Mckesson sunmark nite time 355 mL in 1 BOTTLE (49348-061-39) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49348-061
Mckesson sunmark nite time 295 mL in 1 BOTTLE (49348-061-49) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49348-061
DOH 690-292 May 2016 208 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMcKesson sunmark nite time d 295 mL in 1 BOTTLE (49348-845-49) 500 mg/15mL, 15
mg/15mL, 6.25 mg/15mL, 30 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Pseudoephedrine Hydrochloride
49348-845
Mckesson adult cold, flu and sore throat 177 mL in 1 BOTTLE (62011-0193-1) 650 1/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
acteaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
62011-0193
Mckesson HealthMart Mucus Relief FM 2 BLISTER PACK in 1 CARTON (62011-0218-1) > 10 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, dextromethorphan HBr, guaifenesin, Phenylephrine HCl
62011-0218
Mckesson HealthMart Mucus Relief FM 2 BLISTER PACK in 1 CARTON (62011-0219-1) > 10 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, dextromethorphan HBr, guaifenesin, Phenylephrine HCl
62011-0219
McKesson Health Mart Daytime 6 BLISTER PACK in 1 CARTON (62011-0239-1) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
62011-0239
McKesson Severe Cold and Flu 2 BLISTER PACK in 1 CARTON (62011-0241-1) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
62011-0241
DOH 690-292 May 2016 209 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMcKesson Sunmark cold head congestion 2 BLISTER PACK in 1 CARTON
(49348-840-04) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
49348-840
McKesson sunmark cold and flu severe 12 BLISTER PACK in 1 CARTON (49348-104-04) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
49348-104
McKesson Cold and Flu Severe 2 BLISTER PACK in 1 CARTON (49348-118-04) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
49348-118
Mckesson adult cold, flu and sore throat 177 mL in 1 BOTTLE (49348-080-36) 650 1/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
acteaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
49348-080
McKesson Sunmark Cold Head Congestion 2 BLISTER PACK in 1 CARTON (49348-791-04) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49348-791
McKesson Sunmark Day time 177 mL in 1 BOTTLE (49348-753-36) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
49348-753
McKesson Sunmark Day time 237 mL in 1 BOTTLE (49348-753-37) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
49348-753
DOH 690-292 May 2016 210 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMckesson health mart daytime 177 mL in 1 BOTTLE (62011-0065-1) 325 mg/15mL, 10
mg/15mL, 5 mg/15mLacetaminophen, dextromethorphan Hbr, Phenylephrine HCl
62011-0065
Mckesson health mart daytime 236 mL in 1 BOTTLE (62011-0065-2) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
62011-0065
McKesson health mart severe cold cough and flu 6 POWDER, FOR SOLUTION in 1 CARTON (62011-0253-1)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
62011-0253
McKesson Health Mart Cold and Cough 1 BOTTLE in 1 CARTON (62011-0063-1) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
62011-0063
McKesson SUNMARK COLD AND COUGH DM 1 BOTTLE in 1 CARTON (49348-775-34) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
49348-775
McKesson Sunmark cough dm 1 BOTTLE in 1 CARTON (49348-100-84) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 49348-100
McKesson Sunmark cough dm 1 BOTTLE in 1 CARTON (49348-315-84) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 49348-315
McKesson Health Mart Cough DM 1 BOTTLE in 1 CARTON (62011-0198-1) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 62011-0198
McKesson Health Mart Cough DM 1 BOTTLE in 1 CARTON (62011-0176-1) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 62011-0176
McKesson health mart cough dm 1 BOTTLE in 1 CARTON (62011-0251-1) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 62011-0251
McKesson sunmark nite time 177 mL in 1 BOTTLE (49348-540-36) 15 mg/15mL, 6.25 mg/15mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
49348-540
DOH 690-292 May 2016 211 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMcKesson health mart adult tussin 1 BOTTLE in 1 CARTON (62011-0091-
1) > 118 mL in 1 BOTTLE20 mg/10mL, 200 mg/10mL Dextromethorphan
Hydrobromide, Guaifenesin62011-0091
McKesson health mart adult tussin 1 BOTTLE in 1 CARTON (62011-0091-2) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
62011-0091
McKesson health mart adult tussin 1 BOTTLE in 1 CARTON (62011-0092-1) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
62011-0092
McKesson health mart adult tussin 1 BOTTLE in 1 CARTON (62011-0092-2) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
62011-0092
McKesson HealthMart Chest Congestion Relief DMDM 1 BOTTLE in 1 CARTON (62011-0061-1) > 50 TABLET in 1 BOTTLE
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
62011-0061
McKesson Health Mart Adult Tussin 1 BOTTLE in 1 CARTON (62011-0211-1) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
62011-0211
McKesson Sunmark Chest Congestion Relief DM 1 BOTTLE in 1 CARTON (49348-728-09) > 50 TABLET in 1 BOTTLE
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
49348-728
McKesson Sunmark Adult Tussin 1 BOTTLE in 1 CARTON (49348-421-84) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
49348-421
McKesson Sun Mark Tussin DM 1 BOTTLE in 1 CARTON (49348-017-34) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
49348-017
McKesson Sun Mark Tussin DM 1 BOTTLE in 1 CARTON (49348-017-37) > 236 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
49348-017
McKesson Sun Mark Tussin DM 1 BOTTLE in 1 CARTON (49348-017-39) > 354 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
49348-017
McKesson Sun Mark Mucus Relief Cough 1 BOTTLE in 1 CARTON (49348-828-34) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
49348-828
McKesson sunmark tussin dm 1 BOTTLE in 1 CARTON (49348-861-34) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
49348-861
McKesson sunmark tussin dm 1 BOTTLE in 1 CARTON (49348-861-37) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
49348-861
DOH 690-292 May 2016 212 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMckesson adult severe congestion and cough 177 mL in 1 BOTTLE (49348-083-36) 20 mg/20mL, 400
mg/20mL, 10 mg/20mLDextromethorphan HBr, Guaifenesin, Phenylephrine HCl
49348-083
McKesson SUNMARK TUSSIN CF 1 BOTTLE in 1 CARTON (49348-737-34) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49348-737
McKesson SUNMARK TUSSIN CF 1 BOTTLE in 1 CARTON (49348-737-37) > 236 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49348-737
McKesson health mart adult tussin 1 BOTTLE in 1 CARTON (62011-0090-1) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
62011-0090
McKesson sunmark day time cold and cough 1 BOTTLE in 1 CARTON (49348-841-34) > 118 mL in 1 BOTTLE
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
49348-841
McKesson (Health Mart) Health Mart Multi-Symptom Cold and Flu Night Time 1 BOX in 1 BOX (62011-0084-1) > 12 CAPSULE, LIQUID FILLED in 1 BOX
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
62011-0084
McKesson (Health Mart) NightTime Cold and Flu 16 BLISTER PACK in 1 CARTON (62011-0262-1) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
62011-0262
McKesson (Health Mart) NON-DROWSY DAY TIME 1 BLISTER PACK in 1 BOX (62011-0066-1) > 20 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
62011-0066
McKesson (Health Mart) NON-DROWSY DAY TIME 1 BLISTER PACK in 1 BOX (62011-0066-2) > 24 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
62011-0066
DOH 690-292 May 2016 213 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMcKesson (Health Mart) Daytime 24 BLISTER PACK in 1 CARTON
(62011-0261-1) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
62011-0261
McKesson (Sunmark) Nite time 1 BLISTER PACK in 1 CARTON (49348-741-02) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
49348-741
McKesson (Sunmark) Nite time 2 BLISTER PACK in 1 CARTON (49348-741-03) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
49348-741
McKesson (Sunmark) Nite time 2 BLISTER PACK in 1 CARTON (49348-741-47) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
49348-741
McKesson (Sunmark) Nighttime 16 BLISTER PACK in 1 CARTON (49348-157-03) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
49348-157
McKesson (Sunmark) Day Time Cold and Flu 24 BLISTER PACK in 1 CARTON (49348-142-04) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49348-142
McKesson (Sunmark) Day Time PE 1 BLISTER PACK in 1 CARTON (49348-738-02) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
49348-738
McKesson (Sunmark) Day Time PE 2 BLISTER PACK in 1 CARTON (49348-738-04) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
49348-738
DOH 690-292 May 2016 214 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMcKesson (Sunmark) Day Time PE 2 BLISTER PACK in 1 CARTON
(49348-738-47) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
49348-738
McLaren Medical G-Tuss-NL 473 mL in 1 BOTTLE, PLASTIC (43913-404-16)
10 mg/5mL, 200 mg/5mL, 30 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, and Pseudoephedrine Hydrochloride
43913-404
McLaren Medical G-Tuss-NL Ped 473 mL in 1 BOTTLE, PLASTIC (43913-406-16)
5 mg/5mL, 50 mg/5mL, 15 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, and Pseudoephedrine Hydrochloride
43913-406
McLaren Medical G-Xpect PSE 473 mL in 1 BOTTLE, PLASTIC (43913-407-16)
10 mg/5mL, 200 mg/5mL, 30 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, and Pseudoephedrine Hydrochloride
43913-407
MCLAREN MEDICAL INC G-BRONCO-D 474 mL in 1 BOTTLE (43913-403-16) 200 mg/5mL, 10 mg/5mL, 5 mg/5mL
GUAIFENESIN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
43913-403
MCR American Pharmaceuticals, Inc. BroveX PEB DM 473 mL in 1 BOTTLE, PLASTIC (58605-153-01)
4 mg/5mL, 10 mg/5mL, 20 mg/5mL
Brompheniramine Maleate, Phenylephrine Hydrochloride, and Dextromethorphan Hydrobromide
58605-153
MCR American Pharmaceuticals, Inc. BroveX PEB DM 20 mL in 1 BOTTLE, PLASTIC (58605-153-02)
4 mg/5mL, 10 mg/5mL, 20 mg/5mL
Brompheniramine Maleate, Phenylephrine Hydrochloride, and Dextromethorphan Hydrobromide
58605-153
DOH 690-292 May 2016 215 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMCR American Pharmaceuticals, Inc. Allfen DM 100 TABLET in 1 BOTTLE, PLASTIC
(58605-401-01)400 mg/1, 20 mg/1 GUAIFENESIN and
Dextromethorphan Hydrobromide
58605-401
MCR American Pharmaceuticals, Inc. Allfen DM 20 TABLET in 1 BLISTER PACK (58605-401-02)
400 mg/1, 20 mg/1 GUAIFENESIN and Dextromethorphan Hydrobromide
58605-401
MCR American Pharmaceuticals, Inc. Maxiphen DM 100 TABLET in 1 BOTTLE, PLASTIC (58605-423-01)
400 mg/1, 10 mg/1, 20 mg/1
Guaifenesin, Phenylephrine Hydrochloride, and Dextromethorphan Hydrobromide
58605-423
MCR American Pharmaceuticals, Inc. Maxiphen DM 20 TABLET in 1 BLISTER PACK (58605-423-02)
400 mg/1, 10 mg/1, 20 mg/1
Guaifenesin, Phenylephrine Hydrochloride, and Dextromethorphan Hydrobromide
58605-423
MCR American Pharmaceuticals, Inc. BroveX PSB DM 473 mL in 1 BOTTLE, PLASTIC (58605-151-01)
20 mg/5mL, 4 mg/5mL, 20 mg/5mL
Pseudoephedrine Hydrochloride, Brompheniramine Maleate, and Dextromethorphan Hydrobromide
58605-151
MCR American Pharmaceuticals, Inc. BroveX PSB DM 20 mL in 1 BOTTLE, PLASTIC (58605-151-02)
20 mg/5mL, 4 mg/5mL, 20 mg/5mL
Pseudoephedrine Hydrochloride, Brompheniramine Maleate, and Dextromethorphan Hydrobromide
58605-151
Mechanical Servants, Inc. Vicks NyQuil 1 POUCH in 1 PACKAGE (29485-2828-5) > 2 CAPSULE, LIQUID FILLED in 1 POUCH
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine Succinate
29485-2828
DOH 690-292 May 2016 216 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMechanical Servants, Inc. Vicks DayQuil 1 POUCH in 1 PACKAGE (29485-
2827-8) > 2 CAPSULE, LIQUID FILLED in 1 POUCH
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
29485-2827
Meda Consumer Healthcare Inc. Contac Cold and Flu 236 mL in 1 BOTTLE, PLASTIC (46017-026-08)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide, and doxylamine succinate liquid
46017-026
Medicine Shoppe International Inc Tussin DM 1 BOTTLE in 1 CARTON (49614-360-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
49614-360
Medtech Products Inc. Little Colds Multi Symptom Cold 1 BOTTLE, DROPPER in 1 BOX (63029-404-01) > 30 mL in 1 BOTTLE, DROPPER
80 mg/mL, 2.5 mg/mL, 1.25 mg/mL
Acetaminophen and Dextromethorphan Hydrobromide and Phenylephrine Hydrochloride
63029-404
Medtech Products Inc. Little Colds Multi Symptom Cold 1 BOTTLE in 1 BOX (63029-405-01) > 118 mL in 1 BOTTLE
160 mg/mL, 5 mg/mL, 2.5 mg/mL
acetaminophen, dextromethorphan hydrobromide and phenylephrine hydrochloride
63029-405
Medtech Products Inc. BC 4 POWDER in 1 CARTON (63029-215-04)
600 mg/1, 20 mg/1, 10 mg/1
acetaminophen, dextromethorphan hydrobromide, and phenylephrine hydrochloride
63029-215
Medtech Products Inc. BC 12 POWDER in 1 CARTON (63029-215-12)
600 mg/1, 20 mg/1, 10 mg/1
acetaminophen, dextromethorphan hydrobromide, and phenylephrine hydrochloride
63029-215
Medtech Products Inc. Little Colds Decongestant Plus Cough 1 BOTTLE, DROPPER in 1 BOX (63029-402-01) > 30 mL in 1 BOTTLE, DROPPER
5 mg/mL, 2.5 mg/mL Dextromethorphan Hydrobromide and Phenylephrine Hydrochloride
63029-402
DOH 690-292 May 2016 217 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMeijer Nite time Severe Cold and Flu 2 BLISTER PACK in 1 CARTON
(41250-877-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
41250-877
Meijer Mucus Relief 3 BLISTER PACK in 1 VIAL (41250-616-01) > 10 TABLET, FILM COATEDin 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41250-616
Meijer Cold and Flu Severe 2 BLISTER PACK in 1 CARTON (41250-663-05) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
41250-663
Meijer Mucus Relief 3 BLISTER PACK in 1 CARTON (41250-717-01) > 10 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41250-717
Meijer Cold and Cough PE 1 BLISTER PACK in 1 CARTON (41250-134-03) > 10 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
41250-134
Meijer Cold and Sinus PE Pressure, Pain and Cold 2 BLISTER PACK in 1 CARTON (41250-465-08) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41250-465
DOH 690-292 May 2016 218 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMeijer Cold Relief Multi-Symptom Daytime 2 BLISTER PACK in 1 CARTON
(41250-138-05) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
41250-138
Meijer Cough and Sinus PE Pressure, Pain and Cough 2 BLISTER PACK in 1 CARTON (41250-511-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
41250-511
Meijer Mucus Relief DM 1 BOTTLE, PLASTIC in 1 CARTON (41250-533-11) > 60 TABLET, FILM COATED in 1 BOTTLE, PLASTIC
20 mg/1, 400 mg/1 Dextromethorphan HBr and Guiafenesin
41250-533
Meijer Distribution Inc Pain Relief Plus 1 BOTTLE in 1 CARTON (41250-903-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
41250-903
Meijer Distribution Inc cold relief 2 BLISTER PACK in 1 CARTON (41250-014-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41250-014
Meijer Distribution Inc cold relief 2 BLISTER PACK in 1 CARTON (41250-393-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41250-393
Meijer Distribution Inc cough and sore throat 237 mL in 1 BOTTLE (41250-698-34) 500 mg/15mL, 15 mg/15mL Acetaminophen, Dextromethorphan HBr
41250-698
DOH 690-292 May 2016 219 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMeijer Distribution Inc cough and sore throat 237 mL in 1 BOTTLE (41250-666-34) 500 mg/15mL, 15
mg/15mL, 6.25 mg/15mLAcetaminophen, Dextromethorphan HBr, Doxylamine Succinate
41250-666
Meijer Distribution Inc Nite Time 295 mL in 1 BOTTLE (41250-908-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
41250-908
Meijer Distribution Inc Nite Time 355 mL in 1 BOTTLE (41250-908-40) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
41250-908
Meijer Distribution Inc Nite Time 473 mL in 1 BOTTLE (41250-908-43) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
41250-908
Meijer Distribution Inc NiteTime Cold and Flu 12 BLISTER PACK in 1 CARTON (41250-977-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
41250-977
Meijer Distribution Inc Nite Time 296 mL in 1 BOTTLE (41250-990-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
- acetaminophen,dextromethorphanhydrobromide and doxylaminesuccinate liquid
41250-990
Meijer Distribution Inc nitetime cold and flu 355 mL in 1 BOTTLE (41250-872-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41250-872
Meijer Distribution Inc nitetime cold and flu 296 mL in 1 BOTTLE (41250-459-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41250-459
Meijer Distribution Inc nitetime cold and flu 355 mL in 1 BOTTLE (41250-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41250-459
DOH 690-292 May 2016 220 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMeijer Distribution Inc nitetime cold and flu 473 mL in 1 BOTTLE (41250-459-43) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
41250-459
Meijer Distribution Inc nitetime cold and flu 296 mL in 1 BOTTLE (41250-335-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41250-335
Meijer Distribution Inc nitetime cold and flu 355 mL in 1 BOTTLE (41250-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41250-335
Meijer Distribution Inc nitetime cold and flu 473 mL in 1 BOTTLE (41250-335-43) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41250-335
Meijer Distribution Inc Nite Time Cold and Flu 296 mL in 1 BOTTLE (41250-041-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
41250-041
Meijer Distribution Inc Nite Time Cold and Flu 473 mL in 1 BOTTLE (41250-041-43) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
41250-041
Meijer Distribution Inc nitetime cold and flu 12 BLISTER PACK in 1 CARTON (41250-056-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41250-056
Meijer Distribution Inc nitetime cold and flu 355 mL in 1 BOTTLE (41250-811-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
41250-811
DOH 690-292 May 2016 221 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMeijer Distribution Inc Nitetime Cold and Flu 355 mL in 1 BOTTLE (41250-763-40) 650 mg/30mL, 20
mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
41250-763
Meijer Distribution Inc Nitetime Cold and Flu 2 BOTTLE in 1 PACKAGE (41250-763-50) > 355 mL in 1 BOTTLE
650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
41250-763
Meijer Distribution Inc Nitetime D 296 mL in 1 BOTTLE (41250-550-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL, 30 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Pseudoephedrine HCl
41250-550
Meijer Distribution Inc Nitetime D 296 mL in 1 BOTTLE (41250-609-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL, 30 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Pseudoephedrine Hydrochloride
41250-609
Meijer Distribution Inc Daytime Cold and Flu 355 mL in 1 BOTTLE (41250-603-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
41250-603
Meijer Distribution Inc daytime cold and flu 12 BLISTER PACK in 1 CARTON (41250-548-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
41250-548
Meijer Distribution Inc cold and flu severe 12 BLISTER PACK in 1 CARTON (41250-300-62) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41250-300
DOH 690-292 May 2016 222 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMeijer Distribution Inc cold relief 2 BLISTER PACK in 1 CARTON
(41250-308-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
41250-308
Meijer Distribution Inc Cold relief 2 BLISTER PACK in 1 CARTON (41250-234-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41250-234
Meijer Distribution Inc Cold Relief 2 BLISTER PACK in 1 CARTON (41250-402-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41250-402
Meijer Distribution Inc DayTime Cold and Flu 12 BLISTER PACK in 1 CARTON (41250-361-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
41250-361
Meijer Distribution Inc DayTime Cold and Flu 12 BLISTER PACK in 1 CARTON (41250-994-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
41250-994
Meijer Distribution Inc Daytime cold and flu 296 mL in 1 BOTTLE (41250-656-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
41250-656
Meijer Distribution Inc Daytime cold and flu 355 mL in 1 BOTTLE (41250-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
41250-656
Meijer Distribution Inc cold and cough 1 BOTTLE in 1 CARTON (41250-987-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
41250-987
DOH 690-292 May 2016 223 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMeijer Distribution Inc cold and cough 1 BOTTLE in 1 CARTON (41250-987-
34) > 237 mL in 1 BOTTLE1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
41250-987
Meijer Distribution Inc Cough DM 1 BOTTLE in 1 CARTON (41250-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 41250-384
Meijer Distribution Inc Cough DM 1 BOTTLE in 1 CARTON (41250-384-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 41250-384
Meijer Distribution Inc daytime cough 296 mL in 1 BOTTLE (41250-473-38) 15 mg/15mL Dextromethorphan HBr 41250-473
Meijer Distribution Inc daytime cough 355 mL in 1 BOTTLE (41250-473-40) 15 mg/15mL Dextromethorphan HBr 41250-473
Meijer Distribution Inc Cough DM 1 BOTTLE in 1 CARTON (41250-958-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 41250-958
Meijer Distribution Inc Cough DM 1 BOTTLE in 1 CARTON (41250-958-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 41250-958
Meijer Distribution Inc cough dm 1 BOTTLE in 1 CARTON (41250-899-28) > 148 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan polistirex 41250-899
Meijer Distribution Inc Cough DM 1 BOTTLE in 1 CARTON (41250-494-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 41250-494
Meijer Distribution Inc Nitetime Cough 177 mL in 1 BOTTLE (41250-668-30) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
41250-668
Meijer Distribution Inc Nitetime Cough 296 mL in 1 BOTTLE (41250-668-38) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
41250-668
Meijer Distribution Inc Nitetime Cough 355 mL in 1 BOTTLE (41250-668-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
41250-668
DOH 690-292 May 2016 224 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMeijer Distribution Inc Cough Syrup 1 BOTTLE in 1 CARTON (41250-578-
26) > 118 mL in 1 BOTTLE10 mg/5mL, 100 mg/5mL Dextromethorphan HBr,
Guaifenesin41250-578
Meijer Distribution Inc Cough Syrup 1 BOTTLE in 1 CARTON (41250-578-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
41250-578
Meijer Distribution Inc cough and chest congestion 1 BOTTLE in 1 CARTON (41250-704-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
41250-704
Meijer Distribution Inc tussin cough 1 BOTTLE in 1 CARTON (41250-799-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL Dextromethorphan HBr, Guaifenesin
41250-799
Meijer Distribution Inc cough plus chest congestion 1 BOTTLE in 1 CARTON (41250-910-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
41250-910
Meijer Distribution Inc cough 1 BOTTLE in 1 CARTON (41250-359-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
41250-359
Meijer Distribution Inc cough 1 BOTTLE in 1 CARTON (41250-359-40) > 355 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
41250-359
Meijer Distribution Inc cough and chest congestion 1 BOTTLE in 1 CARTON (41250-280-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
41250-280
Meijer Distribution Inc cough syrup 1 BOTTLE in 1 CARTON (41250-296-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL, 5 mg/5mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
41250-296
Meijer Distribution Inc multi symptom cold 1 BOTTLE in 1 CARTON (41250-453-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
41250-453
Meijer Distribution Inc childrens multi symptom cold 1 BOTTLE in 1 CARTON (41250-839-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
41250-839
Meijer Distribution Inc cough 1 BOTTLE in 1 CARTON (41250-516-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
41250-516
Meijer Distribution Inc cough 1 BOTTLE in 1 CARTON (41250-516-40) > 355 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
41250-516
DOH 690-292 May 2016 225 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMeijer Distribution Inc Adult CF Cough 1 BOTTLE in 1 CARTON (41250-699-
34) > 237 mL in 1 BOTTLE10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
41250-699
Meijer Distribution Inc multi symptom cold 1 BOTTLE in 1 CARTON (41250-605-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
41250-605
Meijer Distribution, Inc. Mixed Berry Sore Throat and Cough lozenge 18 LOZENGE in 1 CARTON (41250-066-18)
7.5 mg/1, 5 mg/1 Dextromethorphan Hydrobromide
41250-066
MEIJER, INC. NiteTime Cold Flu Relief 24 BLISTER PACK in 1 CARTON (41250-480-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
41250-480
MEIJER, INC. Night Time Cold and Flu Relief 24 BLISTER PACK in 1 CARTON (41250-471-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
41250-471
MEIJER, INC. DayTime Cold and Flu 24 BLISTER PACK in 1 CARTON (41250-568-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
41250-568
MEIJER, INC. Mucus Relief 177 mL in 1 BOTTLE, PLASTIC (41250-336-06)
20 mg/20mL, 650 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41250-336
MEIJER, INC. Mucus Relief 177 mL in 1 BOTTLE, PLASTIC (41250-137-06)
20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41250-137
Melaleuca, Inc. CounterAct 3 BLISTER PACK in 1 BOX (54473-185-36) > 12 TABLET, FILM COATEDin 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine
54473-185
DOH 690-292 May 2016 226 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMelaleuca, Inc. CounterAct 1 BOTTLE in 1 BOX (54473-080-04)
> 118 mL in 1 BOTTLE10 mg/5mL, 100 mg/5mL Dextromethorphan HBr. and
Guaifenesin54473-080
Menper Distributors Inc. Defensol D (Multi Symptom Effervescent Tablets) 6 POUCH in 1 BOX (53145-320-06) > 2 TABLET, EFFERVESCENT in 1 POUCH (53145-320-02)
250 mg/2501, 2 mg/2501, 10 mg/2501, 5 mg/2501
Acetaminophen 250mg, Chlorpheniramine maleate 2mg, Dextromethorphan hydrobromide 10mg, Phenylephrine hydrochloride 5mg
53145-320
MENPER DISTRIBUTORS INC. Bisolvine 120 mL in 1 BOTTLE, PLASTIC (53145-321-04)
100 mg/5mL, 10 mg/5mL Guaifenesin, Dextromethorphan
53145-321
Menper Distributors, Inc Defensol-ito 1 BOTTLE, DROPPER in 1 CARTON (53145-333-15) > 30 mL in 1 BOTTLE, DROPPER
4 mg/mL, 50 mg/mL, 2.5 mg/mL
Dextromethorphan, Guiafenesin, Phenylephrine
53145-333
Menper Distributors, Inc. Cosedal Drops 1 BOTTLE, DROPPER in 1 CARTON (53145-059-02) > 60 mL in 1 BOTTLE, DROPPER
10 mg/5mL, 100 mg/5mL Dextromethorphan HBR, Guaifenesin
53145-059
Menper Distributors, Inc. Toa Syrup Adult 120 mL in 1 CARTON (53145-302-84)
10 mg/5mL, 5 mg/5mL Toa Syrup Adult 53145-302
Menper Distributors, Inc. Broncofin 120 mL in 1 CARTON (53145-026-34)
10 mg/5mL, 5 mg/5mL Broncofin 53145-026
Menper Distributors, Inc. Bronco Pulmonar Syrup 1 BOTTLE in 1 CARTON (53145-030-04) > 120 mL in 1 BOTTLE
100 mg/5mL, 10 mg/5mL Guaifenesin, Dextromethrophan HBR
53145-030
Menper Distributors, Inc. Pulmovac 1 BOTTLE in 1 CARTON (53145-031-06) > 180 mL in 1 BOTTLE
100 mg/5mL, 10 mg/5mL Guaifenesin, Dextromethorphan HBR
53145-031
Menper Distributors, Inc. Bronkisan 1 BOTTLE in 1 CARTON (53145-032-06) > 180 mL in 1 BOTTLE
100 mg/5mL, 10 mg/5mL Guaifenesin, Dextromethorphan HBR
53145-032
Menper Distributors, Inc. Defensol Adult Syrup 1 BOTTLE in 1 CARTON (53145-039-04) > 120 mL in 1 BOTTLE
100 mg/5mL, 10 mg/5mL Guaifenesin, Dextromethorphan HBR
53145-039
DOH 690-292 May 2016 227 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCMenper Distributors, Inc. Breacold Adult 1 BOTTLE in 1 CARTON (53145-040-
04) > 180 mL in 1 BOTTLE100 mg/5mL, 10 mg/5mL Guaifenesin,
Dextromethorphan HBr53145-040
Menper Distributors, Inc. Breacold Children 1 BOTTLE in 1 CARTON (53145-007-04) > 120 mL in 1 BOTTLE
100 mg/15mL, 10 mg/15mL Guaifenesin, Dextromethorphan HBR
53145-007
Menper Distributors, Inc. Defensolito Children Syrup 1 BOTTLE in 1 CARTON (53145-008-04) > 120 mL in 1 BOTTLE
100 mg/15mL, 10 mg/15mL Guaifenesin, Dextromethorphan HBR
53145-008
Moore Medical LLC Moore Medical MooreBrand Severe Cold Relief 250 PACKET in 1 BOX, UNIT-DOSE (55670-143-13) > 2 TABLET, FILM COATED in 1 PACKET (55670-143-99)
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
55670-143
MSD Consumer Care, Inc. Coricidin HBP Maximum Strength Flu 1 BLISTER PACK in 1 CARTON (11523-1305-1) > 10 TABLET, FILM COATED in 1 BLISTER PACK
500 mg/1, 2 mg/1, 15 mg/1 Acetaminophen, Chlorpheniramine maleate, and Dextromethorphan Hydrobromide
11523-1305
MSD Consumer Care, Inc. Coricidin HBP Maximum Strength Flu 2 BLISTER PACK in 1 CARTON (11523-1305-2) > 10 TABLET, FILM COATED in 1 BLISTER PACK
500 mg/1, 2 mg/1, 15 mg/1 Acetaminophen, Chlorpheniramine maleate, and Dextromethorphan Hydrobromide
11523-1305
MSD Consumer Care, Inc. Coricidin HBP Cough and Cold 2 BLISTER PACK in 1 CARTON (11523-4326-1) > 8 TABLET, FILM COATED in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate and Dextromethorphan hydrobromide
11523-4326
MSD Consumer Care, Inc. Coricidin HBP Chest Congestion And Cough 2 BLISTER PACK in 1 CARTON (11523-7158-2) > 10 CAPSULE, GELATIN COATED in 1 BLISTER PACK
10 mg/1, 200 mg/1 Dextromethorphan hydrobromide and Guaifenesin
11523-7158
DOH 690-292 May 2016 228 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDC
Nash Finch Mucus Relief Cold, Flu and Sore Throat 177 mL in 1 BOTTLE, PLASTIC (70253-233-06)
400 mg/20mL, 20 mg/20mL, 650 mg/20mL, 10 mg/20mL
Mucinex Fast Max Cold, Flu and Sore Throat Maximum Strength
70253-233
Nash-Finch Company Night Time Original 177 mL in 1 BOTTLE, PLASTIC (70253-112-06)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
70253-112
Nash-Finch Company Night Time Original 296 mL in 1 BOTTLE, PLASTIC (70253-112-01)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
70253-112
Nash-Finch Company Night Time Cherry 177 mL in 1 BOTTLE, PLASTIC (70253-113-06)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
70253-113
Nash-Finch Company Night Time Cherry 296 mL in 1 BOTTLE, PLASTIC (70253-113-01)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
70253-113
Nash-Finch Company Day Time 296 mL in 1 BOTTLE, PLASTIC (70253-142-01)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
70253-142
NASH-FINCH COMPANY Mucus Relief DM 1 BOTTLE, PLASTIC in 1 CARTON (70253-533-01) > 30 TABLET, FILM COATED in 1 BOTTLE, PLASTIC
20 mg/1, 400 mg/1 Dextromethorphan HBr and Guiafenesin
70253-533
Nash-Finch Company Tussin DM 237 mL in 1 BOTTLE, PLASTIC (70253-018-08)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
70253-018
N
DOH 690-292 May 2016 229 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCNash-Finch Company Tussin DM 118 mL in 1 BOTTLE, PLASTIC
(70253-018-04)10 mg/5mL, 100 mg/5mL Dextromethorphan
Hydrobromide, Guaifenesin70253-018
National Distribution Network (Smar Nighttime Cold and Flu 177 mL in 1 BOTTLE (53441-342-07) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
53441-342
National Distribution Network (Smar Nighttime Cold and Flu 237 mL in 1 BOTTLE, PLASTIC (53441-343-06)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
53441-343
National Distribution Network (Smar Night Time Cold and Flu 237 mL in 1 BOTTLE, PLASTIC (53441-344-08)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
53441-344
National Distribution Network (Smar Nighttime Cold and Flu 177 mL in 1 BOTTLE (53441-346-06) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
53441-346
National Distribution Network (Smar Day Time Cold and Flu 177 mL in 1 BOTTLE (53441-311-06) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
53441-311
National Distribution Network (Smar Day Time Cold and Flu 237 mL in 1 BOTTLE (53441-311-08) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
53441-311
Navarro Discount Pharmacies,LLC Day Time Gelcap 1 BLISTER PACK in 1 BOX (59970-077-12) > 12 CAPSULE, LIQUIDFILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan, Phenylephrine
59970-077
DOH 690-292 May 2016 230 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCNew Genesis/Monticello Drug LLC Cold Preparation 237 mL in 1 BOTTLE, PLASTIC
(11868-311-08)325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
11868-311
New Genesis/Monticello Drug LLC Cold Preparation 355 mL in 1 BOTTLE, PLASTIC (11868-311-12)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
11868-311
New Genesis/Monticello Drug LLC Cold Preparation 236 mL in 1 BOTTLE, PLASTIC (11868-466-08)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
11868-466
New Genesis/Monticello Drug LLC Cold Preparation 355 mL in 1 BOTTLE, PLASTIC (11868-466-12)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
11868-466
Nivagen Pharmaceuticals, Inc. Niva-Hist DM 473 mL in 1 BOTTLE (75834-060-16) 4 mg/5mL, 7.5 mg/5mL, 15 mg/5mL
BROMPHENIRAMINE MALEATE, PHENYLEPHRINE HYDROCHLORIDE, and DEXTROMETHORPHAN HYDROBROMIDE
75834-060
Nivagen Pharmaceuticals, Inc. Nivanex DMX 60 TABLET in 1 BOTTLE (75834-040-60)
380 mg/1, 15 mg/1, 10 mg/1
GUAIFENESIN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
75834-040
DOH 690-292 May 2016 231 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCNorth Safety Products LLC Multi Symptom Cold 250 CARTON in 1 CARTON (0498-
1070-50) > 125 CARTON in 1 CARTON (0498-1070-25) > 50 PACKET in 1 CARTON (0498-1070-10) > 2 TABLET in 1 PACKET (0498-1070-01)
325 mg/1, 162 mg/1, 200 mg/1, 15 mg/1
Acetaminophen, Dextromethorphan, Phenylephrine, Guaifenesin
0498-1070
Novartis Consumer Health Theraflu 245.5 mL in 1 BOTTLE (0043-0461-08)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan HBr, Phenylepherine HCl
0043-0461
Novartis Consumer Health Theraflu 6 POWDER, FOR SOLUTION in 1 CARTON (0043-6257-06)
650 mg/1, 20 mg/1, 10 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN, PHENYLEPHRINE
0043-6257
Novartis Consumer Health Inc. Triaminic 1 BOTTLE in 1 CARTON (0067-8118-04) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
0067-8118
Novartis Consumer Health, Inc. Triaminic 1 BOTTLE in 1 CARTON (0067-6394-04) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 7.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan
0067-6394
Novartis Consumer Health, Inc. Triaminic 1 BOTTLE in 1 CARTON (0067-6394-34) > 100 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 7.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan
0067-6394
Novartis Consumer Health, Inc. Theraflu 3 BLISTER PACK in 1 CARTON (0067-6395-24) > 8 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr, Phenylephreine HCI
0067-6395
Novartis Consumer Health, Inc. Triaminic 1 BOTTLE in 1 CARTON (0067-8115-04) > 118 mL in 1 BOTTLE
160 mg/5mL, 5 mg/5mL Acetaminophen, Dextromethorphan HBr
0067-8115
Novartis Consumer Health, Inc. Triaminic 1 BOTTLE in 1 CARTON (0067-6348-04) > 118 mL in 1 BOTTLE
160 mg/5mL, 5 mg/5mL Acetaminophen, Dextromethorphan HBr
0067-6348
DOH 690-292 May 2016 232 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCNovartis Consumer Health, Inc. Theraflu 6 POWDER, FOR SOLUTION in 1
CARTON (0067-6427-06)1000 mg/1, 30 mg/1, 400 mg/1, 60 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HBr, GUAIFENESIN, PSEUDOEPHEDRINE HCl
0067-6427
Novartis Consumer Health, Inc. Theraflu 3 BLISTER PACK in 1 CARTON (0067-6396-24) > 8 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephreine HCI
0067-6396
Novartis Consumer Health, Inc. THERAFLU 6 POWDER, FOR SOLUTION in 1 CARTON (0067-6426-06)
500 mg/1, 20 mg/1, 10 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
0067-6426
Novartis Consumer Health, Inc. THERAFLU 12 POWDER, FOR SOLUTION in 1 CARTON (0067-6426-11)
500 mg/1, 20 mg/1, 10 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
0067-6426
Novartis Consumer Health, Inc. COMTREX 2 BLISTER PACK in 1 CARTON (0067-2077-24) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 15 mg/1
Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
0067-2077
Novartis Consumer Health, Inc. Theraflu ExpressMax 245.5 mL in 1 BOTTLE (0067-8127-08)
650 mg/30mL, 20 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
0067-8127
Novartis Consumer Health, Inc. Triaminic 1 BOTTLE in 1 CARTON (0067-8116-04) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL, 160 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
0067-8116
Novartis Consumer Health, Inc. Triaminic Long Acting Cough 1 BOTTLE in 1 CARTON (0067-6350-04) > 118 mL in 1 BOTTLE
7.5 mg/5mL Dextromethorphan HBr 0067-6350
Novartis Consumer Health, Inc. Triaminic 1 BOTTLE, PLASTIC in 1 CARTON (0067-8105-04) > 118 mL in 1 BOTTLE, PLASTIC
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
0067-8105
DOH 690-292 May 2016 233 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCNovartis Consumer Health, Inc. Triaminic 1 BOTTLE, PLASTIC in 1 CARTON
(0067-6345-04) > 118 mL in 1 BOTTLE, PLASTIC
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
0067-6345
Okendpharma, Inc. Rycontuss 473 mL in 1 BOTTLE (76117-001-16) 2 mg/5mL, 10 mg/5mL, 5 mg/5mL
CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
76117-001
OUR FAMILY (Nash Finch Company) Nite Time Cold/Flu Relief 2 BLISTER PACK in 1 CARTON (70253-480-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOHPEN, DEXTROMETHORPHAN HBr, DOXYLAMINE SUCCINATE
70253-480
OUR FAMILY (Nash Finch Company) Day Time Cold/Flu Relief 2 BLISTER PACK in 1 CARTON (70253-470-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
70253-470
P & L Development, LLC Childrens Plus Cough and Runny Nose 1 BOTTLE, PLASTIC in 1 BOX (49580-0297-4) > 118 mL in 1 BOTTLE, PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide
49580-0297
P & L Development, LLC Night time cold and flu 8 BLISTER PACK in 1 CARTON (59726-471-08) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
59726-471
O
P
DOH 690-292 May 2016 234 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCP & L Development, LLC Nighttime Cold and Flu 237 mL in 1 BOTTLE, PLASTIC
(49580-0346-8)650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
49580-0346
P & L Development, LLC Night Time Cold and Flu 355 mL in 1 BOTTLE, PLASTIC (49580-0343-2)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
49580-0343
P & L Development, LLC Night Time Cold and Flu 177 mL in 1 BOTTLE, PLASTIC (49580-0343-6)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
49580-0343
P & L Development, LLC Severe cold and flu 237 mL in 1 BOTTLE, PLASTIC (49580-0416-8)
650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Phenylephrine HCI
49580-0416
P & L Development, LLC Daytime Cold and Flu 296 mL in 1 BOTTLE, PLASTIC (49580-0466-1)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49580-0466
P & L Development, LLC Daytime Cold and Flu 177 mL in 1 BOTTLE, PLASTIC (49580-0466-6)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49580-0466
P & L Development, LLC Daytime Cold Flu 8 BLISTER PACK in 1 CARTON (59726-468-08) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
59726-468
DOH 690-292 May 2016 235 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCP & L Development, LLC Daytime Cold Flu 24 BLISTER PACK in 1 CARTON
(59726-468-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
59726-468
P & L Development, LLC Tussin Long Acting Cough 1 BOTTLE, PLASTIC in 1 BOX (49580-0383-4) > 118 mL in 1 BOTTLE, PLASTIC
30 mg/10mL Dextromethorphan HBr 49580-0383
P & L Development, LLC Tussin CF 1 BOTTLE, PLASTIC in 1 BOX (49580-0382-4) > 118 mL in 1 BOTTLE, PLASTIC
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine
49580-0382
P & L Development, LLC DayTime Cold and Cough 118 mL in 1 BOTTLE, PLASTIC (49580-0378-4)
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
49580-0378
P and L Development of New York CoCold and Flu Relief 24 BLISTER PACK in 1 CARTON (59726-029-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
59726-029
P and L Development of New York CoMulti-Symptom Nitetime 8 BLISTER PACK in 1 BOX (59726-480-08) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
59726-480
P and L Development of New York CoMulti- Symptom Relief DayTime 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK (59726-470-08)
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
59726-470
P and L Development of New York CoMucus Relief DM 1 BOTTLE, PLASTIC in 1 BOX (59726-109-30) > 30 TABLET in 1 BOTTLE,PLASTIC
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide and Guaifenesin
59726-109
P and L Development of New York CoMucus Relief DM 1 BOTTLE, PLASTIC in 1 BOX (59726-027-60) > 60 TABLET in 1 BOTTLE,PLASTIC
400 mg/1, 20 mg/1 Guaifenesin, Dextromethorphan HBr
59726-027
DOH 690-292 May 2016 236 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCPD-Rx Pharmaceuticals, Inc. GUAIFENESIN DM 90 TABLET in 1 BOTTLE, PLASTIC
(68752-012-90)400 mg/1, 20 mg/1 GUAIFENESIN
DEXTROMETHORPHAN68752-012
Perrigo New York Inc dextromethorphan polistirex extended release 1 BOTTLE in 1 CARTON (45802-433-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 45802-433
Perrigo New York Inc GUAIFENESIN AND DEXTROMETHORPHAN HYDROBROMIDE
1 BOTTLE in 1 CARTON (45802-735-66) > 14 TABLET, EXTENDEDRELEASE in 1 BOTTLE
60 mg/1, 1200 mg/1 Dextromethorphan HBr, Guaifenesin
45802-735
Pharma Associate Consultants, Inc Klernaz 30 TABLET in 1 BOTTLE (69140-620-03)
15 mg/1, 400 mg/1, 10 mg/1
Guaifenesin, Phenylephrine Hydrochloride, Dextromethorphan Hydrobromide
69140-620
Pharmaceutical Associates, Inc. GUAIFENESIN DM 10 TRAY in 1 CASE (0121-0638-05) > 10 CUP, UNIT-DOSE in 1 TRAY > 5 mL in 1 CUP, UNIT-DOSE
100 mg/5mL, 10 mg/5mL GUAIFENESIN and DEXTROMETHORPHAN
0121-0638
Pharmaceutical Associates, Inc. GUAIFENESIN DM 10 TRAY in 1 CASE (0121-0638-10) > 10 CUP, UNIT-DOSE in 1 TRAY > 10 mL in 1 CUP, UNIT-DOSE
100 mg/5mL, 10 mg/5mL GUAIFENESIN and DEXTROMETHORPHAN
0121-0638
Pharmaceutical Associates, Inc. Guaifenesin DM 118 mL in 1 BOTTLE (0121-0809-04) 200 mg/5mL, 10 mg/5mL GUAIFENESIN and DEXTROMETHORPHAN
0121-0809
Pharmaceutical Associates, Inc. Guaifenesin DM 237 mL in 1 BOTTLE (0121-0809-08) 200 mg/5mL, 10 mg/5mL GUAIFENESIN and DEXTROMETHORPHAN
0121-0809
Pharmaceutical Associates, Inc. Guaifenesin DM 4 TRAY in 1 CASE (0121-4809-05) > 10 CUP, UNIT-DOSE in 1 TRAY > 5 mL in 1 CUP, UNIT-DOSE
200 mg/5mL, 10 mg/5mL GUAIFENESIN and DEXTROMETHORPHAN
0121-4809
Pharmaceutical Associates, Inc. Guaifenesin DM 4 TRAY in 1 CASE (0121-4809-10) > 10 CUP, UNIT-DOSE in 1 TRAY > 10 mL in 1 CUP, UNIT-DOSE
200 mg/5mL, 10 mg/5mL GUAIFENESIN and DEXTROMETHORPHAN
0121-4809
DOH 690-292 May 2016 237 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCPharmadel LLC SanaTos Severe Cold and Cough Day Time 6 GRANULE, FOR SOLUTION in 1
CARTON (55758-010-06)650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan hydrobromide, and Phenylephrine hydrochloride
55758-010
Pharmadel LLC SanaTos Childrens Mucus Relief Cough 1 BOTTLE in 1 CARTON (55758-007-04) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE and GUAIFENESIN
55758-007
Pharmalab Enterprises Inc Sanatos 177 mL in 1 BOTTLE, PLASTIC (14505-399-06)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
14505-399
Pharmalab Enterprises Inc Sanatos 177 mL in 1 BOTTLE, PLASTIC (14505-398-06)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine
14505-398
Pharmalab Enterprises Inc. Bisolvine 120 mL in 1 BOTTLE, PLASTIC (14505-488-04)
100 mg/5mL, 10 mg/5mL Guaifenesin, Dextromethorphan
14505-488
Physicians Total Care, Inc. Cold Head Congestion 2 BLISTER PACK in 1 CARTON (54868-6233-0) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
54868-6233
Physicians Total Care, Inc. Delsym 1 BOTTLE in 1 CARTON (54868-6003-0) > 89 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 54868-6003
Physicians Total Care, Inc. Guaifenesin 473 mL in 1 BOTTLE, PLASTIC (54868-1986-0)
10 mg/5mL, 100 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
54868-1986
Physicians Total Care, Inc. Guaifenesin 118 mL in 1 BOTTLE, PLASTIC (54868-1986-1)
10 mg/5mL, 100 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
54868-1986
DOH 690-292 May 2016 238 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCPhysicians Total Care, Inc. Tussin CF 1 BOTTLE in 1 CARTON (54868-6223-
0) > 118 mL in 1 BOTTLE10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
54868-6223
Physicians Total Care, Inc. Tussin CF 1 BOTTLE in 1 CARTON (54868-6223-1) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
54868-6223
Physicians Total Care, Inc. Mucinex DM 2 BLISTER PACK in 1 CARTON (54868-5853-0) > 10 TABLET, EXTENDED RELEASE in 1 BLISTER PACK
600 mg/1, 30 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
54868-5853
Physicians Total Care, Inc. Mucinex DM 2 BLISTER PACK in 1 CARTON (54868-6106-0) > 7 TABLET, EXTENDED RELEASE in 1 BLISTER PACK
1200 mg/1, 60 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
54868-6106
Physicians Total Care, Inc. Childrens Mucinex Cough 1 BOTTLE in 1 CARTON (54868-6125-0) > 118 mL in 1 BOTTLE
100 mg/5mL, 5 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
54868-6125
Physicians Total Care, Inc. Tussin DM 118 mL in 1 BOTTLE, PLASTIC (54868-1934-1)
100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
54868-1934
Physicians Total Care, Inc. Tussin DM 237 mL in 1 BOTTLE, PLASTIC (54868-1934-2)
100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
54868-1934
Poly Pharmaceuticals LORTUSS 12 BOTTLE in 1 TRAY (50991-598-15) > 15 mL in 1 BOTTLE
15 mg/5mL, 6.25 mg/5mL Dextromethorphan Hydrobromide, Doxylamine Succinate, Pseudoephedrine Hydrochloride
50991-598
DOH 690-292 May 2016 239 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCPoly Pharmaceuticals LORTUSS 473 mL in 1 BOTTLE (50991-598-16) 15 mg/5mL, 6.25 mg/5mL Dextromethorphan
Hydrobromide, Doxylamine Succinate, Pseudoephedrine Hydrochloride
50991-598
Poly Pharmaceuticals DECONEX 60 CAPSULE in 1 BOTTLE (50991-583-60)
15 mg/1, 390 mg/1, 10 mg/1
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
50991-583
Poly Pharmaceuticals, Inc. Duraflu 100 TABLET, FILM COATED in 1 BOTTLE (50991-510-01)
500 mg/1, 20 mg/1, 200 mg/1, 60 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HBr, GUAIFENESIN, PSEUDOEPHEDRINE HCl
50991-510
Poly Pharmaceuticals, Inc. Duraflu 12 BLISTER PACK in 1 CARTON (50991-510-02) > 1 TABLET, FILM COATED in 1 BLISTER PACK
500 mg/1, 20 mg/1, 200 mg/1, 60 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HBr, GUAIFENESIN, PSEUDOEPHEDRINE HCl
50991-510
Poly Pharmaceuticals, Inc. Duraflu 100 TABLET in 1 BOTTLE (50991-535-01)
325 mg/1, 20 mg/1, 200 mg/1, 60 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HBr, GUAIFENESIN, PSEUDOEPHEDRINE HCl
50991-535
Poly Pharmaceuticals, Inc. ALAHIST 12 BOTTLE in 1 TRAY (50991-814-15) > 15 mL in 1 BOTTLE
4 mg/5mL, 7.5 mg/5mL, 15 mg/5mL
Brompheniramine Maleate, Phenylephrine Hydrochloride, Dextromethorphan Hydrobromide
50991-814
Poly Pharmaceuticals, Inc. ALAHIST 473 mL in 1 BOTTLE (50991-814-16) 4 mg/5mL, 7.5 mg/5mL, 15 mg/5mL
Brompheniramine Maleate, Phenylephrine Hydrochloride, Dextromethorphan Hydrobromide
50991-814
DOH 690-292 May 2016 240 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCPoly Pharmaceuticals, Inc. DECONEX 12 BLISTER PACK in 1 CARTON
(50991-730-02) > 1 TABLET in 1 BLISTER PACK
15 mg/1, 380 mg/1, 10 mg/1
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
50991-730
Poly Pharmaceuticals, Inc. DECONEX 60 TABLET in 1 BOTTLE (50991-730-60)
15 mg/1, 380 mg/1, 10 mg/1
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
50991-730
Poly Pharmaceuticals, Inc. POLY-TUSSIN 473 mL in 1 BOTTLE (50991-320-16) 15 mg/5mL, 5 mg/5mL, 2 mg/5mL
Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride, Chlorpheniramine Maleate
50991-320
Poly Pharmaceuticals, Inc. Poly-Hist DM 6 BOTTLE in 1 TRAY (50991-220-15) > 15 mL in 1 BOTTLE
10 mg/5mL, 5 mg/5mL, 25 mg/5mL
Dextromethorphan Hydrobromide, Phenylephrine HCl and Thonzylamine HCl
50991-220
Poly Pharmaceuticals, Inc. Poly-Hist DM 473 mL in 1 BOTTLE (50991-220-16) 10 mg/5mL, 5 mg/5mL, 25 mg/5mL
Dextromethorphan Hydrobromide, Phenylephrine HCl and Thonzylamine HCl
50991-220
Poly Pharmaceuticals, Inc. Poly-Vent DM 100 TABLET in 1 BOTTLE (50991-214-01)
380 mg/1, 20 mg/1, 60 mg/1
Dextromethorphan HBr, Guaifenesin and Pseudoephedrine HCl
50991-214
Poly Pharmaceuticals, Inc. Poly-Vent DM 12 POUCH in 1 CARTON (50991-214-02) > 1 TABLET in 1 POUCH
380 mg/1, 20 mg/1, 60 mg/1
Dextromethorphan HBr, Guaifenesin and Pseudoephedrine HCl
50991-214
Portal Inc. Brontuss 30 mL in 1 BOTTLE (49963-813-01) 15 mg/5mL, 300 mg/5mL, 10 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49963-813
Portal Inc. Brontuss 118 mL in 1 BOTTLE (49963-813-04) 15 mg/5mL, 300 mg/5mL, 10 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49963-813
DOH 690-292 May 2016 241 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCPortal Inc. Brontuss 118 mL in 1 BOTTLE (49963-913-04) 20 mg/5mL, 200 mg/5mL,
10 mg/5mLDextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49963-913
Portal Inc. Brontuss 15 mL in 1 BOTTLE (49963-913-15) 20 mg/5mL, 200 mg/5mL, 10 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49963-913
Portal Pharmaceutical Bronkids 30 mL in 1 BOTTLE (49963-532-01) 4 mg/5mL, 10 mg/5mL, 10 mg/5mL
Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49963-532
Portal Pharmaceutical Bronkids 118 mL in 1 BOTTLE (49963-532-04) 4 mg/5mL, 10 mg/5mL, 10 mg/5mL
Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49963-532
Portal Pharmaceutical Bronkids 30 mL in 1 BOTTLE, PLASTIC (49963-210-01)
4 mg/5mL, 15 mg/5mL, 10 mg/5mL
Chlorpheniramine/Dextromethorphan/Phenylephrine
49963-210
Portal Pharmaceutical Bronkids 118 mL in 1 BOTTLE, PLASTIC (49963-210-04)
4 mg/5mL, 15 mg/5mL, 10 mg/5mL
Chlorpheniramine/Dextromethorphan/Phenylephrine
49963-210
Portal Pharmaceutical Bronkids 1 BOTTLE in 1 CARTON (49963-118-01) > 30 mL in 1 BOTTLE
.6 mg/mL, 1.5 mg/mL, 2.75 mg/mL
Chlorpheniramine Maleate, Phenylephrine Hydrochloride, Dextromethorphan Hydrobromide
49963-118
Portal Pharmaceutical Brontuss 30 mL in 1 BOTTLE (49963-381-01) 15 mg/5mL, 300 mg/5mL, 10 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49963-381
Portal Pharmaceutical Brontuss 118 mL in 1 BOTTLE (49963-381-04) 15 mg/5mL, 300 mg/5mL, 10 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49963-381
DOH 690-292 May 2016 242 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCPreferred Pharmaceuticals Inc. good sense tussin dm 118 mL in 1 BOTTLE (68788-0412-1) 20 mg/10mL, 200 mg/10mL Dextromethorphan HBr,
Guaifenesin68788-0412
Preferred Pharmaceuticals, Inc Q-Tapp DM Elixir 118 mL in 1 BOTTLE, PLASTIC (68788-0852-0)
1 mg/5mL, 15 mg/5mL, 5 mg/5mL
Brompheniramine maleate and Pseudoephedrine hydrochloride and Dextromethorphan hydrobromide
68788-0852
Preferred Pharmaceuticals, Inc Q Tussin DM 118 mL in 1 BOTTLE, PLASTIC (68788-9101-1)
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr and Guaifenesin
68788-9101
Preferred Pharmaceuticals, Inc good sense tussin cf 118 mL in 1 BOTTLE (68788-9813-1) 10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
68788-9813
Preferred Pharmaceuticals, Inc Siltussin DM 118 mL in 1 BOTTLE, PLASTIC (68788-9103-1)
100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
68788-9103
Preferred Pharmaceuticals, Inc. Pediatric Cough and Cold Medicine 118 mL in 1 BOTTLE, PLASTIC (68788-9769-1)
1 mg/5mL, 15 mg/5mL, 5 mg/5mL
Chlorpheniramine maleate and Pseudoephedrine hydrochloride and Dextromethorphan hydrobromide
68788-9769
Preferred Pharmaceuticals, Inc. Mucus Relief DM 20 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (68788-0839-2)
20 mg/1, 400 mg/1 Dextromethorphan HBr and Guiafenesin
68788-0839
Preferred Pharmaceuticals, Inc. Mucus Relief DM 30 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (68788-0839-3)
20 mg/1, 400 mg/1 Dextromethorphan HBr and Guiafenesin
68788-0839
Preferred Pharmaceuticals, Inc. Mucus Relief DM 60 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (68788-0839-6)
20 mg/1, 400 mg/1 Dextromethorphan HBr and Guiafenesin
68788-0839
Preferred Pharmaceuticals, Inc. Diabetic Siltussin DM DAS-Na 118 mL in 1 BOTTLE, PLASTIC (68788-6760-1)
100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
68788-6760
DOH 690-292 May 2016 243 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCPreferred Plus (Kinray) Nite-Time Cold and Flu 2 BLISTER PACK in 1 CARTON
(61715-043-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
61715-043
Preferred Plus (Kinray) Day Time Cold and Flu 2 BLISTER PACK in 1 CARTON (61715-042-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
61715-042
Premier Value Premier Value Multi-Symptom Severe Cold 6 GRANULE, FOR SOLUTION in 1 BOX (68016-754-06)
500 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr and Phenylephrine HCL
68016-754
Prestige Brands Holdings, Inc. PediaCare Childrens MultiSymptom Cold 1 BOTTLE in 1 CARTON (52183-359-04) > 118 mL in 1 BOTTLE
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr and Phenylephrine HCl
52183-359
Prestige Brands Holdings, Inc. Chloraseptic Sore Throat Liquid Center 1 BLISTER PACK in 1 CARTON (67172-015-11) > 15 LOZENGE in 1 BLISTER PACK
10 mg/1, 6 mg/1, 5 mg/1 Menthol and Benzocaine and Dextromethorphan Hydrobromide
67172-015
Prestige Brands Holdings, Inc. Chloraseptic Sore Throat Liquid Center 1 BLISTER PACK in 1 CARTON (67172-016-11) > 15 LOZENGE in 1 BLISTER PACK
10 mg/1, 6 mg/1, 5 mg/1 Menthol and Benzocaine and Dextromethorphan Hydrobromide
67172-016
Procter & Gamble Manufacturing Co Vicks Alcohol Free NyQuil 236 mL in 1 BOTTLE, PLASTIC (37000-699-08)
325 mg/15mL, 2 mg/15mL, 15 mg/15mL
Acetaminophen, Chlorpheniramine maleate, and Dextromethorphan Hydrobromide
37000-699
Procter & Gamble Manufacturing Co Vicks Alcohol Free NyQuil 354 mL in 1 BOTTLE, PLASTIC (37000-699-12)
325 mg/15mL, 2 mg/15mL, 15 mg/15mL
Acetaminophen, Chlorpheniramine maleate, and Dextromethorphan Hydrobromide
37000-699
DOH 690-292 May 2016 244 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCProcter & Gamble Manufacturing Co Vicks Alcohol Free NyQuil 177 mL in 1 BOTTLE, PLASTIC
(37000-699-06)325 mg/15mL, 2 mg/15mL, 15 mg/15mL
Acetaminophen, Chlorpheniramine maleate, and Dextromethorphan Hydrobromide
37000-699
Procter & Gamble Manufacturing Co Vicks Alcohol Free NyQuil 295 mL in 1 BOTTLE, PLASTIC (37000-699-10)
325 mg/15mL, 2 mg/15mL, 15 mg/15mL
Acetaminophen, Chlorpheniramine maleate, and Dextromethorphan Hydrobromide
37000-699
Procter & Gamble Manufacturing Co Vicks NyQuil 236 mL in 1 BOTTLE, PLASTIC (37000-808-08)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine succinate
37000-808
Procter & Gamble Manufacturing Co Vicks NyQuil 354 mL in 1 BOTTLE, PLASTIC (37000-808-12)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine succinate
37000-808
Procter & Gamble Manufacturing Co Vicks NyQuil 236 mL in 1 BOTTLE, PLASTIC (37000-809-08)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine succinate
37000-809
Procter & Gamble Manufacturing Co Vicks NyQuil 354 mL in 1 BOTTLE, PLASTIC (37000-809-12)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine succinate
37000-809
Procter & Gamble Manufacturing Co Vicks NyQuil 236 mL in 1 BOTTLE, PLASTIC (37000-812-08)
650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, and Phenylephrine Hydrochloride
37000-812
DOH 690-292 May 2016 245 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCProcter & Gamble Manufacturing Co Vicks NyQuil 354 mL in 1 BOTTLE, PLASTIC
(37000-812-12)650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, and Phenylephrine Hydrochloride
37000-812
Procter & Gamble Manufacturing Co Vicks NyQuil 2 BOTTLE, PLASTIC in 1 PACKAGE (37000-812-24) > 354 mL in 1 BOTTLE, PLASTIC
650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, and Phenylephrine Hydrochloride
37000-812
Procter & Gamble Manufacturing Co Vicks NyQuil 3 BOTTLE, PLASTIC in 1 PACKAGE (37000-812-36) > 354 mL in 1 BOTTLE, PLASTIC
650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, and Phenylephrine Hydrochloride
37000-812
Procter & Gamble Manufacturing Co Vicks DayQuil 236 mL in 1 BOTTLE, PLASTIC (37000-810-08)
325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
37000-810
Procter & Gamble Manufacturing Co Vicks DayQuil 354 mL in 1 BOTTLE, PLASTIC (37000-810-12)
325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
37000-810
DOH 690-292 May 2016 246 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCProcter & Gamble Manufacturing Co Vicks DayQuil 2 TABLET in 1 POUCH (37000-811-
02)325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
37000-811
Procter & Gamble Manufacturing Co Vicks DayQuil 6 BLISTER PACK in 1 CARTON (37000-811-12) > 2 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
37000-811
Procter & Gamble Manufacturing Co Vicks DayQuil 12 BLISTER PACK in 1 CARTON (37000-811-24) > 2 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
37000-811
Procter & Gamble Manufacturing Co Vicks DayQuil 36 BLISTER PACK in 1 CARTON (37000-811-72) > 2 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
37000-811
Procter & Gamble Manufacturing Co Vicks DayQuil 236 mL in 1 BOTTLE, PLASTIC (37000-690-08)
10 mg/15mL, 200 mg/15mL Dextromethorphan Hydrobromide and Guaifenesin
37000-690
Procter & Gamble Manufacturing Co Vicks DayQuil 354 mL in 1 BOTTLE, PLASTIC (37000-690-12)
10 mg/15mL, 200 mg/15mL Dextromethorphan Hydrobromide and Guaifenesin
37000-690
DOH 690-292 May 2016 247 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCProductos Zapotol Corp. Multi-Symptom Relief 10 BLISTER PACK in 1 CARTON
(59428-720-10) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
59428-720
Proficient Rx LP Multi-Symptom Mapap Cold Formula 2 BLISTER PACK in 1 CARTON (63187-652-24) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
63187-652
Proficient Rx LP Cough and Cold 2 BLISTER PACK in 1 CARTON (63187-689-16) > 8 TABLET, SUGAR COATED in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate, Dextromethorphan HBr
63187-689
Proficient Rx LP Pedia Relief 120 mL in 1 BOTTLE, PLASTIC (63187-688-04)
1 mg/5mL, 15 mg/5mL, 5 mg/5mL
Chlorpheniramine maleate and Pseudoephedrine hydrochloride and Dextromethorphan hydrobromide
63187-688
Proficient Rx LP Q Tussin DM 118 mL in 1 BOTTLE, PLASTIC (63187-040-04)
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr and Guaifenesin
63187-040
Progela, S.A. de C.V. Cough and Cold 20 CAPSULE, LIQUID FILLED in 1 BLISTER PACK (28623-250-01)
250 mg/1, 5 mg/1, 2 mg/1, 10 mg/1
Acetaminophen Chlorpheniramine Maleate Dextromethorphan Hydrobromide Phenylepherine Hydrochloride
28623-250
ProPhase Labs, Inc. Cold-EEZE 260 mL in 1 BOTTLE, UNIT-DOSE (61941-0300-1)
650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
61941-0300
DOH 690-292 May 2016 248 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCProPhase Labs, Inc. Cold-EEZE 180 mL in 1 BOTTLE, UNIT-DOSE
(61941-0400-1)20 mg/5mL, 400 mg/5mL Dextromethorphan
Hydrobromide and Guaifenesin61941-0400
ProPhase Labs, Inc. Kids-EEZE 72 PACKAGE in 1 CASE (61941-1003-1) > 12 TABLET, ORALLYDISINTEGRATING in 1 PACKAGE(61941-1003-6)
5 mg/1, 2.5 mg/1 Dextromethorphan Hydrobromide and Phenylephrine Hydrochloride
61941-1003
Publix Super Markets Inc nighttime cold 2 BLISTER PACK in 1 CARTON (56062-393-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
56062-393
Publix Super Markets Inc nighttime 355 mL in 1 BOTTLE (56062-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
56062-459
Publix Super Markets Inc NITETIME 296 mL in 1 BOTTLE (56062-908-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
56062-908
Publix Super Markets Inc nite time 6 BLISTER PACK in 1 CARTON (56062-977-53) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
56062-977
Publix Super Markets Inc nite time 10 BLISTER PACK in 1 CARTON (56062-977-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
56062-977
DOH 690-292 May 2016 249 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCPublix Super Markets Inc nite time 12 BLISTER PACK in 1 CARTON
(56062-977-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
56062-977
Publix Super Markets Inc nite time 8 BLISTER PACK in 1 CARTON (56062-977-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
56062-977
Publix Super Markets Inc Nighttime 296 mL in 1 BOTTLE (56062-335-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
56062-335
Publix Super Markets Inc Nighttime 355 mL in 1 BOTTLE (56062-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
56062-335
Publix Super Markets Inc Publix Cherry Flavor Nitetime 295 mL in 1 BOTTLE (56062-041-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
56062-041
Publix Super Markets Inc nitetime 12 BLISTER PACK in 1 CARTON (56062-056-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
56062-056
Publix Super Markets Inc nitetime 8 BLISTER PACK in 1 CARTON (56062-056-73) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
56062-056
DOH 690-292 May 2016 250 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCPublix Super Markets Inc severe cold 12 BLISTER PACK in 1 CARTON
(56062-500-62) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
56062-500
Publix Super Markets Inc severe cold 2 BLISTER PACK in 1 CARTON (56062-234-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
56062-234
Publix Super Markets Inc severe cold 2 BLISTER PACK in 1 CARTON (56062-308-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
56062-308
Publix Super Markets Inc severe cold and flu 12 BLISTER PACK in 1 CARTON (56062-319-62) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
56062-319
Publix Super Markets Inc Cold 2 BLISTER PACK in 1 CARTON (56062-402-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
56062-402
Publix Super Markets Inc cold relief 12 BLISTER PACK in 1 CARTON (56062-371-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan hbr, Phenylephrine hcl
56062-371
Publix Super Markets Inc daytime pe 1 BLISTER PACK in 1 CARTON (56062-215-53) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
56062-215
DOH 690-292 May 2016 251 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCPublix Super Markets Inc daytime pe 2 BLISTER PACK in 1 CARTON
(56062-215-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
56062-215
Publix Super Markets Inc daytime pe 2 BLISTER PACK in 1 CARTON (56062-215-73) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
56062-215
Publix Super Markets Inc daytime pe 6 BLISTER PACK in 1 CARTON (56062-994-53) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
56062-994
Publix Super Markets Inc daytime pe 10 BLISTER PACK in 1 CARTON (56062-994-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
56062-994
Publix Super Markets Inc daytime pe 12 BLISTER PACK in 1 CARTON (56062-994-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
56062-994
Publix Super Markets Inc daytime pe 8 BLISTER PACK in 1 CARTON (56062-994-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
56062-994
Publix Super Markets Inc day time 296 mL in 1 BOTTLE (56062-656-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
56062-656
Publix Super Markets Inc day time 355 mL in 1 BOTTLE (56062-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
56062-656
Publix Super Markets Inc Cold and Cough DM 1 BOTTLE in 1 CARTON (56062-987-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
56062-987
DOH 690-292 May 2016 252 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCPublix Super Markets Inc Cough DM 1 BOTTLE in 1 CARTON (56062-384-
21) > 89 mL in 1 BOTTLE30 mg/5mL dextromethorphan polistirex 56062-384
Publix Super Markets Inc NIGHTTIME 296 mL in 1 BOTTLE (56062-668-38) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
56062-668
Publix Super Markets Inc NIGHTTIME 355 mL in 1 BOTTLE (56062-668-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
56062-668
Publix Super Markets Inc Tussin DM 1 BOTTLE in 1 CARTON (56062-359-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
56062-359
Publix Super Markets Inc Tussin DM 1 BOTTLE in 1 CARTON (56062-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
56062-359
Publix Super Markets Inc Tussin CF 1 BOTTLE in 1 CARTON (56062-516-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
56062-516
Publix Super Markets Inc Tussin CF 1 BOTTLE in 1 CARTON (56062-516-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
56062-516
PuraCap Pharmaceutical LLC NiteTime 1 BLISTER PACK in 1 CARTON (51013-106-01) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate
51013-106
PuraCap Pharmaceutical LLC Maximum Strength Daytime Cold/Flu Relief 2 BLISTER PACK in 1 CARTON (51013-116-04) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCI
51013-116
PuraCap Pharmaceutical LLC DayTime 1 BLISTER PACK in 1 CARTON (51013-105-01) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
51013-105
DOH 690-292 May 2016 253 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCPuraCap Pharmaceutical LLC DayTime Cold and Flu 1 BLISTER PACK in 1 CARTON
(51013-134-01) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
51013-134
PuraCap Pharmaceutical LLC. Maximum Strength Nighttime Cold/Flu Relief 2 BLISTER PACK in 1 CARTON (51013-110-04) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate, Phenylephrine HCI
51013-110
PuraVation Pharmaceuticals Inc NITE TIME COLD AND FLU 2 BLISTER PACK in 1 CARTON (76270-106-08) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate
76270-106
Qualitest Pharmaceuticals Q Tapp Cold and Cough 1 BOTTLE, PLASTIC in 1 CARTON (0603-0852-54) > 118 mL in 1 BOTTLE, PLASTIC
1 mg/5mL, 5 mg/5mL, 15 mg/5mL
Brompheniramine maleate and Dextromethorphan HBr and Pseudoephedrine HCl
0603-0852
Qualitest Pharmaceuticals Q Tapp Cold and Cough 118 mL in 1 BOTTLE, PLASTIC (0603-0852-94)
1 mg/5mL, 5 mg/5mL, 15 mg/5mL
Brompheniramine maleate and Dextromethorphan HBr and Pseudoephedrine HCl
0603-0852
Qualitest Pharmaceuticals Q-Tapp DM Elixir 118 mL in 1 BOTTLE, PLASTIC (0603-0864-94)
1 mg/5mL, 15 mg/5mL, 5 mg/5mL
Brompheniramine maleate and Pseudoephedrine hydrochloride and Dextromethorphan hydrobromide
0603-0864
Qualitest Pharmaceuticals Iophen DM NR 473 mL in 1 BOTTLE, PLASTIC (0603-1330-58)
10 mg/5mL, 100 mg/5mL dextromethorphan and guaifenesin
0603-1330
Q
DOH 690-292 May 2016 254 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCQualitest Pharmaceuticals Q Tussin DM 1 BOTTLE, PLASTIC in 1 CARTON
(0603-0855-54) > 118 mL in 1 BOTTLE, PLASTIC
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr and Guaifenesin
0603-0855
Qualitest Pharmaceuticals Q Tussin DM 1 BOTTLE, PLASTIC in 1 CARTON (0603-0855-56) > 237 mL in 1 BOTTLE, PLASTIC
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr and Guaifenesin
0603-0855
Qualitest Pharmaceuticals Q Tussin DM 473 mL in 1 BOTTLE, PLASTIC (0603-0855-58)
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr and Guaifenesin
0603-0855
Qualitest Pharmaceuticals Q Tussin DM 237 mL in 1 BOTTLE, PLASTIC (0603-0855-81)
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr and Guaifenesin
0603-0855
Qualitest Pharmaceuticals Q Tussin DM 118 mL in 1 BOTTLE, PLASTIC (0603-0855-94)
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr and Guaifenesin
0603-0855
Qualitest Pharmaceuticals Codituss DM 118 mL in 1 BOTTLE, PLASTIC (0603-0728-54)
10 mg/5mL, 5 mg/5mL, 8.33 mg/5mL
dextromethorphan hydrobromide and phenylephrine hydrochloride and pyrilamine maleate
0603-0728
Quality Choice Childrens Plus Multi-Symptom Cold Grape 118 mL in 1 BOTTLE, PLASTIC (63868-063-04)
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
63868-063
Quality Choice Night Time Cherry 177 mL in 1 BOTTLE, PLASTIC (63868-803-06)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
NyQuil Cherry 63868-803
Quality Choice Night Time Cough Cherry 237 mL in 1 BOTTLE, PLASTIC (63868-807-08)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Vicks NyQuil 63868-807
Quality Choice Night Time Cough Cherry 237 mL in 1 BOTTLE, PLASTIC (63868-807-12)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Vicks NyQuil 63868-807
DOH 690-292 May 2016 255 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCQUALITY CHOICE (Chain Drug MarketMulti Symptom Cold 1 BOTTLE, PLASTIC in 1 BOX (63868-
962-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Phenylephrine hydrochloride
63868-962
QUALITY CHOICE (Chain Drug MarketChildrens Multi-Symptom Cold Plus 1 BOTTLE, PLASTIC in 1 BOX (63868-374-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Phenylephrine hydrochloride
63868-374
QUALITY CHOICE (Chain Drug MarketNighttime Cold and Flu Relief 24 BLISTER PACK in 1 CARTON (63868-022-24) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
63868-022
QUALITY CHOICE (Chain Drug MarketCold and Cough 237 mL in 1 BOTTLE, PLASTIC (63868-065-08)
1000 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
63868-065
QUALITY CHOICE (Chain Drug MarketQuality Choice Nighttime Cold and Flu 1 BLISTER PACK in 1 BOX (63868-384-24) > 24 CAPSULE, LIQUIDFILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
63868-384
QUALITY CHOICE (Chain Drug MarketCold and Flu 237 mL in 1 BOTTLE, PLASTIC (63868-140-08)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
63868-140
DOH 690-292 May 2016 256 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCQUALITY CHOICE (Chain Drug MarketCold and Flu 355 mL in 1 BOTTLE, PLASTIC
(63868-140-12)650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
63868-140
QUALITY CHOICE (Chain Drug MarketMucus Relief Cold Flu and Sore Throat 177 mL in 1 BOTTLE, PLASTIC (63868-746-07)
650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
63868-746
QUALITY CHOICE (Chain Drug MarketDaytime Cold and Flu 237 mL in 1 BOTTLE, PLASTIC (63868-020-08)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
63868-020
QUALITY CHOICE (Chain Drug MarketDaytime Cold and Flu 355 mL in 1 BOTTLE, PLASTIC (63868-020-12)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
63868-020
QUALITY CHOICE (Chain Drug MarketSevere Cold and Cough Relief 245 mL in 1 BOTTLE, PLASTIC (63868-021-08)
650 mg/30mL, 20 mg/30mL, 10 mg/30mL
ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
63868-021
QUALITY CHOICE (Chain Drug MarketDaytime 24 BLISTER PACK in 1 CARTON (63868-037-24) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCl
63868-037
QUALITY CHOICE (Chain Drug MarketDaytime Flu Relief Therapy 245 mL in 1 BOTTLE (63868-067-08) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
63868-067
QUALITY CHOICE (Chain Drug MarketQuality Choice Multi-Symptom, Non-Drowsy DayTime Cold and Flu
2 BLISTER PACK in 1 BOX (63868-386-24) > 24 CAPSULE, LIQUIDFILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
63868-386
DOH 690-292 May 2016 257 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCQUALITY CHOICE (Chain Drug MarketCold and Cough 1 BOTTLE, PLASTIC in 1 BOX (63868-
775-04) > 118 mL in 1 BOTTLE,PLASTIC
2 mg/10mL, 10 mg/10mL, 5 mg/10mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
63868-775
QUALITY CHOICE (Chain Drug MarketChildrens Dibromm Cold and Cough 1 BOTTLE in 1 BOX (63868-247-04) > 118 mL in 1 BOTTLE
1 mg/5mL, 2.5 mg/5mL, 5 mg/5mL
Brompheniramine maleate, Phenylephrine HCl
63868-247
QUALITY CHOICE (Chain Drug MarketCough Relief 1 BOTTLE, PLASTIC in 1 BOX (63868-069-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 63868-069
QUALITY CHOICE (Chain Drug MarketChildrens Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (63868-070-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 63868-070
QUALITY CHOICE (Chain Drug MarketCough Relief 1 BOTTLE, PLASTIC in 1 BOX (63868-957-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 63868-957
QUALITY CHOICE (Chain Drug MarketCough Relief 237 mL in 1 BOTTLE, PLASTIC (63868-808-08)
30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
63868-808
QUALITY CHOICE (Chain Drug MarketCough Relief 355 mL in 1 BOTTLE, PLASTIC (63868-237-12)
30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
63868-237
QUALITY CHOICE (Chain Drug MarketMucus Relief DM Max 177 mL in 1 BOTTLE, PLASTIC (63868-235-06)
20 mg/20mL, 400 mg/20mL Dextromethorphan HBr, Guaifenesin
63868-235
QUALITY CHOICE (Chain Drug MarketTussin DM 1 BOTTLE, PLASTIC in 1 BOX (63868-846-52) > 118 mL in 1 BOTTLE,PLASTIC
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
63868-846
QUALITY CHOICE (Chain Drug MarketTussin DM 1 BOTTLE, PLASTIC in 1 BOX (63868-855-52) > 118 mL in 1 BOTTLE,PLASTIC
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
63868-855
DOH 690-292 May 2016 258 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCQUALITY CHOICE (Chain Drug MarketTussin DM Cough and Chest Congestion 1 BOTTLE, PLASTIC in 1 BOX (63868-
868-54) > 118 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
63868-868
QUALITY CHOICE (Chain Drug MarketTussin DM Cough and Chest Congestion 1 BOTTLE, PLASTIC in 1 BOX (63868-868-56) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
63868-868
QUALITY CHOICE (Chain Drug MarketTussin CF 1 BOTTLE, PLASTIC in 1 BOX (63868-244-08) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine
63868-244
QUALITY CHOICE (Chain Drug MarketMucus Relief Severe Congestion and Cough 177 mL in 1 BOTTLE, PLASTIC (63868-745-06)
20 mg/20mL, 400 mg/20mL, 10 mg/20mL
dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride
63868-745
QUALITY CHOICE (Chain Drug MarketTriacting Daytime Cold Cough 1 BOTTLE, PLASTIC in 1 BOX (63868-369-04) > 118 mL in 1 BOTTLE,PLASTIC
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
63868-369
Quality Home Products CVS day time cough and severe cold 6 GRANULE, FOR SOLUTION in 1 BOX (64525-0543-6)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr, and Phenylephrine HCL.
64525-0543
Quality Home Products Our Family day time severe cold and Cough 6 GRANULE, FOR SOLUTION in 1 BOX (64525-0545-6)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr, and Phenylephrine HCL.
64525-0545
Quality Home Products Premier Value day time severe cold and cough 6 GRANULE, FOR SOLUTION in 1 BOX (64525-0547-6)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr, and Phenylephrine HCL.
64525-0547
Quality Home Products Quality Choice day time severe cold and cough 6 GRANULE, FOR SOLUTION in 1 BOX (64525-0549-6)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr, and Phenylephrine HCL.
64525-0549
DOH 690-292 May 2016 259 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCQuality Home Products Rite Aid day time severe cold and cough 6 GRANULE, FOR SOLUTION in 1
BOX (64525-0551-6)650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr, and Phenylephrine HCL.
64525-0551
Quality Home Products TopCare day time severe cold and cough 6 GRANULE, FOR SOLUTION in 1 BOX (64525-0553-6)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr, and Phenylephrine HCL.
64525-0553
Quality Home Products Meijer Daytime Severe Cold and Cough 6 GRANULE, FOR SOLUTION in 1 BOX (64525-0555-6)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr and Phenylephrine HCL
64525-0555
Quality Home Products Best Choice Daytime Severe Cold and Cough 6 GRANULE, FOR SOLUTION in 1 BOX (64525-0557-6)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr and Phenylephrine HCL
64525-0557
Quality Home Products Western Family Daytime Severe Cold and Cough 6 GRANULE, FOR SOLUTION in 1 BOX (64525-0559-6)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr and Phenylephrine HCL
64525-0559
Quality Home Products Meijer Multi-Symptom Severe Cold 6 GRANULE, FOR SOLUTION in 1 BOX (64525-0601-6)
500 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr and Phenylephrine HCL
64525-0601
Quality Home Products Family Dollar Multi-Symptom Severe Cold 6 GRANULE, FOR SOLUTION in 1 BOX (64525-0603-6)
500 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr and Phenylephrine HCL
64525-0603
R. A. McNeil Company M-END 473 mL in 1 BOTTLE (12830-816-16) .667 mg/5mL, 10 mg/5mL, 20 mg/5mL
Dexbrompheniramine Maleate, Dextromethorphan Hydrobromide, Pseudoephedrine Hydrochloride
12830-816R
DOH 690-292 May 2016 260 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCR. A. McNeil Company M-END 30 mL in 1 BOTTLE (12830-816-30) .667 mg/5mL, 10 mg/5mL,
20 mg/5mLDexbrompheniramine Maleate, Dextromethorphan Hydrobromide, Pseudoephedrine Hydrochloride
12830-816
R.A. McNeil Company M-END 30 mL in 1 BOTTLE (12830-810-30) 2 mg/5mL, 15 mg/5mL, 15 mg/5mL
Chlorpheniramine Maleate, Dextromethorphan Hydrobromiede, and Pseudoephedrine Hydrochloride
12830-810
Rebel Distributors Corp Delsym 90 mL in 1 BOTTLE (21695-517-30) 30 mg/5mL Dextromethorphan Polistirex 21695-517Rebel Distributors Corp Delsym 90 mL in 1 BOTTLE (21695-518-30) 30 mg/5mL Dextromethorphan Polistirex 21695-518Rebel Distributors Corp Q Tussin DM 118 mL in 1 BOTTLE, PLASTIC
(21695-737-04)10 mg/5mL, 100 mg/5mL Dextromethorphan HBr and
Guaifenesin21695-737
Reckitt Benckiser Childrens Mucinex 12 PACKET in 1 CARTON (63824-256-12) > 1 GRANULE in 1 PACKET
5 mg/1, 100 mg/1 Dextromethorphan Hydrobromide and Guaifenesin
63824-256
Reckitt Benckiser LLC Delsym Night Time 1 BOTTLE in 1 CARTON (63824-186-64) > 120 mL in 1 BOTTLE
325 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
63824-186
Reckitt Benckiser LLC Mucinex Fast-Max 2 BLISTER PACK in 1 CARTON (63824-593-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Doxylamine succinate, and Phenylephrine Hydrochloride
63824-593
DOH 690-292 May 2016 261 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCReckitt Benckiser LLC Mucinex Fast-Max 2 BLISTER PACK in 1 CARTON
(63824-591-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
63824-591
Reckitt Benckiser LLC Childrens Mucinex 1 BOTTLE in 1 CARTON (63824-278-64) > 118 mL in 1 BOTTLE
650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
acetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
63824-278
Reckitt Benckiser LLC Delsym 180 mL in 1 BOTTLE (63824-215-66) 650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
acetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
63824-215
Reckitt Benckiser LLC Childrens Delsym 180 mL in 1 BOTTLE (63824-216-66) 325 mg/10mL, 10 mg/10mL, 200 mg/10mL, 5 mg/10mL
acetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
63824-216
Reckitt Benckiser LLC Mucinex 4 POWDER, FOR SOLUTION in 1 CARTON (63824-231-04)
650 mg/1, 20 mg/1, 400 mg/1, 10 mg/1
acetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
63824-231
DOH 690-292 May 2016 262 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCReckitt Benckiser LLC Mucinex 8 POWDER, FOR SOLUTION in 1
CARTON (63824-232-08)650 mg/1, 20 mg/1, 400 mg/1, 10 mg/1
acetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
63824-232
Reckitt Benckiser LLC Mucinex Fast-Max 2 BLISTER PACK in 1 CARTON (63824-196-20) > 10 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
63824-196
Reckitt Benckiser LLC Mucinex Fast-Max 3 BLISTER PACK in 1 CARTON (63824-196-30) > 10 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
63824-196
Reckitt Benckiser LLC Mucinex 180 mL in 1 BOTTLE (63824-020-66) 650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
acetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
63824-020
Reckitt Benckiser LLC Mucinex Fast-Max 180 mL in 1 BOTTLE (63824-015-66) 650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
acetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
63824-015
DOH 690-292 May 2016 263 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCReckitt Benckiser LLC Mucinex Fast-Max 266 mL in 1 BOTTLE (63824-015-69) 650 mg/20mL, 20
mg/20mL, 400 mg/20mL, 10 mg/20mL
acetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
63824-015
Reckitt Benckiser LLC Childrens Mucinex 1 BOTTLE in 1 CARTON (63824-017-64) > 118 mL in 1 BOTTLE
650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
acetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
63824-017
Reckitt Benckiser LLC Delsym 8 POWDER, FOR SOLUTION in 1 CARTON (63824-112-08)
650 mg/1, 20 mg/1, 400 mg/1, 10 mg/1
acetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
63824-112
Reckitt Benckiser LLC Mucinex Sinus-Max 2 BLISTER PACK in 1 CARTON (63824-689-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Guaifenesin, and Phenylephrine hydrochloride
63824-689
Reckitt Benckiser LLC Mucinex Fast-Max 2 BLISTER PACK in 1 CARTON (63824-592-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan hydrobromide, and Phenylephrine hydrochloride
63824-592
Reckitt Benckiser LLC Mucinex Fast-Max 2 BLISTER PACK in 1 CARTON (63824-599-16) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan hydrobromide, and Phenylephrine hydrochloride
63824-599
DOH 690-292 May 2016 264 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCReckitt Benckiser LLC Cepacol 2 BLISTER PACK in 1 CARTON
(63824-741-16) > 8 LOZENGE in 1 BLISTER PACK
7.5 mg/1, 5 mg/1 Benzocaine and Dextromethorphan Hydrobromide
63824-741
Reckitt Benckiser LLC Cepacol 2 BLISTER PACK in 1 CARTON (63824-742-16) > 8 LOZENGE in 1 BLISTER PACK
7.5 mg/1, 5 mg/1 Benzocaine and Dextromethorphan Hydrobromide
63824-742
Reckitt Benckiser LLC Cepacol 1 BLISTER PACK in 1 CARTON (63824-742-94) > 4 LOZENGE in 1 BLISTER PACK
7.5 mg/1, 5 mg/1 Benzocaine and Dextromethorphan Hydrobromide
63824-742
Reckitt Benckiser LLC Cepacol 2 BLISTER PACK in 1 CARTON (63824-743-16) > 8 LOZENGE in 1 BLISTER PACK
7.5 mg/1, 5 mg/1 BENZOCAINE and DEXTROMETHORPHAN HYDROBROMIDE
63824-743
Reckitt Benckiser LLC Cepacol 2 BLISTER PACK in 1 CARTON (63824-744-16) > 8 LOZENGE in 1 BLISTER PACK
7.5 mg/1, 5 mg/1 BENZOCAINE and DEXTROMETHORPHAN HYDROBROMIDE
63824-744
Reckitt Benckiser LLC Cepacol 1 BLISTER PACK in 1 CARTON (63824-744-94) > 4 LOZENGE in 1 BLISTER PACK
7.5 mg/1, 5 mg/1 BENZOCAINE and DEXTROMETHORPHAN HYDROBROMIDE
63824-744
Reckitt Benckiser LLC Delsym 2 CARTON in 1 CELLO PACK (63824-171-22) > 1 BOTTLE in 1 CARTON >148 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-171
Reckitt Benckiser LLC Delsym 1 BOTTLE in 1 CARTON (63824-171-63) > 89 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-171
Reckitt Benckiser LLC Delsym 1 BOTTLE in 1 CARTON (63824-171-65) > 148 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-171
Reckitt Benckiser LLC Delsym 1 BOTTLE in 1 CARTON (63824-171-75) > 15 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-171
Reckitt Benckiser LLC Delsym 1 BOTTLE in 1 CARTON (63824-172-63) > 89 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-172
DOH 690-292 May 2016 265 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCReckitt Benckiser LLC Delsym 1 BOTTLE in 1 CARTON (63824-172-
65) > 148 mL in 1 BOTTLE30 mg/5mL Dextromethorphan 63824-172
Reckitt Benckiser LLC Delsym (Dextromethorphan) 1 BOTTLE in 1 CARTON (63824-173-63) > 89 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-173
Reckitt Benckiser LLC Delsym (Dextromethorphan) 1 BOTTLE in 1 CARTON (63824-173-65) > 148 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-173
Reckitt Benckiser LLC Delsym 2 CARTON in 1 CELLO PACK (63824-175-22) > 1 BOTTLE in 1 CARTON >148 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-175
Reckitt Benckiser LLC Delsym 1 BOTTLE in 1 CARTON (63824-175-63) > 89 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-175
Reckitt Benckiser LLC Delsym 1 BOTTLE in 1 CARTON (63824-175-65) > 148 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-175
Reckitt Benckiser LLC Delsym 1 BOTTLE in 1 CARTON (63824-175-75) > 15 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-175
Reckitt Benckiser LLC Delsym 1 BOTTLE in 1 CARTON (63824-176-63) > 89 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-176
Reckitt Benckiser LLC Delsym 1 BOTTLE in 1 CARTON (63824-176-65) > 148 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-176
Reckitt Benckiser LLC Delsym (Dextromethorphan) 1 BOTTLE in 1 CARTON (63824-177-63) > 89 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-177
Reckitt Benckiser LLC Delsym (Dextromethorphan) 1 BOTTLE in 1 CARTON (63824-177-65) > 148 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-177
Reckitt Benckiser LLC Childrens Mucinex 1 BOTTLE in 1 CARTON (63824-286-64) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide and Guaifenesin
63824-286
Reckitt Benckiser LLC Mucinex Fast-Max 180 mL in 1 BOTTLE (63824-018-66) 20 mg/20mL, 400 mg/20mL dextromethorphan hydrobromide and guaifenesin
63824-018
DOH 690-292 May 2016 266 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCReckitt Benckiser LLC Mucinex Fast-Max 180 mL in 1 BOTTLE (63824-019-66) 20 mg/20mL, 400 mg/20mL dextromethorphan
hydrobromide and guaifenesin63824-019
Reckitt Benckiser LLC Delsym 180 mL in 1 BOTTLE (63824-213-66) 20 mg/20mL, 400 mg/20mL Dextromethorphan Hydrobromide and Guaifenesin
63824-213
Reckitt Benckiser LLC Childrens Delsym 180 mL in 1 BOTTLE (63824-214-66) 5 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide and Guaifenesin
63824-214
Reckitt Benckiser LLC Childrens Mucinex 1 BOTTLE in 1 CARTON (63824-279-67) > 201 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
63824-279
Reckitt Benckiser LLC Childrens Mucinex Multi-Symptom Cold 2 CARTON in 1 CELLO PACK (63824-282-22) > 1 BOTTLE in 1 CARTON >118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
63824-282
Reckitt Benckiser LLC Childrens Mucinex Multi-Symptom Cold 1 BOTTLE in 1 CARTON (63824-282-64) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
63824-282
Reckitt Benckiser LLC Childrens Mucinex Multi-Symptom Cold 1 BOTTLE in 1 CARTON (63824-282-67) > 201 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
63824-282
DOH 690-292 May 2016 267 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCReckitt Benckiser LLC Childrens Mucinex 1 BOTTLE in 1 CARTON (63824-283-
67) > 201 mL in 1 BOTTLE5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
63824-283
Reckitt Benckiser LLC Mucinex Fast-Max 2 BOTTLE in 1 CELLO PACK (63824-014-22) > 266 mL in 1 BOTTLE(63824-014-69)
20 mg/20mL, 400 mg/20mL, 10 mg/20mL
dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
63824-014
Reckitt Benckiser LLC Mucinex Fast-Max 180 mL in 1 BOTTLE (63824-014-66) 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
63824-014
Reckitt Benckiser LLC Mucinex Fast-Max 266 mL in 1 BOTTLE (63824-014-69) 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
63824-014
Reckitt Benckiser LLC Delsym 16 LOZENGE in 1 BLISTER PACK (63824-160-16)
5 mg/1, 5 mg/1 Dextromethorphan Hydrobromide and Menthol
63824-160
Reckitt Benckiser LLC Delsym 16 LOZENGE in 1 BLISTER PACK (63824-161-16)
5 mg/1, 5 mg/1 DEXTROMETHORPHAN HYDROBROMIDE and MENTHOL
63824-161
Reckitt Benckiser LLC Delsym 2 BLISTER PACK in 1 CARTON (63824-163-16) > 8 LOZENGE in 1 BLISTER PACK
5 mg/1, 5 mg/1 Dextromethorphan Hydrobromide and Menthol
63824-163
Reckitt Benckiser LLC Delsym 2 BLISTER PACK in 1 CARTON (63824-164-16) > 8 LOZENGE in 1 BLISTER PACK
5 mg/1, 5 mg/1 Dextromethorphan Hydrobromide and Menthol
63824-164
DOH 690-292 May 2016 268 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCReckitt Benckiser LLC Mucinex DM 1 BLISTER PACK in 1 CARTON
(63824-056-32) > 20 TABLET, EXTENDED RELEASE in 1 BLISTER PACK
600 mg/1, 30 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
63824-056
Reckitt Benckiser LLC Mucinex DM 2 BLISTER PACK in 1 CARTON (63824-056-34) > 20 TABLET, EXTENDED RELEASE in 1 BLISTER PACK
600 mg/1, 30 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
63824-056
Reckitt Benckiser LLC Mucinex DM 1 BLISTER PACK in 1 CARTON (63824-056-36) > 6 TABLET, EXTENDED RELEASE in 1 BLISTER PACK
600 mg/1, 30 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
63824-056
Reckitt Benckiser LLC Mucinex DM 3 BLISTER PACK in 1 CARTON (63824-056-69) > 20 TABLET, EXTENDED RELEASE in 1 BLISTER PACK
600 mg/1, 30 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
63824-056
Reckitt Benckiser LLC Mucinex DM 2 TABLET, EXTENDED RELEASE in 1 POUCH (63824-056-72)
600 mg/1, 30 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
63824-056
Reckitt Benckiser LLC Mucinex DM 24 POUCH in 1 CARTON (63824-056-74) > 2 TABLET, EXTENDED RELEASEin 1 POUCH (63824-056-73)
600 mg/1, 30 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
63824-056
Reckitt Benckiser LLC Mucinex DM 1 BLISTER PACK in 1 CARTON (63824-072-07) > 7 TABLET, EXTENDED RELEASE in 1 BLISTER PACK
1200 mg/1, 60 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
63824-072
DOH 690-292 May 2016 269 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCReckitt Benckiser LLC Mucinex DM 1 BLISTER PACK in 1 CARTON
(63824-072-35) > 14 TABLET, EXTENDED RELEASE in 1 BLISTER PACK
1200 mg/1, 60 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
63824-072
Reckitt Benckiser LLC Mucinex DM 2 BLISTER PACK in 1 CARTON (63824-072-36) > 14 TABLET, EXTENDED RELEASE in 1 BLISTER PACK
1200 mg/1, 60 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
63824-072
Reckitt Benckiser LLC Mucinex DM 3 BLISTER PACK in 1 CARTON (63824-072-46) > 14 TABLET, EXTENDED RELEASE in 1 BLISTER PACK
1200 mg/1, 60 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
63824-072
Reckitt Benckiser LLC Mucinex DM 4 BLISTER PACK in 1 CARTON (63824-072-48) > 12 TABLET, EXTENDED RELEASE in 1 BLISTER PACK
1200 mg/1, 60 mg/1 Guaifenesin and Dextromethorphan Hydrobromide
63824-072
Reckitt Benckiser LLC Childrens Mucinex Cough 1 BOTTLE in 1 CARTON (63824-281-64) > 118 mL in 1 BOTTLE
100 mg/5mL, 5 mg/5mL GUAIFENESIN and DEXTROMETHORPHAN HYDROBROMIDE
63824-281
Reckitt Benckiser LLC Mucinex Fast-Max 16 POUCH in 1 CARTON (63824-191-16) > 2 TABLET, COATED in 1POUCH (63824-191-72)
200 mg/1, 5 mg/1, 325 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
63824-191
Reckitt Benckiser LLC Mucinex Fast-Max 2 BLISTER PACK in 1 CARTON (63824-191-20) > 10 TABLET, COATED in 1 BLISTER PACK
200 mg/1, 5 mg/1, 325 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
63824-191
DOH 690-292 May 2016 270 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCReckitt Benckiser LLC Mucinex Fast-Max 3 BLISTER PACK in 1 CARTON
(63824-191-30) > 10 TABLET, COATED in 1 BLISTER PACK
200 mg/1, 5 mg/1, 325 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
63824-191
Reckitt Benckiser LLC Mucinex Fast-Max 4 POUCH in 1 CARTON (63824-191-44) > 2 TABLET, COATED in 1POUCH (63824-191-72)
200 mg/1, 5 mg/1, 325 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
63824-191
Reckitt Benckiser LLC Mucinex Fast-Max 2 TABLET, COATED in 1 POUCH (63824-191-72)
200 mg/1, 5 mg/1, 325 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
63824-191
Reckitt Benckiser LLC Mucinex Fast-Max 2 BLISTER PACK in 1 CARTON (63824-193-20) > 10 TABLET, COATED in 1 BLISTER PACK
200 mg/1, 5 mg/1, 10 mg/1 Dextromethorphan hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
63824-193
Reckitt Benckiser LLC Mucinex Fast-Max 3 BLISTER PACK in 1 CARTON (63824-193-30) > 10 TABLET, COATED in 1 BLISTER PACK
200 mg/1, 5 mg/1, 10 mg/1 Dextromethorphan hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
63824-193
Reckitt Benckiser, Inc. Delsym 12 BOTTLE in 1 CARTON (63824-271-75) > 15 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan 63824-271
Reese Pharmaceutical Co CVS Chest Congestion Relief 1 BOTTLE, PLASTIC in 1 CARTON (10956-003-01) > 30 TABLET in 1 BOTTLE, PLASTIC (10956-003-30)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
10956-003
Reese Pharmaceutical Co CVS Chest Congestion Relief 1 BOTTLE, PLASTIC in 1 CARTON (10956-003-01) > 60 TABLET in 1 BOTTLE, PLASTIC (10956-003-60)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
10956-003
Reese Pharmaceutical Co CVS Chest Congestion Relief 1 BOTTLE, PLASTIC in 1 CARTON (10956-003-01) > 90 TABLET in 1 BOTTLE, PLASTIC (10956-003-90)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
10956-003
DOH 690-292 May 2016 271 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCReese Pharmaceutical Co Care One Chest Congestion Relief 1 BOTTLE, PLASTIC in 1 CARTON
(10956-014-01) > 50 TABLET in 1 BOTTLE, PLASTIC (10956-014-50)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
10956-014
Reese Pharmaceutical Co Premier Value Chest Congestion and cough releif 1 BOTTLE, PLASTIC in 1 CARTON (10956-020-01) > 50 TABLET in 1 BOTTLE, PLASTIC (10956-020-11)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
10956-020
Reese Pharmaceutical Co Double Tussin Intense Cough Reliever 1 BOTTLE, PLASTIC in 1 CARTON (10956-674-01) > 120 mL in 1 BOTTLE, PLASTIC (10956-674-04)
20 mg/5mL, 300 mg/5mL Dextromethorphan Hydrobromide / Guaifenesin
10956-674
Reese Pharmaceutical Co Double Tussin Intense Cough Reliever 240 mL in 1 BOTTLE, PLASTIC (10956-674-08)
20 mg/5mL, 300 mg/5mL Dextromethorphan Hydrobromide / Guaifenesin
10956-674
Reese Pharmaceutical Co Freds Chest Congestion Relief 1 BOTTLE, PLASTIC in 1 CARTON (10956-761-01) > 50 TABLET in 1 BOTTLE, PLASTIC (10956-761-50)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
10956-761
RFX Pharmaceutical Co., Ltd. COUGH MEDICINE 6 BOTTLE, GLASS in 1 BOX (76206-002-01) > 10 mL in 1 BOTTLE, GLASS(76206-002-10)
30 mg/10mL Dextromethorphan 76206-002
RFX Pharmaceutical Co., Ltd. COUGH BE GONE 6 BOTTLE, GLASS in 1 BOX (76206-001-01) > 10 mL in 1 BOTTLE, GLASS(76206-001-10)
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide Guaifenesin
76206-001
Richmond Division of Wyeth CHILDRENS DIMETAPP MULTISYMPTOM COLD AND FLU
1 BOTTLE in 1 CARTON (0031-2246-12) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
acetaminophen, chlorpheniramine maleate, dextromethorphan HBr, phenylephrine HCl
0031-2246
Richmond Division of Wyeth ROBITUSSIN PEAK COLD NIGHTTIME COLD PLUS FLU 2 BLISTER PACK in 1 CARTON (0031-8722-20) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
0031-8722
DOH 690-292 May 2016 272 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRichmond Division of Wyeth Robitussin Severe Multi-Symptom Cough Cold Flu 1 BOTTLE in 1 CARTON (0031-8751-
12) > 118 mL in 1 BOTTLE650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
acetaminophen, dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride
0031-8751
Richmond Division of Wyeth Robitussin Severe Multi-Symptom Cough Cold Flu 1 BOTTLE in 1 CARTON (0031-8751-18) > 237 mL in 1 BOTTLE
650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
acetaminophen, dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride
0031-8751
Richmond Division of Wyeth ROBITUSSIN PEAK COLD DAYTIME COLD PLUS FLU 30 POUCH in 1 CARTON (0031-8721-02) > 2 CAPSULE, LIQUID FILLED in 1POUCH
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
0031-8721
Richmond Division of Wyeth ROBITUSSIN PEAK COLD DAYTIME COLD PLUS FLU 20 BLISTER PACK in 1 CARTON (0031-8721-20) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
0031-8721
Richmond Division of Wyeth CHILDRENS DIMETAPP COLD AND COUGH 1 BOTTLE in 1 CARTON (0031-2234-13) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
brompheniramine maleate, dextromethorphan HBr, phenylephrine HCl
0031-2234
Richmond Division of Wyeth CHILDRENS DIMETAPP COLD AND COUGH 1 BOTTLE in 1 CARTON (0031-2234-19) > 237 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
brompheniramine maleate, dextromethorphan HBr, phenylephrine HCl
0031-2234
Richmond Division of Wyeth CHILDRENS DIMETAPP LONG ACTING COUGH PLUS COLD
1 BOTTLE in 1 CARTON (0031-2238-13) > 118 mL in 1 BOTTLE
1 mg/mL, 7.5 mg/5mL chlorpheniramine maleate, dextromethorphan HBr
0031-2238
Richmond Division of Wyeth Childrens Robitussin Nighttime Cough Long-Acting DM 1 BOTTLE in 1 CARTON (0031-8692-13) > 118 mL in 1 BOTTLE
2 mg/10mL, 15 mg/10mL chlorpheniramine maleate, dextromethorphan hydrobromide
0031-8692
DOH 690-292 May 2016 273 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRichmond Division of Wyeth CHILDRENS ROBITUSSIN COUGH AND COLD LONG-
ACTING1 BOTTLE in 1 CARTON (0031-8693-12) > 118 mL in 1 BOTTLE
1 mg/5mL, 7.5 mg/5mL chlorpheniramine maleate, dextrometrorphan HBr
0031-8693
Richmond Division of Wyeth Robitussin 12 Hour Cough Relief 1 BOTTLE in 1 CARTON (0031-8753-03) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 0031-8753
Richmond Division of Wyeth Childrens Robitussin Cough Long-Acting 1 BOTTLE in 1 CARTON (0031-8694-12) > 118 mL in 1 BOTTLE
7.5 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
0031-8694
Richmond Division of Wyeth Robitussin 12 Hour Cough Relief 1 BOTTLE in 1 CARTON (0031-8655-10) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 0031-8655
Richmond Division of Wyeth ROBITUSSIN LINGERING COLD LONG-ACTING COUGH 1 BOTTLE in 1 CARTON (0031-8740-12) > 118 mL in 1 BOTTLE
15 mg/5mL dextromethorphan HBr 0031-8740
Richmond Division of Wyeth ROBITUSSIN LINGERING COLD LONG-ACTING COUGHGELS
1 BOTTLE in 1 BLISTER PACK (0031-8741-20) > 20 CAPSULE, LIQUID FILLED in 1 BOTTLE
15 mg/1 dextromethorphan hbr 0031-8741
Richmond Division of Wyeth Robitussin Maximum Strength Nighttime Cough DM 1 BOTTLE in 1 CARTON (0031-8717-12) > 118 mL in 1 BOTTLE
30 mg/10mL, 12.5 mg/10mL
DEXTROMETHORPHAN HYDROBROMIDE and DOXYLAMINE SUCCINATE
0031-8717
Richmond Division of Wyeth Robitussin Maximum Strength Nighttime Cough DM 1 BOTTLE in 1 CARTON (0031-8717-18) > 237 mL in 1 BOTTLE
30 mg/10mL, 12.5 mg/10mL
DEXTROMETHORPHAN HYDROBROMIDE and DOXYLAMINE SUCCINATE
0031-8717
Richmond Division of Wyeth Robitussin Maximum Strength Cough Plus Chest Congestion DM
10 BLISTER PACK in 1 CARTON (0031-8719-20) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
10 mg/1, 200 mg/1 dextromethorphan hydrobromide and guaifenesin
0031-8719
Richmond Division of Wyeth Robitussin Maximum Strength Cough Plus Chest Congestion DM
15 BLISTER PACK in 1 CARTON (0031-8719-31) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
10 mg/1, 200 mg/1 dextromethorphan hydrobromide and guaifenesin
0031-8719
Richmond Division of Wyeth Robitussin Maximum Strength Cough Plus Chest Congestion DM
500 POUCH in 1 BOX (0031-8719-70) > 2 CAPSULE, LIQUID FILLED in 1POUCH
10 mg/1, 200 mg/1 dextromethorphan hydrobromide and guaifenesin
0031-8719
DOH 690-292 May 2016 274 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRichmond Division of Wyeth Childrens Robitussin Cough and Chest Congestion DM 1 BOTTLE in 1 CARTON (0031-8715-
10) > 118 mL in 1 BOTTLE5 mg/5mL, 100 mg/5mL dextromethorphan
hydrobromide, guaifenesin0031-8715
Richmond Division of Wyeth ROBITUSSIN TO GO COUGH AND CHEST CONGESTION DM
10 POUCH in 1 BOX (0031-8712-10) > 10 VIAL, SINGLE-DOSE in 1 POUCH> 10 mL in 1 VIAL, SINGLE-DOSE
2 mg/mL, 20 mg/mL dextromethorphan HBr, guaifenesin
0031-8712
Richmond Division of Wyeth Robitussin Peak Cold Cough Plus Chest Congestion DM 1 BOTTLE in 1 CARTON (0031-8736-12) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL dextromethorphan hydrobromide and guaifenesin
0031-8736
Richmond Division of Wyeth Robitussin Peak Cold Cough Plus Chest Congestion DM 1 BOTTLE in 1 CARTON (0031-8736-18) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL dextromethorphan hydrobromide and guaifenesin
0031-8736
Richmond Division of Wyeth Robitussin Peak Cold Cough Plus Chest Congestion DM 1 BOTTLE in 1 CARTON (0031-8736-42) > 355 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL dextromethorphan hydrobromide and guaifenesin
0031-8736
Richmond Division of Wyeth Robitussin Peak Cold Sugar-Free Cough Plus Chest Congestion DM
1 BOTTLE in 1 CARTON (0031-8737-12) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL dextromethorphan hydrobromide and guaifenesin
0031-8737
Richmond Division of Wyeth Robitussin Peak Cold Sugar-Free Cough Plus Chest Congestion DM
1 BOTTLE in 1 CARTON (0031-8737-13) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL dextromethorphan hydrobromide and guaifenesin
0031-8737
Richmond Division of Wyeth ROBITUSSIN PEAK COLD MAXIMUM STRENGTH COUGH PLUS CHEST CONGESTION DM
1 BOTTLE in 1 CARTON (0031-8738-12) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL dextromethorphan hydrobromide, guaifenesin
0031-8738
Richmond Division of Wyeth ROBITUSSIN PEAK COLD MAXIMUM STRENGTH COUGH PLUS CHEST CONGESTION DM
1 BOTTLE in 1 CARTON (0031-8738-18) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL dextromethorphan hydrobromide, guaifenesin
0031-8738
Richmond Division of Wyeth ROBITUSSIN PEAK COLD MAXIMUM STRENGTH COUGH PLUS CHEST CONGESTION DM
1 BOTTLE in 1 CARTON (0031-8738-42) > 355 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL dextromethorphan hydrobromide, guaifenesin
0031-8738
DOH 690-292 May 2016 275 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRichmond Division of Wyeth Robitussin Peak Cold Multi-Symptom Cold 1 BOTTLE in 1 CARTON (0031-8742-
14) > 118 mL in 1 BOTTLE10 mg/5mL, 100 mg/5mL, 5 mg/5mL
dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
0031-8742
Richmond Division of Wyeth Robitussin Peak Cold Multi-Symptom Cold 1 BOTTLE in 1 CARTON (0031-8742-20) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
0031-8742
Richmond Division of Wyeth ROBITUSSIN PEAK COLD MAXIMUM STRENGTH MULTI-SYMPTOM COLD
1 BOTTLE in 1 CARTON (0031-8734-12) > 118 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL, 5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
0031-8734
Richmond Division of Wyeth ROBITUSSIN PEAK COLD MAXIMUM STRENGTH MULTI-SYMPTOM COLD
1 BOTTLE in 1 CARTON (0031-8734-18) > 237 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL, 5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
0031-8734
Richmond Division of Wyeth ROBITUSSIN TO GO COUGH AND COLD CF 2 POUCH in 1 CARTON (0031-8713-02) > 1 VIAL, SINGLE-DOSE in 1POUCH > 10 mL in 1 VIAL, SINGLE-DOSE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
0031-8713
Richmond Division of Wyeth ROBITUSSIN TO GO COUGH AND COLD CF 10 POUCH in 1 CARTON (0031-8713-10) > 1 VIAL, SINGLE-DOSE in 1POUCH > 10 mL in 1 VIAL, SINGLE-DOSE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
0031-8713
Richmond Division of Wyeth Childrens Robitussin Cough and Cold CF 1 BOTTLE in 1 CARTON (0031-8716-12) > 118 mL in 1 BOTTLE
5 mg/5mL, 50 mg/5mL, 2.5 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
0031-8716
DOH 690-292 May 2016 276 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRichmond Division of Wyeth Robitussin Medi-Soothers Cough DM 4 BLISTER PACK in 1 CARTON (0031-
8649-04) > 1 LOZENGE in 1 BLISTER PACK
5 mg/1, 5 mg/1 dextromethorphan hydrobromide and menthol
0031-8649
Richmond Division of Wyeth Robitussin Medi-Soothers Cough DM 4 BLISTER PACK in 1 CARTON (0031-8649-05) > 1 LOZENGE in 1 BLISTER PACK
5 mg/1, 5 mg/1 dextromethorphan hydrobromide and menthol
0031-8649
Richmond Division of Wyeth Robitussin Medi-Soothers Cough DM 16 BLISTER PACK in 1 CARTON (0031-8649-16) > 1 LOZENGE in 1 BLISTER PACK
5 mg/1, 5 mg/1 dextromethorphan hydrobromide and menthol
0031-8649
Rij Pharmaceutical Corporation Nite Time 177 mL in 1 BOTTLE, PLASTIC (53807-521-06)
325 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine succinate
53807-521
Rij Pharmaceutical Corporation Nite Time 177 mL in 1 BOTTLE, PLASTIC (53807-522-06)
325 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine succinate
53807-522
Rij Pharmaceutical Corporation Brom Tapp DM 118 mL in 1 BOTTLE (53807-530-04) 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
brompheniramine maleate, dextromethorphan hbr, phenylephrine hcl
53807-530
Rij Pharmaceutical Corporation Brom Tapp DM 236 mL in 1 BOTTLE (53807-530-08) 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
brompheniramine maleate, dextromethorphan hbr, phenylephrine hcl
53807-530
Rij Pharmaceutical Corporation Ritussin DM 118 mL in 1 BOTTLE (53807-409-04) 10 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE and GUAIFENESIN
53807-409
Rij Pharmaceutical Corporation Ritussin DM 236 mL in 1 BOTTLE (53807-409-08) 10 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE and GUAIFENESIN
53807-409
DOH 690-292 May 2016 277 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRij Pharmaceutical Corporation Ritussin DM 473 mL in 1 BOTTLE (53807-409-16) 10 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN
HYDROBROMIDE and GUAIFENESIN
53807-409
Rij Pharmaceutical Corporation Ritussin DM 3785 mL in 1 BOTTLE (53807-409-28)
10 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE and GUAIFENESIN
53807-409
Rij Pharmaceutical Corporation Cough Formula Cough and Cold 118 mL in 1 BOTTLE (53807-531-04) 10 mg/5mL, 100 mg/5mL, 5 mg/5mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
53807-531
Rij Pharmaceutical Corporation Cough Formula Cough and Cold 236 mL in 1 BOTTLE (53807-531-08) 10 mg/5mL, 100 mg/5mL, 5 mg/5mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
53807-531
Rite Aid cold and flu relief hbp 2 BLISTER PACK in 1 CARTON (11822-4610-9) > 10 TABLET, FILM COATED in 1 BLISTER PACK
500 mg/1, 2 mg/1, 15 mg/1 Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr
11822-4610
Rite Aid Childrens Plus Multi-Symptom Cold Grape 118 mL in 1 BOTTLE, PLASTIC (11822-1434-4)
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, DEXTROMETHORPHAN HYDROBROMIDE
11822-1434
Rite Aid Maximum Strength Flu 1 BLISTER PACK in 1 CARTON (11822-0461-9) > 20 TABLET, FILM COATED in 1 BLISTER PACK
500 mg/1, 15 mg/1, 2 mg/1 Acetaminophen, Dextromethorphan HBr, Chlorpheniramine maleate
11822-0461
Rite Aid Night Time Cherry 355 mL in 1 BOTTLE, PLASTIC (11822-1403-2)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
11822-1403
Rite Aid Night Time Cherry 296 mL in 1 BOTTLE, PLASTIC (11822-1403-1)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
11822-1403
DOH 690-292 May 2016 278 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRite Aid Night Time Original 177 mL in 1 BOTTLE, PLASTIC
(11822-1406-6)500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
11822-1406
Rite Aid Night Time Original 296 mL in 1 BOTTLE, PLASTIC (11822-1406-1)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
11822-1406
Rite Aid Night Time 177 mL in 1 BOTTLE, PLASTIC (11822-0403-6)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
11822-0403
Rite Aid cold and cough sinus relief PE 2 BLISTER PACK in 1 CARTON (11822-0546-9) > 20 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
Acetaminophen, Dextromathorphan HBr, Gauifenesin, Phenylephrine HCl
11822-0546
Rite Aid Mucus Relief Severe Congestion and Cold Max 2 BLISTER PACK in 1 PACKAGE (11822-0617-9) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
11822-0617
Rite Aid head congestion and cold relief 1 BLISTER PACK in 1 CARTON (11822-0503-8) > 24 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Phenylephrine HCl, Dextromethorphan HBr and Guiafenesin
11822-0503
Rite Aid cold relief 2 BLISTER PACK in 1 CARTON (11822-5030-8) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
11822-5030
DOH 690-292 May 2016 279 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRite Aid Cold and Flu 2 BLISTER PACK in 1 CARTON
(11822-5031-8) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
11822-5031
Rite Aid Mucus Relief Cold Flu and Sore Throat Max 2 BLISTER PACK in 1 PACKAGE (11822-6160-9) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
11822-6160
Rite Aid Mucus Relief Plus 1 BOTTLE in 1 CARTON (11822-3720-1) > 30 TABLET, FILM COATED in 1BOTTLE
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
11822-3720
Rite Aid Flu Relief Therapy Day Time 245 mL in 1 BOTTLE, PLASTIC (11822-2104-8)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide,Phenylephrine Hydrochloride
11822-2104
Rite Aid Day Time 296 mL in 1 BOTTLE, PLASTIC (11822-3416-1)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine HCI
11822-3416
Rite Aid Multi-Symptom Daytime Cold 1 BLISTER PACK in 1 CARTON (11822-0560-2) > 24 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Phenylephrine HCl and Dextromethorphan HBr
11822-0560
Rite Aid Long Acting Tussin Cough Gels 1 BOTTLE in 1 PACKAGE (11822-0442-9) > 20 CAPSULE, GELATIN COATED in 1 BOTTLE
15 mg/1 Dextromethorphan HBr 11822-0442
Rite Aid Night Time Cough Cherry 177 mL in 1 BOTTLE, PLASTIC (11822-0402-6)
15 mg/15mL, 135 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
11822-0402
DOH 690-292 May 2016 280 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRite Aid Mucus Relief Cough and Congestion DM 1 BOTTLE, PLASTIC in 1 CARTON
(11822-5330-0) > 30 TABLET, COATED in 1 BOTTLE, PLASTIC
20 mg/1, 400 mg/1 Guaifenesin and Dextromethorphan HBr
11822-5330
Rite Aid Mucus Relief Cough and Congestion DM 1 BOTTLE, PLASTIC in 1 CARTON (11822-5330-1) > 60 TABLET, COATED in 1 BOTTLE, PLASTIC
20 mg/1, 400 mg/1 Guaifenesin and Dextromethorphan HBr
11822-5330
Rite Aid Tussin DM 237 mL in 1 BOTTLE, PLASTIC (11822-0408-8)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
11822-0408
Rite Aid Tussin DM 118 mL in 1 BOTTLE, PLASTIC (11822-0408-4)
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, GUAIFENESIN
11822-0408
Rite Aid Tussin Cough and Chest Congestion DM 355 mL in 1 BOTTLE, PLASTIC (11822-0018-2)
10 mg/5mL, 100 mg/5mL Robitussin DM 11822-0018
Rite Aid Tussin Cough and Chest Congestion DM 118 mL in 1 BOTTLE, PLASTIC (11822-0018-4)
10 mg/5mL, 100 mg/5mL Robitussin DM 11822-0018
Rite Aid Tussin Cough and Chest Congestion DM 118 mL in 1 BOTTLE, PLASTIC (11822-0100-4)
10 mg/5mL, 100 mg/5mL Robitussin Sugar Free Cough 11822-0100
Rite Aid Tussin CF 118 mL in 1 BOTTLE, PLASTIC (11822-0126-4)
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Robitussin CF 11822-0126
Rite Aid Corporation Childrens Plus Multi Symptom Cold 1 BOTTLE, PLASTIC in 1 BOX (11822-5047-2) > 118 mL in 1 BOTTLE, PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Phenylephrine hydrochloride
11822-5047
Rite Aid Corporation nighttime cold and flu relief 355 mL in 1 BOTTLE (11822-0459-1) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11822-0459
Rite Aid Corporation nighttime cold and flu relief 237 mL in 1 BOTTLE (11822-0459-2) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11822-0459
DOH 690-292 May 2016 281 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRite Aid Corporation nighttime cold and flu relief 2 BOTTLE in 1 PACKAGE (11822-
0459-3) > 355 mL in 1 BOTTLE650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11822-0459
Rite Aid Corporation nighttime cold and flu relief 12 BLISTER PACK in 1 CARTON (11822-0977-1) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
11822-0977
Rite Aid Corporation nighttime cold and flu relief 24 BLISTER PACK in 1 CARTON (11822-0977-2) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
11822-0977
Rite Aid Corporation Nite Time Cold and Flu 296 mL in 1 BOTTLE (11822-0041-1) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate
11822-0041
Rite Aid Corporation Nite Time Cold and Flu 473 mL in 1 BOTTLE (11822-0041-2) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate
11822-0041
Rite Aid Corporation Nite Time Cold and Flu 177 mL in 1 BOTTLE (11822-0041-6) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate
11822-0041
Rite Aid Corporation nighttime cold and flu relief 12 BLISTER PACK in 1 CARTON (11822-0056-1) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11822-0056
Rite Aid Corporation nighttime cold and flu relief 24 BLISTER PACK in 1 CARTON (11822-0056-2) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11822-0056
DOH 690-292 May 2016 282 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRite Aid Corporation nighttime cold and flu relief 237 mL in 1 BOTTLE (11822-0335-1) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
11822-0335
Rite Aid Corporation nighttime cold and flu relief 355 mL in 1 BOTTLE (11822-0335-2) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11822-0335
Rite Aid Corporation nighttime cold and flu relief 2 BOTTLE in 1 PACKAGE (11822-0335-3) > 355 mL in 1 BOTTLE
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11822-0335
Rite Aid Corporation severe cold and flu relief 12 BLISTER PACK in 1 CARTON (11822-0805-1) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
acetaminophen, dextromethorphan hbr, doxylamine succinate, phenylephrine hcl
11822-0805
Rite Aid Corporation nighttime severe cold and flu relief 355 mL in 1 BOTTLE (11822-0511-1) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
11822-0511
Rite Aid Corporation severe cold and flu relief 355 mL in 1 BOTTLE (11822-0763-1) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
11822-0763
Rite Aid Corporation daytime severe cold and flu relief 12 BLISTER PACK in 1 CARTON (11822-0548-1) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
11822-0548
Rite Aid Corporation daytime cold relief 2 BLISTER PACK in 1 CARTON (11822-0308-1) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
11822-0308
DOH 690-292 May 2016 283 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRite Aid Corporation Daytime Severe Cold and Flu Relief 355 mL in 1 BOTTLE (11822-0710-1) 325 mg/15mL, 10
mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
11822-0710
Rite Aid Corporation cold and flu relief 12 BLISTER PACK in 1 CARTON (11822-0994-1) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
11822-0994
Rite Aid Corporation cold and flu relief 24 BLISTER PACK in 1 CARTON (11822-0994-2) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
11822-0994
Rite Aid Corporation Rite Aid Daytime Severe Cold and Cough Relief 6 POWDER, FOR SOLUTION in 1 CARTON (11822-2112-7)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan hydrobromide, and Phenylephrine hydrochloride
11822-2112
Rite Aid Corporation daytime cold and flu relief 237 mL in 1 BOTTLE (11822-0656-1) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
11822-0656
Rite Aid Corporation daytime cold and flu relief 355 mL in 1 BOTTLE (11822-0656-2) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
11822-0656
Rite Aid Corporation severe cold cough and flu relief 6 POWDER, FOR SOLUTION in 1 CARTON (11822-0096-1)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
11822-0096
Rite Aid Corporation Tussin Long Acting Cough 1 BOTTLE in 1 CARTON (11822-0493-1) > 118 mL in 1 BOTTLE
30 mg/10mL Dextromethorphan Hydrobromide
11822-0493
Rite Aid Corporation Cough DM 1 BOTTLE in 1 CARTON (11822-0494-1) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 11822-0494
Rite Aid Corporation Cough DM 1 BOTTLE in 1 CARTON (11822-0958-1) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 11822-0958
DOH 690-292 May 2016 284 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRite Aid Corporation Cough DM 1 BOTTLE in 1 CARTON (11822-0384-
1) > 89 mL in 1 BOTTLE30 mg/5mL dextromethorphan polistirex 11822-0384
Rite Aid Corporation Cough DM 1 BOTTLE in 1 CARTON (11822-0384-2) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 11822-0384
Rite Aid Corporation nighttime cough relief 237 mL in 1 BOTTLE (11822-0668-1) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr, Doxylamine succinate
11822-0668
Rite Aid Corporation nighttime cough relief 355 mL in 1 BOTTLE (11822-0668-2) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr, Doxylamine succinate
11822-0668
Rite Aid Corporation cough and chest congestion dm max 1 BOTTLE in 1 CARTON (11822-0799-1) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
11822-0799
Rite Aid Corporation cough and chest congestion dm max 1 BOTTLE in 1 CARTON (11822-0799-2) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
11822-0799
Rite Aid Corporation Cough and Chest Congestion DM 1 BOTTLE in 1 CARTON (11822-0359-1) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
11822-0359
Rite Aid Corporation Cough and Chest Congestion DM 1 BOTTLE in 1 CARTON (11822-0359-2) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
11822-0359
Rite Aid Corporation Cough and Chest Congestion DM 1 BOTTLE in 1 CARTON (11822-0359-3) > 355 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
11822-0359
Rite Aid Corporation Cough 1 BOTTLE in 1 CARTON (11822-0419-1) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
11822-0419
Rite Aid Corporation Multi Symptom Cold CF 1 BOTTLE in 1 CARTON (11822-0296-1) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
11822-0296
Rite Aid Corporation Multi Symptom Cold CF 1 BOTTLE in 1 CARTON (11822-0296-2) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
11822-0296
Rite Aid Corporation Multi Symptom Cold CF 1 BOTTLE in 1 CARTON (11822-0669-1) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
11822-0669
DOH 690-292 May 2016 285 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRite Aid Corporation Multi Symptom Cold CF 1 BOTTLE in 1 CARTON (11822-0669-
2) > 237 mL in 1 BOTTLE20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
11822-0669
Rite Aid Corporation Adult Tussin Cough and Cold CF 1 BOTTLE in 1 CARTON (11822-0516-1) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
11822-0516
Rite Aid Corporation Adult Tussin Cough and Cold CF 1 BOTTLE in 1 CARTON (11822-0516-2) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
11822-0516
Rite Aid Corporation Adult Tussin Cough and Cold CF 1 BOTTLE in 1 CARTON (11822-0516-3) > 355 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
11822-0516
Rite Aid Corporation childrens mucus relief multi symptom cold 1 BOTTLE in 1 CARTON (11822-0839-1) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
11822-0839
Robinson Pharma, Inc. NightTime Cold and Flu 2 BLISTER PACK in 1 BOX (59995-001-12) > 12 CAPSULE, LIQUIDFILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DOXYLAMINE SUCCINATE HCL, DEXTROMETHORPHAN HYDROBROMIDE
59995-001
Robinson Pharma, Inc. Non-Drowsy DayTime Cold and Flu Multi-Symptom Relief
2 BLISTER PACK in 1 BOX (59995-002-12) > 12 CAPSULE, LIQUIDFILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, PHENYLEPHRINE HCL, DEXTROMETHORPHAN HBr
59995-002
RockHealth, Inc Libera Tos 118 mL in 1 BOTTLE (60840-0100-1) 10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
60840-0100
RockHealth, Inc Libera Tos 178 mL in 1 BOTTLE (60840-0100-2) 10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
60840-0100
RockHealth, Inc Libera Tos 118 mL in 1 BOTTLE (60840-0200-1) 10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
60840-0200
DOH 690-292 May 2016 286 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCRockHealth, Inc Libera Tos 178 mL in 1 BOTTLE (60840-0200-2) 10 mg/5mL, 100 mg/5mL Dextromethorphan HBr,
Guaifenesin60840-0200
RockHealth, Inc Libera Tos 118 mL in 1 BOTTLE (60840-0300-1) 5 mg/5mL, 75 mg/5mL Dextromethorphan HBr, Guaifenesin
60840-0300
RockHealth, Inc Libera Tos 178 mL in 1 BOTTLE (60840-0300-2) 5 mg/5mL, 75 mg/5mL Dextromethorphan HBr, Guaifenesin
60840-0300
Rugby Laboratories Sore Throat and Cough 1 BLISTER PACK in 1 CARTON (0536-1045-21) > 18 LOZENGE in 1 BLISTER PACK
7.5 mg/1, 5 mg/1 benzocaine and dextromethorphan hydrobromide
0536-1045
Rugby Laboratories Robafen Cough 1 BOTTLE in 1 PACKAGE (0536-1068-34) > 20 CAPSULE, LIQUID FILLED in1 BOTTLE
15 mg/1 Dextromethorphan HBr 0536-1068
Rugby Laboratories Inc. Extra action Cough 473 mL in 1 BOTTLE (0536-0970-85) 100 mg/5mL, 10 mg/5mL Guaifenesin and DEXTROMETHORPHAN HYDROBROMIDE
0536-0970
Rugby Laboratories Inc. Extra action Cough 118 mL in 1 BOTTLE (0536-0970-97) 100 mg/5mL, 10 mg/5mL Guaifenesin and DEXTROMETHORPHAN HYDROBROMIDE
0536-0970
Rugby Laboratories, Inc. Kidkare 118 mL in 1 BOTTLE (0536-2310-97) 1 mg/5mL, 5 mg/5mL, 15 mg/5mL
Chlorpheniramine, Dextromethorphan Hydrobromide, and Pseudoephedrine Hydrochloride
0536-2310
Safeway Night Time Cherry 296 mL in 1 BOTTLE, PLASTIC (21130-113-01)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
21130-113S
DOH 690-292 May 2016 287 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSafeway Signature Care Nighttime Severe Cold and Flu Relief 355 mL in 1 BOTTLE (21130-129-40) 650 mg/30mL, 20
mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
21130-129
Safeway Night Time Cold and Flu 296 mL in 1 BOTTLE (21130-609-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL, 30 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Pseudoephedrine Hydrochloride
21130-609
Safeway Signature Care Non drowsy Daytime Severe Cold and Flu Relief
355 mL in 1 BOTTLE (21130-091-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
21130-091
Safeway Flu and Severe Cold and Cough 6 POWDER, FOR SOLUTION in 1 CARTON (21130-096-91)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
21130-096
Safeway Signature Care Childrens Cold and Cough 1 BOTTLE in 1 CARTON (21130-082-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
21130-082
Safeway Cough and Cold HBP 2 BLISTER PACK in 1 CARTON (21130-411-21) > 8 TABLET in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate, Dextromethorphan HBr
21130-411
Safeway Signature Care Daytime Cough 355 mL in 1 BOTTLE (21130-635-40) 15 mg/15mL Dextromethorphan HBr 21130-635
Safeway Cough Relief 1 BOTTLE in 1 CARTON (21130-402-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 21130-402
Safeway day time cough 296 mL in 1 BOTTLE (21130-473-38) 15 mg/15mL Dextromethorphan HBr 21130-473
DOH 690-292 May 2016 288 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSafeway day time cough 355 mL in 1 BOTTLE (21130-473-40) 15 mg/15mL Dextromethorphan HBr 21130-473
Safeway cough dm 1 BOTTLE in 1 CARTON (21130-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 21130-384
Safeway Cough Relief 118 mL in 1 BOTTLE, PLASTIC (21130-156-04)
15 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
21130-156
Safeway signature care cough dm 1 BOTTLE in 1 CARTON (21130-200-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 21130-200
Safeway signature care 12 hour cough relief 1 BOTTLE in 1 CARTON (21130-012-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 21130-012
Safeway Cough DM 1 BOTTLE in 1 CARTON (21130-958-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 21130-958
Safeway Signature Care Tussin 1 BOTTLE in 1 CARTON (21130-799-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
21130-799
Safeway Severe Congestion and Cough Relief 177 mL in 1 BOTTLE (21130-817-58) 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
21130-817
Safeway, Inc. Childrens Plus Multi Symptom Cold 1 BOTTLE, PLASTIC in 1 BOX (21130-034-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Phenylephrine hydrochloride
21130-034
Safeway, Inc. Nighttime Cold and Flu Relief 237 mL in 1 BOTTLE, PLASTIC (21130-044-08)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
21130-044
DOH 690-292 May 2016 289 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSafeway, Inc. Nighttime Cold and Flu Relief 355 mL in 1 BOTTLE (21130-044-12) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
21130-044
Safeway, Inc. Cold and Flu Relief 24 BLISTER PACK in 1 CARTON (21130-071-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
21130-071
Safeway, Inc. Nighttime Cold and Flu Relief 237 mL in 1 BOTTLE, PLASTIC (21130-343-08)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
21130-343
Safeway, Inc. Nighttime Cold and Flu Relief 355 mL in 1 BOTTLE (21130-343-12) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
21130-343
Safeway, Inc. Nighttime Cold and Flu Relief 2 BOTTLE, PLASTIC in 1 PACKAGE (21130-343-24) > 355 mL in 1 BOTTLE, PLASTIC
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
21130-343
Safeway, Inc. Safeway Nighttime Cold and Flu 1 BLISTER PACK in 1 BOX (21130-480-24) > 24 CAPSULE, LIQUIDFILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
21130-480
Safeway, Inc. Cold Flu and Sore Throat Relief 177 mL in 1 BOTTLE (21130-036-06) 650 mg/20mL, 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
21130-036
DOH 690-292 May 2016 290 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSafeway, Inc. Daytime Cold and Flu Relief 355 mL in 1 BOTTLE (21130-311-12) 325 mg/15mL, 10
mg/15mL, 5 mg/15mLAcetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
21130-311
Safeway, Inc. Day time 24 BLISTER PACK in 1 CARTON (21130-468-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
21130-468
Safeway, Inc. Safeway Daytime Cold and Flu Relief 2 BLISTER PACK in 1 BOX (21130-470-24) > 24 CAPSULE, LIQUIDFILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
21130-470
Safeway, Inc. Daytime Cold and Flu Relief 2 BLISTER PACK in 1 CARTON (21130-471-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
21130-471
Safeway, Inc. Day Time Cold and Flu Relief 237 mL in 1 BOTTLE, PLASTIC (21130-866-08)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
21130-866
Safeway, Inc. Day Time Cold and Flu Relief 355 mL in 1 BOTTLE, PLASTIC (21130-866-12)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
21130-866
Safeway, Inc. Cold and Flu 24 BLISTER PACK in 1 CARTON (21130-868-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
21130-868
DOH 690-292 May 2016 291 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSafeway, Inc. Adult Cough Relief DM 1 BOTTLE, PLASTIC in 1 BOX (21130-
383-04) > 118 mL in 1 BOTTLE,PLASTIC
30 mg/10mL Dextromethorphan HBr 21130-383
Safeway, Inc. Night Time Cough 355 mL in 1 BOTTLE, PLASTIC (21130-345-12)
30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
21130-345
Safeway, Inc. Adult Cough and Chest Congestion Relief DM 1 BOTTLE, PLASTIC in 1 BOX (21130-385-04) > 118 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
21130-385
Safeway, Inc. Adult Cough and Chest Congestion Relief DM 1 BOTTLE, PLASTIC in 1 BOX (21130-385-08) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
21130-385
Safeway, Inc. DM Max Relief 177 mL in 1 BOTTLE (21130-338-06) 20 mg/20mL, 400 mg/20mL dextromethorphan hydrobromide, guaifenesin
21130-338
Safeway, Inc. Childrens Mucus Relief DM 1 BOTTLE, PLASTIC in 1 BOX (21130-024-04) > 118 mL in 1 BOTTLE,PLASTIC
5 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifensin
21130-024
Safeway, Inc. Multi Symptom Cold Relief CF 1 BOTTLE, PLASTIC in 1 BOX (21130-382-04) > 118 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine
21130-382
Safeway, Inc. Triacting Day Time 118 mL in 1 BOTTLE, PLASTIC (21130-148-04)
5 mg/5mL, 2.5 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
21130-148
Safeway, Inc. Triacting Daytime Cold Cough 1 BOTTLE, PLASTIC in 1 BOX (21130-378-04) > 118 mL in 1 BOTTLE,PLASTIC
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
21130-378
DOH 690-292 May 2016 292 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSalado Sales, Inc. Nite-Time 177 mL in 1 BOTTLE (57243-501-25) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
57243-501
Salado Sales, Inc. Nite-TimeCOLD/FLU CHERRY 177 mL in 1 BOTTLE (57243-502-25) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
57243-502
Salado Sales, Inc. NightTime Multi-Symptom Flu Cold 1 BLISTER PACK in 1 CARTON (57243-535-02) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
57243-535
Salado Sales, Inc. Night Time 2 BLISTER PACK in 1 CARTON (57243-660-02) > 6 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
57243-660
Salado Sales, Inc. Cold-Flu Relief 1 BLISTER PACK in 1 CARTON (57243-560-02) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
57243-560
Salado Sales, Inc. Day Time 1 BLISTER PACK in 1 CARTON (57243-659-02) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
57243-659
Salado Sales, Inc. Daytime 177 mL in 1 BOTTLE (57243-506-25) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, PHENYLEPHRINE HYDROCHLORIDE
57243-506
Salado Sales, Inc. DayTime Multi-Symptom Flu Cold Medicine 12 BLISTER PACK in 1 CARTON (57243-534-02) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
57243-534
DOH 690-292 May 2016 293 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSalado Sales, Inc. TUSSIN COUGH 118 mL in 1 BOTTLE (57243-503-24) 10 mg/5mL, 100 mg/5mL DEXTROMETHORPHAN
HYDROBROMIDE, GUAIFENESIN
57243-503
Sallus Laboratories, LLC LORTUSS 473 mL in 1 BOTTLE (69036-120-16) 15 mg/5mL, 6.25 mg/5mL, 30 mg/5mL
Dextromethorphan Hydrobromide, Doxylamine Succinate, Pseudoephedrine Hydrochloride
69036-120
Sam's West Inc simply right Night Time 355 mL in 1 BOTTLE (68196-041-40) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
68196-041
Sam's West Inc simply right night time 355 mL in 1 BOTTLE (68196-872-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
68196-872
SAMSUNG PHARM IND. CO., LTD. ALLPANTO S 488 mg in 1 BLISTER PACK (49789-010-01)
162.5 mg/448mg, 15 mg/448mg, 7.5 mg/448mg, 1 mg/448mg
ACETAMINOPHEN, PSEUDOEPHEDRINE HYDROCHLORIDE, DEXTROMETHORPHAN HYDROBROMIDE, CHLORPHENIRAMINE MALEATE
49789-010
SAMSUNG PHARM IND. CO., LTD. CAREPANTO 630 mg in 1 BLISTER PACK (49789-030-01)
15 mg/630mg, 3 mg/630mg
DEXTROMETHORPHAN HYDROBROMIDE, CHLORPHENIRAMINE MALEATE
49789-030
SAMSUNG PHARM IND. CO., LTD. Panto Flu 16999 mg in 1 CELLO PACK (49789-070-01)
15 mg/16999mg, 2.5 mg/16999mg
DEXTROMETHORPHAN HYDROBROMIDE, CHLORPHENIRAMINE MALEATE
49789-070
DOH 690-292 May 2016 294 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSato Pharmaceutical Co., Ltd. Stona for Children 1 BOTTLE in 1 CARTON (49873-108-
01) > 120 mL in 1 BOTTLE325 mg/15mL, 2 mg/15mL, 10 mg/15mL
acetaminophen, chlorpheniramine maleate, dextromethorphan hydrobromide
49873-108
Sato Pharmaceutical Co., Ltd. Stona-S 1 BOTTLE in 1 CARTON (49873-113-01) > 24 CAPSULE in 1 BOTTLE
162.5 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
acetaminophen, chlorpheniramine maleate, dextromethorphan hydrobromide, phenylephrine hydrochloride
49873-113
Sato Pharmaceutical Co., Ltd. Stona 1 BOTTLE in 1 CARTON (49873-114-01) > 24 TABLET in 1 BOTTLE
162.5 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
acetaminophen, chlorpheniramine maleate, dextromethorphan hydrobromide, phenylephrine hydrochloride
49873-114
Sato Pharmaceutical Co., Ltd. Stona 1 BLISTER PACK in 1 CARTON (49873-301-01) > 12 LOZENGE in 1 BLISTER PACK
10 mg/1 dextromethorphan hydrobromide
49873-301
Sato Pharmaceutical Co., Ltd. Stona Cough 1 BOTTLE in 1 CARTON (49873-302-01) > 120 mL in 1 BOTTLE
30 mg/10mL, 200 mg/10mL dextromethorphan hydrobromide, guaifenesin
49873-302
Sato Pharmaceutical Co., Ltd. Stona Cough 1 BOTTLE in 1 CARTON (49873-306-01) > 24 TABLET in 1 BOTTLE
15 mg/1, 100 mg/1, 5 mg/1 dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride
49873-306
Save-A-Lot Food Stores Ltd being well night time cold and flu 237 mL in 1 BOTTLE (46994-150-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
46994-150
Save-A-Lot Food Stores Ltd being well cold and flu relief pm 177 mL in 1 BOTTLE (46994-335-30) 325 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
46994-335
DOH 690-292 May 2016 295 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSave-A-Lot Food Stores Ltd being well cold and flu relief pm 237 mL in 1 BOTTLE (46994-335-34) 325 mg/15mL, 15
mg/15mL, 6.25 mg/15mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
46994-335
Save-A-Lot Food Stores Ltd being well cold flu relief 177 mL in 1 BOTTLE (46994-908-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
46994-908
Save-A-Lot Food Stores Ltd Being Well Adult Cough Relief DM 1 BOTTLE in 1 CARTON (46994-359-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
46994-359
SCOT-TUSSIN Pharmacal Co., Inc. Scot-Tussin Diabetes Cough Formula with DM 118 mL in 1 BOTTLE (0372-0043-04) 10 mg/5mL dextromethorphan hydrobromide
0372-0043
SCOT-TUSSIN Pharmacal Co., Inc. Scot-Tussin 118 mL in 1 BOTTLE (0372-0036-04) 15 mg/5mL, 2 mg/5mL Dextromethorphan Hydrobromide Chlorpheniramine Maleate
0372-0036
SCOT-TUSSIN Pharmacal Co., Inc. Scot-Tussin Senior SF DMEXP 118 mL in 1 BOTTLE (0372-0050-04) 15 mg/5mL, 200 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
0372-0050
Selder, S.A. de C.V. Cough and Cold 20 CAPSULE, LIQUID FILLED in 1 BLISTER PACK (63654-800-20)
250 mg/1, 5 mg/1, 2 mg/1, 10 mg/1
Acetaminophen Chlorpheniramine Maleate Dextromethorphan Hydrobromide Phenylepherine Hydrochloride
63654-800
Select Brand Night Time Original 296 mL in 1 BOTTLE, PLASTIC (15127-980-10)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
15127-980
DOH 690-292 May 2016 296 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSelect Brand Severe Cold and Flu 2 BLISTER PACK in 1 CARTON
(15127-184-24) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
15127-184
Select Brand Cough Relief 118 mL in 1 BOTTLE, PLASTIC (15127-925-04)
15 mg/5mL Delsym 15127-925
Select Brand Tussin CF 118 mL in 1 BOTTLE, PLASTIC (15127-943-04)
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Robitussin CF 15127-943
Select Brand Dist. Childrens Plus Cough and Runny Nose 1 BOTTLE, PLASTIC in 1 BOX (15127-950-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide
15127-950
Select Brand Dist. Childrens Plus Multi Symptom Cold 1 BOTTLE, PLASTIC in 1 BOX (15127-931-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Phenylephrine hydrochloride
15127-931
Select Brand Dist. Nighttime Cold and Flu Relief 16 BLISTER PACK in 1 CARTON (15127-139-16) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
15127-139
Select Brand Dist. Nighttime Cold and Flu 177 mL in 1 BOTTLE, PLASTIC (15127-987-06)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
15127-987
DOH 690-292 May 2016 297 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSelect Brand Dist. Nighttime Cold and Flu 296 mL in 1 BOTTLE, PLASTIC
(15127-987-10)500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
15127-987
Select Brand Dist. Cold and Flu 177 mL in 1 BOTTLE, PLASTIC (15127-346-06)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
15127-346
Select Brand Dist. Cold and Flu 296 mL in 1 BOTTLE, PLASTIC (15127-346-10)
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
15127-346
Select Brand Dist. Day Time Cold and Flu 177 mL in 1 BOTTLE, PLASTIC (15127-466-06)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
15127-466
Select Brand Dist. Day Time Cold and Flu 296 mL in 1 BOTTLE, PLASTIC (15127-466-10)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
15127-466
Select Brand Dist. Flu Relief Therapy Daytime 237 LIQUID in 1 BOTTLE, PLASTIC (15127-923-08)
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
15127-923
Select Brand Dist. Childrens Cold and Cough 1 BOTTLE, PLASTIC in 1 BOX (15127-953-04) > 118 mL in 1 BOTTLE,PLASTIC
2 mg/10mL, 10 mg/10mL, 5 mg/10mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
15127-953
Select Brand Dist. Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (15127-309-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 15127-309
DOH 690-292 May 2016 298 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSelect Brand Dist. Night Time Cough 177 mL in 1 BOTTLE, PLASTIC
(15127-881-06)30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
15127-881
Select Brand Dist. Cough Control DM 1 BOTTLE, PLASTIC in 1 BOX (15127-806-04) > 118 mL in 1 BOTTLE,PLASTIC
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
15127-806
Select Brand Dist. Cough Control DM Max 1 BOTTLE, PLASTIC in 1 BOX (15127-864-04) > 118 mL in 1 BOTTLE,PLASTIC
10 mg/5mL, 200 mg/5mL dextromethorphan HBr, guaifenesin
15127-864
Select Brand Dist. Cough Control DM Max 1 BOTTLE, PLASTIC in 1 BOX (15127-864-08) > 236 mL in 1 BOTTLE,PLASTIC
10 mg/5mL, 200 mg/5mL dextromethorphan HBr, guaifenesin
15127-864
Select Brand Dist. Adult Tussin Cough and Chest Congestion DM 1 BOTTLE, PLASTIC in 1 BOX (15127-384-04) > 118 mL in 1 BOTTLE,PLASTIC
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
15127-384
Select Brand Dist. Tussin Cough and Chest Congestion DM 1 BOTTLE, PLASTIC in 1 BOTTLE (15127-085-04) > 118 mL in 1 BOTTLE, PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
15127-085
Select Brand Dist. Tussin Cough and Chest Congestion DM 1 BOTTLE, PLASTIC in 1 BOX (15127-085-08) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
15127-085
Select Brand Dist. Tussin Multi Symptom Cold CF 1 BOTTLE, PLASTIC in 1 BOX (15127-382-04) > 118 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine
15127-382
Select Brand Dist. Tussin Multi Symptom Cold CF 1 BOTTLE, PLASTIC in 1 BOX (15127-382-08) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine
15127-382
DOH 690-292 May 2016 299 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSelect Brand Dist. Tussin CF 1 BOTTLE, PLASTIC in 1 BOX (15127-
412-04) > 118 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
15127-412
Select Brand Distributors Select Brand Tab Tussin 2 BLISTER PACK in 1 CARTON (15127-471-24) > 12 TABLET in 1 BLISTER PACK
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
15127-471
Select Brand Distributors Select Brand Mucus Relief 1 BOTTLE in 1 CARTON (15127-170-50) > 50 TABLET in 1 BOTTLE
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
15127-170
Select Corporation Cold Relief Severe Pain Cough 2 TABLET in 1 PACKET (52904-456-02)
325 mg/1, 5 mg/1, 200 mg/1, 15 mg/1
Acetaminophen,Guaifenesin, Phenylephrine HCl, Dextromethorphan Hydrobromide
52904-456
Selgel México, S.A. de C.V. Cough and Cold 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK (58596-001-12)
250 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen Chlorpheniramine Maleate Dextromethorphan Hydrobromide Phenylepherine Hydrochloride
58596-001
Seyer Pharmatec, Inc. Panatuss 60 mL in 1 BOTTLE (11026-2662-2) .5 mg/mL, 5 mg/mL, 2.5 mg/mL
Dexbrompheniramine Maleate, Dextromethorphan, Phenylephrine
11026-2662
Seyer Pharmatec, Inc. Panatuss 118 mL in 1 BOTTLE (11026-2675-4) 2 mg/5mL, 20 mg/5mL, 10 mg/5mL
Dexbrompheniramine Maleate, Dextromethorphan, Phenylephrine
11026-2675
Seyer Pharmatec, Inc. Broncotron 118 mL in 1 BOTTLE (11026-2640-4) 10 mg/5mL, 100 mg/5mL Dextromethorphan, Guaifenesin
11026-2640
Seyer Pharmatec, Inc. Broncotron 1 BOTTLE in 1 CARTON (11026-2650-4) > 118 mL in 1 BOTTLE
20 mg/5mL, 400 mg/5mL Dextromethorphan HBr, Guaifenesin
11026-2650
DOH 690-292 May 2016 300 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSeyer Pharmatec, Inc. Broncotron PED 1 BOTTLE in 1 CARTON (11026-2780-
4) > 118 mL in 1 BOTTLE15 mg/5mL, 350 mg/5mL, 10 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
11026-2780
Seyer Pharmatec, Inc. Broncotron PED 1 BOTTLE, DROPPER in 1 CARTON (11026-2790-2) > 60 mL in 1 BOTTLE, DROPPER
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
11026-2790
SEYER PHARMATEC, INC. Broncotron 118 mL in 1 BOTTLE (11026-2681-4) 200 mg/5mL, 20 mg/5mL, 5 mg/5mL
Guaifenesin, Dextromethorphan, Phenyphrine Hydrchloride
11026-2681
Shopko Shopko Chest Congestion Relief DMTDM 1 TABLET in 1 CARTON (37012-078-01)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
37012-078
Shopko Shopko Chest Congestion Relief DMTDM 50 TABLET in 1 BOTTLE, PLASTIC (37012-078-50)
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide / Guaifenesin
37012-078
Shopko Stores Operating Co., LLC night time 12 BLISTER PACK in 1 CARTON (37012-056-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37012-056
Shopko Stores Operating Co., LLC Nighttime 354 mL in 1 BOTTLE (37012-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37012-335
Shopko Stores Operating Co., LLC cold and flu relief 354 mL in 1 BOTTLE (37012-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
37012-459
Shopko Stores Operating Co., LLC Night Time 12 BLISTER PACK in 1 CARTON (37012-977-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
37012-977
DOH 690-292 May 2016 301 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCShopko Stores Operating Co., LLC Nighttime 354 mL in 1 BOTTLE (37012-763-40) 650 mg/30mL, 20
mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
37012-763
Shopko Stores Operating Co., LLC Day Time 12 BLISTER PACK in 1 CARTON (37012-548-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
37012-548
Shopko Stores Operating Co., LLC Daytime 354 mL in 1 BOTTLE (37012-603-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
37012-603
Shopko Stores Operating Co., LLC Daytime 354 mL in 1 BOTTLE (37012-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
37012-656
Shopko Stores Operating Co., LLC Day Time 12 BLISTER PACK in 1 CARTON (37012-994-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
37012-994
Shopko Stores Operating Co., LLC Cough DM 1 BOTTLE in 1 CARTON (37012-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 37012-384
Shopko Stores Operating Co., LLC Nighttime Cough Relief 354 mL in 1 BOTTLE (37012-668-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr, Doxylamine succinate
37012-668
Shopko Stores Operating Co., LLC Adults Tussin DM 1 BOTTLE in 1 CARTON (37012-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
37012-359
Shopko Stores Operating Co., LLC Tussin CF Max 1 BOTTLE in 1 CARTON (37012-296-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
37012-296
Shopko Stores Operating Co., LLC Tussin CF 1 BOTTLE in 1 CARTON (37012-516-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
37012-516
DOH 690-292 May 2016 302 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCShopko Stores Operating Co., LLC. Night time cold/flu relief multi symptom 2 BLISTER PACK in 1 CARTON
(37012-480-20) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
37012-480
Shopko Stores Operating Co., LLC. Night time cold/flu relief multi symptom 2 BLISTER PACK in 1 CARTON (37012-480-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
37012-480
Shopko Stores Operating Co., LLC. Day Time Cold and Flu Relief 2 BLISTER PACK in 1 CARTON (37012-470-20) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
37012-470
Shopko Stores Operating Co., LLC. Day Time Cold and Flu Relief 2 BLISTER PACK in 1 CARTON (37012-470-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
37012-470
Silarx Pharmaceutical, Inc Brotapp PE-DM Cough and Cold Liquid 118 mL in 1 BOTTLE, PLASTIC (54838-147-40)
1 mg/5mL, 2.5 mg/5mL, 5 mg/5mL
Brotapp PE-DM Cough and Cold Liquid
54838-147
Silarx Pharmaceutical, Inc Brotapp PE-DM Cough and Cold Liquid 237 mL in 1 BOTTLE, PLASTIC (54838-147-70)
1 mg/5mL, 2.5 mg/5mL, 5 mg/5mL
Brotapp PE-DM Cough and Cold Liquid
54838-147
Silarx Pharmaceuticals, Inc Brotapp DM Cold and Cough 118 mL in 1 BOTTLE, PLASTIC (54838-136-40)
1 mg/5mL, 15 mg/5mL, 5 mg/5mL
Brompheniramine maleate and Pseudoephedrine hydrochloride and Dextromethorphan hydrobromide
54838-136
DOH 690-292 May 2016 303 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSilarx Pharmaceuticals, Inc Brotapp DM Cold and Cough 237 mL in 1 BOTTLE, PLASTIC
(54838-136-70)1 mg/5mL, 15 mg/5mL, 5 mg/5mL
Brompheniramine maleate and Pseudoephedrine hydrochloride and Dextromethorphan hydrobromide
54838-136
Silarx Pharmaceuticals, Inc Pediatric Cough and Cold Medicine 120 mL in 1 BOTTLE, PLASTIC (54838-115-40)
1 mg/5mL, 15 mg/5mL, 5 mg/5mL
Chlorpheniramine maleate and Pseudoephedrine hydrochloride and Dextromethorphan hydrobromide
54838-115
Silarx Pharmaceuticals, Inc Silphen DM Cough 118 mL in 1 BOTTLE, PLASTIC (54838-105-40)
10 mg/5mL Dextromethorphan Hydrobromide
54838-105
Silarx Pharmaceuticals, Inc Siltussin DM DAS Cough Formula 118 mL in 1 BOTTLE, PLASTIC (54838-133-40)
100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
54838-133
Silarx Pharmaceuticals, Inc Diabetic Siltussin DM DAS-Na 118 mL in 1 BOTTLE, PLASTIC (54838-139-40)
100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
54838-139
Silarx Pharmaceuticals, Inc Diabetic Maximum Strength Siltussin DM DAS-Na 118 mL in 1 BOTTLE, PLASTIC (54838-140-40)
200 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
54838-140
Silarx Pharmaceuticals,Inc Siltussin DM 118 mL in 1 BOTTLE, PLASTIC (54838-209-40)
100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
54838-209
Silarx Pharmaceuticals,Inc Siltussin DM 237 mL in 1 BOTTLE, PLASTIC (54838-209-70)
100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
54838-209
DOH 690-292 May 2016 304 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSilarx Pharmaceuticals,Inc Siltussin DM 473 mL in 1 BOTTLE, PLASTIC
(54838-209-80)100 mg/5mL, 10 mg/5mL Guaifenesin and
Dextromethorphan Hydrobromide
54838-209
SMART SENSE (Kmart) Nighttime 2 BLISTER PACK in 1 CARTON (49738-480-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
49738-480
SMART SENSE (Kmart) DayTime Cold Flu Non-Drowsy 1 BLISTER PACK in 1 BOX (49738-470-24) > 24 CAPSULE, LIQUIDFILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
49738-470
SMART SENSE (Kmart) Mucus DM 1 BOTTLE, PLASTIC in 1 BOX (49738-109-30) > 30 TABLET in 1 BOTTLE,PLASTIC
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide and Guaifenesin
49738-109
SOHM Inc. SohMed Cold Relief 1 BOTTLE, PLASTIC in 1 CARTON (50405-006-24) > 24 TABLET in 1 BOTTLE, PLASTIC
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride
50405-006
SPIRIT PHARMACEUTICALS LLC MULTI-SYMPTOM NITETIME 1 BLISTER PACK in 1 CARTON (68210-0105-1) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
68210-0105
SPIRIT PHARMACEUTICALS LLC MULTI-SYMPTOM DAYTIME 1 BLISTER PACK in 1 CARTON (68210-0104-1) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
68210-0104
DOH 690-292 May 2016 305 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSpirit Pharmaceuticals LLC DEXTROMETHORPHAN Hydrobromide 1 BOTTLE in 1 CARTON (68210-0005-
0) > 15 CAPSULE, LIQUID FILLED in 1BOTTLE
15 mg/1 DEXTROMETHORPHAN HYDROBROMIDE
68210-0005
SPIRIT PHARMACEUTICALS, LLC ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
4 CAPSULE, LIQUID FILLED in 1 BOX (68210-0102-1)
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
68210-0102
SPIRIT PHARMACEUTICALS, LLC ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
100 CAPSULE, LIQUID FILLED in 1 BOX (68210-0102-2)
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
68210-0102
SPIRIT PHARMACEUTICALS, LLC ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
1000 CAPSULE, LIQUID FILLED in 1 BOX (68210-0102-3)
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
68210-0102
SPIRIT PHARMACEUTICALS, LLC ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
5000 CAPSULE, LIQUID FILLED in 1 BOX (68210-0102-4)
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
68210-0102
SPIRIT PHARMACEUTICALS, LLC ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
10000 CAPSULE, LIQUID FILLED in 1 BOX (68210-0102-5)
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
68210-0102
SPIRIT PHARMACEUTICALS, LLC ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
2500 CAPSULE, LIQUID FILLED in 1 BOX (68210-0102-6)
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and DOXYLAMINE SUCCINATE
68210-0102
DOH 690-292 May 2016 306 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSPIRIT PHARMACEUTICALS, LLC ACETAMINOPHEN, DEXTROMETHORPHAN
HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
4 CAPSULE, LIQUID FILLED in 1 BOX (68210-0101-1)
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
68210-0101
SPIRIT PHARMACEUTICALS, LLC ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
100 CAPSULE, LIQUID FILLED in 1 BOX (68210-0101-2)
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
68210-0101
SPIRIT PHARMACEUTICALS, LLC ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
1000 CAPSULE, LIQUID FILLED in 1 BOX (68210-0101-3)
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
68210-0101
SPIRIT PHARMACEUTICALS, LLC ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
5000 CAPSULE, LIQUID FILLED in 1 BOX (68210-0101-4)
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
68210-0101
SPIRIT PHARMACEUTICALS, LLC ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
10000 CAPSULE, LIQUID FILLED in 1 BOX (68210-0101-5)
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
68210-0101
DOH 690-292 May 2016 307 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSPIRIT PHARMACEUTICALS, LLC ACETAMINOPHEN, DEXTROMETHORPHAN
HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
2500 CAPSULE, LIQUID FILLED in 1 BOX (68210-0101-6)
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
68210-0101
SPIRIT PHARMACEUTICALS,LLC N - TIME 1 BAG in 1 DRUM (68210-1500-4) > 4000 CAPSULE, LIQUID FILLED in 1 BAG
325 mg/1, 6.25 mg/1, 15 mg/1
ACETAMINOPHEN, DOXYLAMINE SUCCINATE, and DEXTROMETHORPHAN HYDROBROMIDE
68210-1500
SPIRIT PHARMACEUTICALS,LLC N - TIME 1 BAG in 1 DRUM (68210-1500-5) > 5000 CAPSULE, LIQUID FILLED in 1 BAG
325 mg/1, 6.25 mg/1, 15 mg/1
ACETAMINOPHEN, DOXYLAMINE SUCCINATE, and DEXTROMETHORPHAN HYDROBROMIDE
68210-1500
SPIRIT PHARMACEUTICALS,LLC N - TIME 1 BAG in 1 DRUM (68210-1500-6) > 6000 CAPSULE, LIQUID FILLED in 1 BAG
325 mg/1, 6.25 mg/1, 15 mg/1
ACETAMINOPHEN, DOXYLAMINE SUCCINATE, and DEXTROMETHORPHAN HYDROBROMIDE
68210-1500
SPIRIT PHARMACEUTICALS,LLC N - TIME 1 BAG in 1 DRUM (68210-1500-8) > 8000 CAPSULE, LIQUID FILLED in 1 BAG
325 mg/1, 6.25 mg/1, 15 mg/1
ACETAMINOPHEN, DOXYLAMINE SUCCINATE, and DEXTROMETHORPHAN HYDROBROMIDE
68210-1500
SPIRIT PHARMACEUTICALS,LLC D - TIME 1 BAG in 1 DRUM (68210-1490-4) > 4000 CAPSULE, LIQUID FILLED in 1 BAG
325 mg/1, 5 mg/1, 10 mg/1 ACETAMINOPHEN, PHENYLEPHRINE HYDROCHLORIDE, and DEXTROMETHORPHAN HYDROBROMIDE
68210-1490
DOH 690-292 May 2016 308 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSPIRIT PHARMACEUTICALS,LLC D - TIME 1 BAG in 1 DRUM (68210-1490-5) >
5000 CAPSULE, LIQUID FILLED in 1 BAG
325 mg/1, 5 mg/1, 10 mg/1 ACETAMINOPHEN, PHENYLEPHRINE HYDROCHLORIDE, and DEXTROMETHORPHAN HYDROBROMIDE
68210-1490
SPIRIT PHARMACEUTICALS,LLC D - TIME 1 BAG in 1 DRUM (68210-1490-6) > 6000 CAPSULE, LIQUID FILLED in 1 BAG
325 mg/1, 5 mg/1, 10 mg/1 ACETAMINOPHEN, PHENYLEPHRINE HYDROCHLORIDE, and DEXTROMETHORPHAN HYDROBROMIDE
68210-1490
SPIRIT PHARMACEUTICALS,LLC D - TIME 1 BAG in 1 DRUM (68210-1490-8) > 8000 CAPSULE, LIQUID FILLED in 1 BAG
325 mg/1, 5 mg/1, 10 mg/1 ACETAMINOPHEN, PHENYLEPHRINE HYDROCHLORIDE, and DEXTROMETHORPHAN HYDROBROMIDE
68210-1490
SPIRIT PHARMACEUTICALS,LLC DEXTROMETHORPHAN HYDROBROMIDE 1 BAG in 1 DRUM (68210-1530-1) > 10000 CAPSULE, LIQUID FILLED in 1 BAG
15 mg/1 DEXTROMETHORPHAN HYDROBROMIDE
68210-1530
SPIRIT PHARMACEUTICALS,LLC DEXTROMETHORPHAN HYDROBROMIDE 1 BAG in 1 DRUM (68210-1530-4) > 4000 CAPSULE, LIQUID FILLED in 1 BAG
15 mg/1 DEXTROMETHORPHAN HYDROBROMIDE
68210-1530
SPIRIT PHARMACEUTICALS,LLC DEXTROMETHORPHAN HYDROBROMIDE 1 BAG in 1 DRUM (68210-1530-6) > 6000 CAPSULE, LIQUID FILLED in 1 BAG
15 mg/1 DEXTROMETHORPHAN HYDROBROMIDE
68210-1530
SPIRIT PHARMACEUTICALS,LLC DEXTROMETHORPHAN HYDROBROMIDE 1 BAG in 1 DRUM (68210-1530-8) > 8000 CAPSULE, LIQUID FILLED in 1 BAG
15 mg/1 DEXTROMETHORPHAN HYDROBROMIDE
68210-1530
DOH 690-292 May 2016 309 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSummit Industries, Inc. Creomulsion 1 BOTTLE in 1 CARTON (12090-0015-
0) > 118 mL in 1 BOTTLE (12090-0015-1)
5 mg/5mL DEXTROMETHORPHAN HYDROBROMIDE
12090-0015
Summit Industries, Inc. Creomulsion 1 BOTTLE in 1 CARTON (12090-0024-0) > 118 mL in 1 BOTTLE (12090-0024-1)
20 mg/15mL DEXTROMETHORPHAN HYDROBROMIDE
12090-0024
Supervalu Day Time with PE 177 mL in 1 BOTTLE, PLASTIC (41163-201-16)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide and Phenylephrine Hydrochloride
41163-201
Supervalu Inc Equaline nighttime cold 1 BLISTER PACK in 1 CARTON (41163-014-53) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41163-014
Supervalu Inc Equaline nighttime cold 2 BLISTER PACK in 1 CARTON (41163-014-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41163-014
Supervalu Inc equaline childrens cold 1 BOTTLE in 1 CARTON (41163-903-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
41163-903
Supervalu Inc Equaline Nighttime Cold and Flu Relief 12 BLISTER PACK in 1 CARTON (41163-056-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41163-056
DOH 690-292 May 2016 310 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSupervalu Inc equaline nighttime cold and flu relief 237 mL in 1 BOTTLE (41163-335-34) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
41163-335
Supervalu Inc equaline nighttime cold and flu relief 296 mL in 1 BOTTLE (41163-335-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41163-335
Supervalu Inc equaline nighttime cold and flu relief 355 mL in 1 BOTTLE (41163-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41163-335
Supervalu Inc Equaline nighttime 355 mL in 1 BOTTLE (41163-872-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41163-872
Supervalu Inc equaline nighttime cold and flu relief 2 BLISTER PACK in 1 CARTON (41163-977-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
41163-977
Supervalu Inc equaline nighttime 296 mL in 1 BOTTLE (41163-990-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate
41163-990
Supervalu Inc equaline nighttime cold and flu relief 237 mL in 1 BOTTLE (41163-459-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41163-459
Supervalu Inc equaline nighttime cold and flu relief 296 mL in 1 BOTTLE (41163-459-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41163-459
Supervalu Inc equaline nighttime cold and flu relief 355 mL in 1 BOTTLE (41163-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41163-459
DOH 690-292 May 2016 311 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSupervalu Inc equaline nighttime cold and flu relief 2 BOTTLE in 1 CARTON (41163-459-
50) > 355 mL in 1 BOTTLE650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41163-459
Supervalu Inc equaline nighttime severe cold and flu 355 mL in 1 BOTTLE (41163-763-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
41163-763
Supervalu Inc equaline daytime severe cold and flu relief 1 BOTTLE in 1 CARTON (41163-603-40) > 355 mL in 1 BOTTLE
325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
41163-603
Supervalu Inc Equaline Mucus Relief 10 BLISTER PACK in 1 CARTON (41163-381-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41163-381
Supervalu Inc Equaline Mucus Relief 10 BLISTER PACK in 1 CARTON (41163-922-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41163-922
Supervalu Inc equaline daytime cold and flu relief 2 BLISTER PACK in 1 CARTON (41163-994-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
41163-994
Supervalu Inc equaline daytime cold 1 BLISTER PACK in 1 CARTON (41163-371-53) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
41163-371
Supervalu Inc equaline daytime cold and flu relief 237 mL in 1 BOTTLE (41163-656-34) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
41163-656
DOH 690-292 May 2016 312 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSupervalu Inc equaline daytime cold and flu relief 296 mL in 1 BOTTLE (41163-656-38) 325 mg/15mL, 10
mg/15mL, 5 mg/15mLacetaminophen, dextromethorphan Hbr, Phenylephrine HCl
41163-656
Supervalu Inc equaline daytime cold and flu relief 355 mL in 1 BOTTLE (41163-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
41163-656
Supervalu Inc daytime cold and flu relief 2 BLISTER PACK in 1 CARTON (41163-215-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
41163-215
Supervalu Inc equaline childrens cold and cough 1 BOTTLE in 1 CARTON (41163-987-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
41163-987
Supervalu Inc equaline cough dm 1 BOTTLE in 1 CARTON (41163-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 41163-384
Supervalu Inc Equaline Cough DM 1 BOTTLE in 1 CARTON (41163-958-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 41163-958
Supervalu Inc Equaline tussin cough 1 BOTTLE in 1 CARTON (41163-300-26) > 118 mL in 1 BOTTLE
30 mg/10mL Dextromethorphan Hydrobromide
41163-300
Supervalu Inc equaline nighttime cough relief 355 mL in 1 BOTTLE (41163-551-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr, Doxylamine succinate
41163-551
Supervalu Inc Equaline night time 177 mL in 1 BOTTLE (41163-668-30) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
41163-668
Supervalu Inc Equaline night time 296 mL in 1 BOTTLE (41163-668-38) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
41163-668
Supervalu Inc Equaline night time 355 mL in 1 BOTTLE (41163-668-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
41163-668
DOH 690-292 May 2016 313 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSupervalu Inc Equaline tussin 1 BOTTLE in 1 CARTON (41163-359-
26) > 118 mL in 1 BOTTLE20 mg/10mL, 200 mg/10mL Dextromethorphan HBr,
Guaifenesin41163-359
Supervalu Inc Equaline tussin 1 BOTTLE in 1 CARTON (41163-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
41163-359
Supervalu Inc Equaline tussin cough and chest congestion 1 BOTTLE in 1 CARTON (41163-799-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
41163-799
Supervalu Inc Equaline tussin cough and chest congestion 1 BOTTLE in 1 CARTON (41163-799-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
41163-799
Supervalu Inc Equaline adult tussin 1 BOTTLE in 1 CARTON (41163-578-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan HBr, Guaifenesin
41163-578
Supervalu Inc equaline childrens mucus relief 1 BOTTLE in 1 CARTON (41163-839-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
41163-839
Supervalu Inc equaline tussin 1 BOTTLE in 1 CARTON (41163-388-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
41163-388
Supervalu Inc equaline tussin 1 BOTTLE in 1 CARTON (41163-388-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
41163-388
Supervalu Inc equaline tussin cough and cold 1 BOTTLE in 1 CARTON (41163-516-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
41163-516
Supervalu Inc equaline tussin cough and cold 1 BOTTLE in 1 CARTON (41163-516-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
41163-516
SUPERVALU INC. Non Drowsy Cold and Cough PE 1 BLISTER PACK in 1 CARTON (41163-010-09) > 20 CAPSULE, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
Acetaminophen, Dextromathorphan HBr, Gauifenesin, Phenylephrine HCl
41163-010
DOH 690-292 May 2016 314 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCSUPERVALU INC. daytime severe cold 2 BLISTER PACK in 1 CARTON
(41163-503-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guiafenesin, Phenylephrine HCl
41163-503
Supervalu Inc. Daytime Severe Cold and Flu Relief 1 BLISTER PACK in 1 CARTON (41163-510-02) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
41163-510
Supervalu Inc. Pressure and Pain PE Plus Cold 2 BLISTER PACK in 1 CARTON (41163-513-02) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
41163-513
SUPERVALU INC. Day Time Cold Head Congestion Severe 1 BLISTER PACK in 1 CARTON (41163-902-08) > 24 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Phenylephrine HCl, Dextromethorphan HBr and Guiafenesin
41163-902
SUPERVALU INC. Cold Multi-Symptom Daytime Rapid Release 2 BLISTER PACK in 1 CARTON (41163-560-08) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Phenylephrine HCl and Dextromethorphan HBr
41163-560
SUPERVALU INC. Cough and Cold Relief HBP 2 BLISTER PACK in 1 CARTON (41163-411-21) > 8 TABLET, SUGAR COATED in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate and Dextromethorphan HBr
41163-411
DOH 690-292 May 2016 315 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDC
Target Corporation up and up childrens multi symptom cold 1 BOTTLE in 1 CARTON (11673-903-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
11673-903
Target Corporation Up and Up Cold Flu Relief 295 mL in 1 BOTTLE (11673-908-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
11673-908
Target Corporation up and up cold and flu relief 10 BLISTER PACK in 1 CARTON (11673-977-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
11673-977
Target Corporation up and up cold and flu relief 12 BLISTER PACK in 1 CARTON (11673-977-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
11673-977
Target Corporation up and up nighttime cold and flu 12 BLISTER PACK in 1 CARTON (11673-626-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11673-626
Target Corporation up and up nighttime cold and flu 24 BLISTER PACK in 1 CARTON (11673-626-67) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11673-626
Target Corporation up and up nighttime cold and flu 12 BLISTER PACK in 1 CARTON (11673-574-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
11673-574
T
DOH 690-292 May 2016 316 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTarget Corporation up and up nighttime cold and flu 355 mL in 1 BOTTLE (11673-019-40) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
11673-019
Target Corporation Target Cold/Flu Relief 296 mL in 1 BOTTLE (11673-041-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
11673-041
Target Corporation up and up cold flu relief 12 BLISTER PACK in 1 CARTON (11673-056-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11673-056
Target Corporation up and up cold and flu relief 295 mL in 1 BOTTLE (11673-335-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11673-335
Target Corporation up and up cold and flu relief 355 mL in 1 BOTTLE (11673-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11673-335
Target Corporation up and up cold and flu relief 295 mL in 1 BOTTLE (11673-459-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11673-459
Target Corporation up and up cold and flu relief 355 mL in 1 BOTTLE (11673-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11673-459
Target Corporation up and up nighttime cold and flu 355 mL in 1 BOTTLE (11673-500-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
11673-500
DOH 690-292 May 2016 317 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTarget Corporation up and up severe cold and flu 355 mL in 1 BOTTLE (11673-012-40) 650 mg/30mL, 20
mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
11673-012
Target Corporation Severe Cold and Flu 2 BLISTER PACK in 1 CARTON (11673-677-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate, Phenylephrine HCl
11673-677
Target Corporation Up and Up sever cold and flu 355 mL in 1 BOTTLE (11673-603-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
11673-603
Target Corporation severe cold and flu 2 BLISTER PACK in 1 CARTON (11673-640-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
11673-640
Target Corporation PE multi-stymptom cold and cough relief 2 BLISTER PACK in 1 CARTON (11673-645-09) > 10 CAPSULE, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
Acetaminophen, Dextromathorphan HBr, Gauifenesin, Phenylephrine HCl
11673-645
Target Corporation Up and Up Mucus Relief 10 BLISTER PACK in 1 CARTON (11673-803-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
11673-803
Target Corporation Up and Up Mucus Relief 2 BLISTER PACK in 1 CARTON (11673-922-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
11673-922
DOH 690-292 May 2016 318 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTarget Corporation Severe Cold Relief 1 BLISTER PACK in 1 CARTON
(11673-503-08) > 24 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl and Guaifenesin
11673-503
Target Corporation Up and Up Mucus Relief 2 BLISTER PACK in 1 CARTON (11673-381-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
11673-381
Target Corporation Up and Up Mucus Relief 3 BLISTER PACK in 1 CARTON (11673-381-39) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
11673-381
Target Corporation up and up fast mucus relief severe cold 10 BLISTER PACK in 1 CARTON (11673-006-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
11673-006
Target Corporation Up and Up Cold Flu Relief 12 BLISTER PACK in 1 CARTON (11673-215-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
11673-215
Target Corporation Up and Up Daytime Cold and Flu 355 mL in 1 BOTTLE (11673-301-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
11673-301
Target Corporation Multi-Symptom Daytime Cold 1 BLISTER PACK in 1 CARTON (11673-560-08) > 24 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Phenylephrine HCl and Dextromethorphan HBr
11673-560
Target Corporation Daytime Multi-Symptom Cold Relief 1 BLISTER PACK in 1 BOX (11673-470-08) > 24 TABLET in 1 BLISTERPACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
11673-470
DOH 690-292 May 2016 319 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTarget Corporation Up and Up Cold and Head Congestion 2 BLISTER PACK in 1 CARTON
(11673-402-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
11673-402
Target Corporation up and up flu and severe cold and cough relief 6 POWDER, FOR SOLUTION in 1 CARTON (11673-096-91)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
11673-096
Target Corporation Up and Up Cold Flu Relief 295 mL in 1 BOTTLE (11673-656-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
11673-656
Target Corporation Up and Up Cold Flu Relief 355 mL in 1 BOTTLE (11673-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
11673-656
Target Corporation Up and Up Daytime Cold and Flu 12 BLISTER PACK in 1 CARTON (11673-710-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
11673-710
Target Corporation Up and Up Daytime Cold and Flu 24 BLISTER PACK in 1 CARTON (11673-710-67) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
11673-710
Target Corporation up and up cold flu relief 10 BLISTER PACK in 1 CARTON (11673-994-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
11673-994
Target Corporation up and up cold flu relief 12 BLISTER PACK in 1 CARTON (11673-994-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
11673-994
DOH 690-292 May 2016 320 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTarget Corporation up and up childrens cold and cough 1 BOTTLE in 1 CARTON (11673-987-
26) > 118 mL in 1 BOTTLE1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
11673-987
Target Corporation up and up childrens cold and cough 1 BOTTLE in 1 CARTON (11673-987-34) > 237 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
11673-987
Target Corporation up and up 12 hour cough relief 1 BOTTLE in 1 CARTON (11673-114-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 11673-114
Target Corporation up and up 12 hour cough relief 1 BOTTLE in 1 CARTON (11673-114-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 11673-114
Target Corporation up and up cough suppressant dm 1 BOTTLE in 1 CARTON (11673-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 11673-384
Target Corporation up and up cough suppressant dm 1 BOTTLE in 1 CARTON (11673-384-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 11673-384
Target Corporation Up and Up Cough Suppressant DM 1 BOTTLE in 1 CARTON (11673-958-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 11673-958
Target Corporation Up and Up Cough Suppressant DM 1 BOTTLE in 1 CARTON (11673-958-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 11673-958
TARGET Corporation Fast Mucus Relief Cold Flu and Sore Throat 177 mL in 1 BOTTLE, PLASTIC (11673-336-06)
20 mg/20mL, 650 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
11673-336
Target Corporation up and up adult cough formula dm max 1 BOTTLE in 1 CARTON (11673-799-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
11673-799
Target Corporation up and up adult cough formula dm max 1 BOTTLE in 1 CARTON (11673-799-34) > 236 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
11673-799
Target Corporation Up and Up adult cough formula DM 1 BOTTLE in 1 CARTON (11673-359-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
11673-359
DOH 690-292 May 2016 321 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTarget Corporation Up and Up adult cough formula DM 1 BOTTLE in 1 CARTON (11673-359-
34) > 237 mL in 1 BOTTLE10 mg/5mL, 100 mg/5mL Dextromethorphan
Hydrobromide, Guaifenesin11673-359
Target Corporation Up and Up Childrens Mucus Relief and Cough 1 BOTTLE in 1 CARTON (11673-419-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
11673-419
Target Corporation up and up dm max 1 BOTTLE in 1 CARTON (11673-014-34) > 236 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
11673-014
TARGET Corporation Mucus and Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (11673-109-30) > 30 TABLET in 1 BOTTLE,PLASTIC
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide and Guaifenesin
11673-109
Target Corporation up and up adult cough and cold 1 BOTTLE in 1 CARTON (11673-516-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
11673-516
Target Corporation up and up adult cough and cold 1 BOTTLE in 1 CARTON (11673-516-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
11673-516
Target Corporation up and up tussin multi symptom cold 1 BOTTLE in 1 CARTON (11673-296-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL, 5 mg/5mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
11673-296
Target Corporation up and up tussin multi symptom cold 1 BOTTLE in 1 CARTON (11673-296-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL, 5 mg/5mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
11673-296
Target Corporation Up and Up maximum Strength fast mucus relief 177 mL in 1 BOTTLE (11673-738-06) 20 mg/20mL, 400 mg/20mL, 10 mg/20mL
dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
11673-738
Taro Pharmaceuticals U.S.A., Inc. Daytime 6 POWDER, FOR SOLUTION in 1 CARTON (51672-2112-7)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan hydrobromide, and Phenylephrine hydrochloride
51672-2112
Teral Inc. Sorbutuss 474 mL in 1 BOTTLE, PLASTIC (68436-120-16)
100 mg/5mL, 10 mg/5mL Sorbutuss 68436-120
DOH 690-292 May 2016 322 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTeresa Cecena DBA Genesis XL3 XTRA 20 mg in 1 BLISTER PACK (69772-
440-01)10 mg/mg, 5 mg/mg, 250 mg/mg, 2 mg/mg
acetaminophen chloepheniramine maleate dextromethorphan phenylepherine hydrochloride capsule liquid filled
69772-440
Teresa Cecena DBA Genesis XL3 XTRA 12 mg in 1 BLISTER PACK (69772-440-02)
10 mg/mg, 5 mg/mg, 250 mg/mg, 2 mg/mg
acetaminophen chloepheniramine maleate dextromethorphan phenylepherine hydrochloride capsule liquid filled
69772-440
The Kroger Co. Mucus Relief DM 1 BOTTLE in 1 BOX (30142-109-30) > 30 TABLET, COATED in 1 BOTTLE
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide and Guaifenesin
30142-109
The Procter & Gamble Manufacturin Vicks NyQuil 236 mL in 1 BOTTLE, PLASTIC (37000-807-08)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine succinate
37000-807
The Procter & Gamble Manufacturin Vicks NyQuil 354 mL in 1 BOTTLE, PLASTIC (37000-807-12)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine succinate
37000-807
The Procter & Gamble Manufacturin Vicks NyQuil 2 CAPSULE, LIQUID FILLED in 1 POUCH (37000-557-02)
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine Succinate
37000-557
The Procter & Gamble Manufacturin Vicks NyQuil 4 BLISTER PACK in 1 CARTON (37000-557-08) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine Succinate
37000-557
DOH 690-292 May 2016 323 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCThe Procter & Gamble Manufacturin Vicks NyQuil 8 BLISTER PACK in 1 CARTON
(37000-557-16) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine Succinate
37000-557
The Procter & Gamble Manufacturin Vicks NyQuil 12 BLISTER PACK in 1 CARTON (37000-557-24) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine Succinate
37000-557
The Procter & Gamble Manufacturin Vicks NyQuil 24 BLISTER PACK in 1 CARTON (37000-557-48) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine Succinate
37000-557
The Procter & Gamble Manufacturin Vicks NyQuil 36 BLISTER PACK in 1 CARTON (37000-557-72) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, and Doxylamine Succinate
37000-557
The Procter & Gamble Manufacturin Vicks NyQuil D 195 mL in 1 BOTTLE, PLASTIC (37000-654-10)
1000 mg/30mL, 30 mg/30mL, 12.5 mg/30mL, 60 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine succinate, and Pseudoephedrine Hydrochloride
37000-654
The Procter & Gamble Manufacturin Vicks DayQuil 2 CAPSULE, LIQUID FILLED in 1 POUCH (37000-558-02)
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
37000-558
DOH 690-292 May 2016 324 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCThe Procter & Gamble Manufacturin Vicks DayQuil 4 BLISTER PACK in 1 CARTON
(37000-558-08) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
37000-558
The Procter & Gamble Manufacturin Vicks DayQuil 8 BLISTER PACK in 1 CARTON (37000-558-16) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
37000-558
The Procter & Gamble Manufacturin Vicks DayQuil 12 BLISTER PACK in 1 CARTON (37000-558-24) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
37000-558
The Procter & Gamble Manufacturin Vicks DayQuil 24 BLISTER PACK in 1 CARTON (37000-558-48) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
37000-558
The Procter & Gamble Manufacturin Vicks DayQuil 36 BLISTER PACK in 1 CARTON (37000-558-72) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
37000-558
The Procter & Gamble Manufacturin Vicks DayQuil 236 mL in 1 BOTTLE, PLASTIC (37000-555-08)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
37000-555
The Procter & Gamble Manufacturin Vicks DayQuil 354 mL in 1 BOTTLE, PLASTIC (37000-555-12)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
37000-555
DOH 690-292 May 2016 325 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCThe Procter & Gamble Manufacturin Vicks DayQuil 2 BOTTLE, PLASTIC in 1 PACKAGE,
COMBINATION (37000-555-24) > 236 mL in 1 BOTTLE, PLASTIC
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, and Phenylephrine Hydrochloride
37000-555
The Procter & Gamble Manufacturin Vicks Childrens NyQuil 236 mL in 1 BOTTLE, PLASTIC (37000-556-08)
2 mg/15mL, 15 mg/15mL Chlorpheniramine maleate and Dextromethorphan Hydrobromide
37000-556
The Procter & Gamble Manufacturin Vicks DayQuil 236 mL in 1 BOTTLE, PLASTIC (37000-565-08)
15 mg/15mL Dextromethorphan Hydrobromide
37000-565
The Procter & Gamble Manufacturin Vicks DayQuil 354 mL in 1 BOTTLE, PLASTIC (37000-565-12)
15 mg/15mL Dextromethorphan Hydrobromide
37000-565
The Procter & Gamble Manufacturin Vicks NyQuil 236 mL in 1 BOTTLE, PLASTIC (37000-550-08)
30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide and Doxylamine succinate
37000-550
The Procter & Gamble Manufacturin Vicks NyQuil 354 mL in 1 BOTTLE, PLASTIC (37000-550-12)
30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide and Doxylamine succinate
37000-550
The Procter & Gamble Manufacturin Vicks NyQuil Severe 2 TABLET, COATED in 1 POUCH (37000-813-02)
325 mg/1, 5 mg/1, 6.25 mg/1, 10 mg/1
Acetaminophen, Phenylephrine Hydrochloride, Doxylamine Succinate, and Dextromethorphan Hydrobromide
37000-813
The Procter & Gamble Manufacturin Vicks NyQuil Severe 6 BLISTER PACK in 1 CARTON (37000-813-12) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 5 mg/1, 6.25 mg/1, 10 mg/1
Acetaminophen, Phenylephrine Hydrochloride, Doxylamine Succinate, and Dextromethorphan Hydrobromide
37000-813
DOH 690-292 May 2016 326 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCThe Procter & Gamble Manufacturin Vicks NyQuil Severe 12 BLISTER PACK in 1 CARTON
(37000-813-24) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 5 mg/1, 6.25 mg/1, 10 mg/1
Acetaminophen, Phenylephrine Hydrochloride, Doxylamine Succinate, and Dextromethorphan Hydrobromide
37000-813
The Procter & Gamble Manufacturin Vicks NyQuil Severe 36 BLISTER PACK in 1 CARTON (37000-813-72) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 5 mg/1, 6.25 mg/1, 10 mg/1
Acetaminophen, Phenylephrine Hydrochloride, Doxylamine Succinate, and Dextromethorphan Hydrobromide
37000-813
The Procter & Gamble Manufacturin Vicks NyQuil Severe 236 mL in 1 BOTTLE, PLASTIC (37000-815-08)
650 mg/mL, 10 mg/mL, 12.5 mg/mL, 20 mg/mL
Acetaminophen, Phenylephrine Hydrochloride, Doxylamine Succinate, and Dextromethorphan Hydrobromide
37000-815
The Procter & Gamble Manufacturin Vicks NyQuil Severe 354 mL in 1 BOTTLE, PLASTIC (37000-815-12)
650 mg/mL, 10 mg/mL, 12.5 mg/mL, 20 mg/mL
Acetaminophen, Phenylephrine Hydrochloride, Doxylamine Succinate, and Dextromethorphan Hydrobromide
37000-815
The Procter & Gamble Manufacturin Vicks NyQuil Severe 2 BOTTLE, PLASTIC in 1 PACKAGE, COMBINATION (37000-815-24) > 354 mL in 1 BOTTLE, PLASTIC (37000-815-12)
650 mg/mL, 10 mg/mL, 12.5 mg/mL, 20 mg/mL
Acetaminophen, Phenylephrine Hydrochloride, Doxylamine Succinate, and Dextromethorphan Hydrobromide
37000-815
DOH 690-292 May 2016 327 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCThe Procter & Gamble Manufacturin Vicks NyQuil Severe 3 BOTTLE, PLASTIC in 1 PACKAGE,
COMBINATION (37000-815-36) > 354 mL in 1 BOTTLE, PLASTIC (37000-815-12)
650 mg/mL, 10 mg/mL, 12.5 mg/mL, 20 mg/mL
Acetaminophen, Phenylephrine Hydrochloride, Doxylamine Succinate, and Dextromethorphan Hydrobromide
37000-815
TIME CAP LABORATORIES, INC. MUCOSA DM 100000 TABLET in 1 CARTON (49483-280-00)
400 mg/1, 20 mg/1 GUAIFENESIN DEXTROMETHORPHAN
49483-280
TIME CAP LABORATORIES, INC. MUCOSA DM 60 TABLET in 1 BOTTLE, PLASTIC (49483-280-06)
400 mg/1, 20 mg/1 GUAIFENESIN DEXTROMETHORPHAN
49483-280
TOP CARE (Topco Associates LLC) Cough and Runny Nose 1 BOTTLE, PLASTIC in 1 BOX (36800-297-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide
36800-297
TOP CARE (Topco Associates LLC) Flu Relief 1 BOTTLE, PLASTIC in 1 BOX (36800-000-04) > 118 mL in 1 BOTTLE,PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan Hydrobromide, Phenylephrine HCI
36800-000
TOP CARE (Topco Associates LLC) Severe Cold and Cough 245 mL in 1 BOTTLE, PLASTIC (36800-316-08)
650 mg/30mL, 20 mg/30mL, 10 mg/30mL
ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
36800-316
TOP CARE (Topco Associates LLC) Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (36800-509-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 36800-509
TOP CARE (Topco Associates LLC) Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (36800-454-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 36800-454
DOH 690-292 May 2016 328 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTOP CARE (Topco Associates LLC) Mucus Relief 177 mL in 1 BOTTLE, PLASTIC
(36800-036-06)20 mg/20mL, 650 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
36800-036
TOP CARE (Topco Associates LLC) Mucus Relief Severe Congestion and Cough 177 mL in 1 BOTTLE, PLASTIC (36800-037-06)
20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
36800-037
TopCare Cold and Flu Severe 2 BLISTER PACK in 1 CARTON (36800-502-05) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, and PHENYLEPHRINE HYDROCHLORIDE
36800-502
TOPCARE (Topco Associates LLC) TopCare Daytime Severe Cold and Cough 6 GRANULE, FOR SOLUTION in 1 BOX (36800-540-06)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr and Phenylephrine HCL
36800-540
Topco mixed berry throat lozenge 18 LOZENGE in 1 CARTON (36800-999-18)
7.5 mg/1, 5 mg/1 benzocaine, dextromethorhan hydrobromide
36800-999
Topco Associates LLC Topcare Cold 1 BOTTLE in 1 CARTON (36800-903-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
36800-903
Topco Associates LLC Topcare Cold Head Congestion 2 BLISTER PACK in 1 CARTON (36800-393-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
36800-393
DOH 690-292 May 2016 329 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTopco Associates LLC TopCare Cold 2 BLISTER PACK in 1 CARTON
(36800-014-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
36800-014
Topco Associates LLC Topcare Cough and Sore Throat 237 mL in 1 BOTTLE (36800-698-34) 500 mg/15mL, 15 mg/15mL Acetaminophen, Dextromethorphan HBr
36800-698
Topco Associates LLC Topcare Cold and Cough 237 mL in 1 BOTTLE (36800-901-34) 500 mg/15mL, 15 mg/15mL Acetaminophen, Dextromethorphan HBr
36800-901
Topco Associates LLC TopCare Nite Time 1 BLISTER PACK in 1 CARTON (36800-977-53) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
36800-977
Topco Associates LLC TopCare Nite Time 2 BLISTER PACK in 1 CARTON (36800-977-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
36800-977
Topco Associates LLC Topcare Nite Time 296 mL in 1 BOTTLE (36800-990-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide, doxylamine succinate
36800-990
Topco Associates LLC topcare nite time cold and flu relief 12 BLISTER PACK in 1 CARTON (36800-998-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
36800-998
Topco Associates LLC topcare nite time cold and flu relief 8 BLISTER PACK in 1 CARTON (36800-998-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
36800-998
DOH 690-292 May 2016 330 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTopco Associates LLC Topcare Nite Time 355 mL in 1 BOTTLE (36800-872-40) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
36800-872
Topco Associates LLC TopCare Nite Time 177 mL in 1 BOTTLE (36800-908-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan HBr, doxylamine succinate
36800-908
Topco Associates LLC TopCare Nite Time 296 mL in 1 BOTTLE (36800-908-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan HBr, doxylamine succinate
36800-908
Topco Associates LLC Topcare Cough and Sore Throat 237 mL in 1 BOTTLE (36800-666-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
36800-666
Topco Associates LLC Topcare Cold and Cough 237 mL in 1 BOTTLE (36800-703-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
36800-703
Topco Associates LLC Topcare Nite Time 177 mL in 1 BOTTLE (36800-041-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
36800-041
Topco Associates LLC Topcare Nite Time 296 mL in 1 BOTTLE (36800-041-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
36800-041
Topco Associates LLC topcare nite time cold and flu relief 177 mL in 1 BOTTLE (36800-335-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
36800-335
Topco Associates LLC topcare nite time cold and flu relief 237 mL in 1 BOTTLE (36800-335-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
36800-335
DOH 690-292 May 2016 331 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTopco Associates LLC topcare nite time cold and flu relief 296 mL in 1 BOTTLE (36800-335-38) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
36800-335
Topco Associates LLC topcare nite time cold and flu relief 355 mL in 1 BOTTLE (36800-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
36800-335
Topco Associates LLC topcare nite time cold and flu 12 BLISTER PACK in 1 CARTON (36800-143-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
36800-143
Topco Associates LLC topcare nite time cold and flu 8 BLISTER PACK in 1 CARTON (36800-143-73) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
36800-143
Topco Associates LLC topcare nite time cold and flu relief 177 mL in 1 BOTTLE (36800-459-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
36800-459
Topco Associates LLC topcare nite time cold and flu relief 237 mL in 1 BOTTLE (36800-459-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
36800-459
Topco Associates LLC topcare nite time cold and flu relief 296 mL in 1 BOTTLE (36800-459-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
36800-459
Topco Associates LLC topcare nite time cold and flu relief 355 mL in 1 BOTTLE (36800-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
36800-459
DOH 690-292 May 2016 332 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTopco Associates LLC topcare nite time cold and flu 12 BLISTER PACK in 1 CARTON
(36800-560-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
acetaminophen, dextromethorphan hbr, doxylamine succinate, phenylephrine hcl
36800-560
Topco Associates LLC topcare nite time cold and flu 355 mL in 1 BOTTLE (36800-291-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
36800-291
Topco Associates LLC topcare severe sinus congestion 10 BLISTER PACK in 1 CARTON (36800-345-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Phenylephrine Hydrochloride
36800-345
Topco Associates LLC Topcare Nite Time Cold and Flu 237 mL in 1 BOTTLE (36800-763-34) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
36800-763
Topco Associates LLC Topcare Nite Time Cold and Flu 355 mL in 1 BOTTLE (36800-763-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
36800-763
Topco Associates LLC TopCare Pain Relief Cold Nightttime 237 mL in 1 BOTTLE (36800-920-34) 325 mg/15mL, 10 mg/15mL, 6.25 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
36800-920
Topco Associates LLC TopCare Cold Max 240 mL in 1 BOTTLE (36800-701-34) 325 mg/15mL, 10 mg/15mL, 6.25 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
36800-701
DOH 690-292 May 2016 333 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTopco Associates LLC Topcare Nite Time D 296 mL in 1 BOTTLE (36800-609-38) 500 mg/15mL, 15
mg/15mL, 6.25 mg/15mL, 30 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Pseudoephedrine Hydrochloride
36800-609
Topco Associates LLC Topcare Cold Multi Symptom Severe 2 BLISTER PACK in 1 CARTON (36800-308-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
36800-308
Topco Associates LLC Topcare Cold Head Congestion Severe 2 BLISTER PACK in 1 CARTON (36800-234-62) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
36800-234
Topco Associates LLC Topcare Mucus Relief 10 BLISTER PACK in 1 CARTON (36800-265-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
36800-265
Topco Associates LLC Topcare Mucus Relief 15 BLISTER PACK in 1 CARTON (36800-265-39) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
36800-265
Topco Associates LLC Topcare Day Time Cold and Flu 237 mL in 1 BOTTLE (36800-603-34) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
36800-603
Topco Associates LLC Topcare Day Time Cold and Flu 355 mL in 1 BOTTLE (36800-603-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
36800-603
DOH 690-292 May 2016 334 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTopco Associates LLC topcare day time cold and flu severe 6 BLISTER PACK in 1 CARTON
(36800-548-53) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
36800-548
Topco Associates LLC topcare day time cold and flu severe 12 BLISTER PACK in 1 CARTON (36800-548-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
36800-548
Topco Associates LLC Topcare Cold and Flu 12 BLISTER PACK in 1 CARTON (36800-453-62) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
36800-453
Topco Associates LLC Topcare Mucus Relief 10 BLISTER PACK in 1 CARTON (36800-922-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
36800-922
Topco Associates LLC Topcare Mucus Relief 15 BLISTER PACK in 1 CARTON (36800-922-39) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
36800-922
Topco Associates LLC topcare day time 6 BLISTER PACK in 1 CARTON (36800-700-53) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
36800-700
Topco Associates LLC topcare day time 10 BLISTER PACK in 1 CARTON (36800-700-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
36800-700
Topco Associates LLC topcare day time 12 BLISTER PACK in 1 CARTON (36800-700-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
36800-700
DOH 690-292 May 2016 335 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTopco Associates LLC topcare day time 8 BLISTER PACK in 1 CARTON
(36800-700-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
36800-700
Topco Associates LLC Top Care Day Time 177 mL in 1 BOTTLE (36800-656-30) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
36800-656
Topco Associates LLC Top Care Day Time 296 mL in 1 BOTTLE (36800-656-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
36800-656
Topco Associates LLC Topcare Day time cold and flu relief 1 BLISTER PACK in 1 CARTON (36800-503-53) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
36800-503
Topco Associates LLC Topcare Day time cold and flu relief 2 BLISTER PACK in 1 CARTON (36800-503-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
36800-503
Topco Associates LLC Topcare Day time cold and flu relief 2 BLISTER PACK in 1 CARTON (36800-503-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
36800-503
Topco Associates LLC Topcare Day time cold and flu relief 2 BLISTER PACK in 1 CARTON (36800-503-73) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
36800-503
Topco Associates LLC topcare day time cold and flu relief 237 mL in 1 BOTTLE (36800-522-34) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
36800-522
Topco Associates LLC topcare day time cold and flu relief 296 mL in 1 BOTTLE (36800-522-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
36800-522
DOH 690-292 May 2016 336 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTopco Associates LLC topcare day time cold and flu relief 355 mL in 1 BOTTLE (36800-522-40) 325 mg/15mL, 10
mg/15mL, 5 mg/15mLacetaminophen, dextromethorphan Hbr, Phenylephrine HCl
36800-522
Topco Associates LLC Topcare Cold Multi Symptom 2 BLISTER PACK in 1 CARTON (36800-371-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
36800-371
Topco Associates LLC Topcare DayTime 1 BLISTER PACK in 1 CARTON (36800-215-53) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
36800-215
Topco Associates LLC Topcare DayTime 2 BLISTER PACK in 1 CARTON (36800-215-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
36800-215
Topco Associates LLC Topcare Cold Head Congestion 2 BLISTER PACK in 1 CARTON (36800-402-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
36800-402
Topco Associates LLC topcare flu and severe cold and cough 6 POWDER, FOR SOLUTION in 1 CARTON (36800-096-91)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
36800-096
Topco Associates LLC Topcare childrens cold and cough elixir 1 BOTTLE in 1 CARTON (36800-987-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
36800-987
Topco Associates LLC TopCare Cough DM 1 BOTTLE in 1 CARTON (36800-899-21) > 89 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan polistirex 36800-899
DOH 690-292 May 2016 337 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTopco Associates LLC TopCare Cough DM 1 BOTTLE in 1 CARTON (36800-958-
21) > 89 mL in 1 BOTTLE30 mg/5mL dextromethorphan polistirex 36800-958
Topco Associates LLC TopCare Cough DM 1 BOTTLE in 1 CARTON (36800-958-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 36800-958
Topco Associates LLC Topcare Tussin 1 BOTTLE in 1 CARTON (36800-300-26) > 118 mL in 1 BOTTLE
30 mg/10mL Dextromethorphan Hydrobromide
36800-300
Topco Associates LLC Topcare Cough DM 1 BOTTLE in 1 CARTON (36800-552-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 36800-552
Topco Associates LLC Topcare Cough DM 1 BOTTLE in 1 CARTON (36800-552-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 36800-552
Topco Associates LLC TopCare Day Time Cough 296 mL in 1 BOTTLE (36800-473-38) 15 mg/15mL Dextromethorphan HBr 36800-473
Topco Associates LLC TopCare Day Time Cough 355 mL in 1 BOTTLE (36800-473-40) 15 mg/15mL Dextromethorphan HBr 36800-473
Topco Associates LLC TopCare Cough DM 1 BOTTLE in 1 CARTON (36800-494-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 36800-494
Topco Associates LLC topcare nite time 296 mL in 1 BOTTLE (36800-668-38) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
36800-668
Topco Associates LLC topcare nite time 355 mL in 1 BOTTLE (36800-668-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
36800-668
Topco Associates LLC Topcare Tussin DM Max 1 BOTTLE in 1 CARTON (36800-799-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
36800-799
Topco Associates LLC Topcare Tussin DM Max 1 BOTTLE in 1 CARTON (36800-799-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
36800-799
Topco Associates LLC Topcare tussin dm 1 BOTTLE in 1 CARTON (36800-578-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
36800-578
DOH 690-292 May 2016 338 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCTopco Associates LLC Topcare Mucus Relief 1 BOTTLE in 1 CARTON (36800-419-
26) > 118 mL in 1 BOTTLE5 mg/5mL, 100 mg/5mL Dextromethorphan
Hydrobromide, Guaifenesin36800-419
Topco Associates LLC Topcare Tussin DM 1 BOTTLE in 1 CARTON (36800-359-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
36800-359
Topco Associates LLC Topcare Tussin DM 1 BOTTLE in 1 CARTON (36800-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
36800-359
Topco Associates LLC Topcare Tussin DM 1 BOTTLE in 1 CARTON (36800-359-40) > 355 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
36800-359
Topco Associates LLC topcare tussin cf max 1 BOTTLE in 1 CARTON (36800-296-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
36800-296
Topco Associates LLC topcare tussin cf max 1 BOTTLE in 1 CARTON (36800-296-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
36800-296
Topco Associates LLC topcare tussin CF 1 BOTTLE in 1 CARTON (36800-516-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
36800-516
Topco Associates LLC topcare tussin CF 1 BOTTLE in 1 CARTON (36800-516-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
36800-516
Topco Associates LLC topcare childrens mucus relief multi symptom cold 1 BOTTLE in 1 CARTON (36800-839-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
36800-839
Topco Associates LLC Topcare Cold and Cough 1 BOTTLE in 1 CARTON (36800-444-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
36800-444
Tris Pharma Inc Dextromethorphan Polistirex 1 BOTTLE, UNIT-DOSE in 1 BOX, UNIT-DOSE (27808-071-01) > 89 mL in 1 BOTTLE, UNIT-DOSE
30 mg/5mL Dextromethorphan Polistirex 27808-071
TYA Pharmaceuticals Siltussin DM 8 mL in 1 BOTTLE (64725-0209-1) 100 mg/5mL, 10 mg/5mL Guaifenesin and Dextromethorphan Hydrobromide
64725-0209
DOH 690-292 May 2016 339 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDC
Ultra Seal Corporation Ultra Tuss DM 474 mL in 1 BOTTLE (42213-161-93) 100 mg/5mL, 10 mg/5mL guaifenesin dextromethorphan HBr
42213-161
Ultra Seal Corporation Ultra Tuss Safe 1 BOTTLE in 1 CARTON (42213-162-83) > 119 mL in 1 BOTTLE (42213-162-86)
100 mg/5mL, 10 mg/5mL guaifenesin dextromethorphan HBr
42213-162
Unifirst First Aid Corporation Green Guard Cough and Cold Relief 50 PACKET in 1 BOX, UNIT-DOSE (47682-006-33) > 2 TABLET, FILM COATED in 1 PACKET (47682-006-99)
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
47682-006
Unifirst First Aid Corporation Green Guard Cough and Cold Relief 125 PACKET in 1 BOX, UNIT-DOSE (47682-006-48) > 2 TABLET, FILM COATED in 1 PACKET (47682-006-99)
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
47682-006
Unifirst First Aid Corporation Medique Decorel Forte Plus 250 PACKET in 1 BOX, UNIT-DOSE (47682-138-13) > 2 TABLET, FILM COATED in 1 PACKET (47682-138-99)
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
47682-138
U
DOH 690-292 May 2016 340 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCUnifirst First Aid Corporation Medique Decorel Forte Plus 50 PACKET in 1 BOX, UNIT-DOSE
(47682-138-33) > 2 TABLET, FILM COATED in 1 PACKET (47682-138-99)
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
47682-138
Unifirst First Aid Corporation Medi-First Cold Relief 250 PACKET in 1 BOX, UNIT-DOSE (47682-139-13) > 2 TABLET, FILM COATED in 1 PACKET (47682-139-99)
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
47682-139
Unifirst First Aid Corporation Medi-First Cold Relief 50 PACKET in 1 BOX, UNIT-DOSE (47682-139-33) > 2 TABLET, FILM COATED in 1 PACKET (47682-139-99)
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
47682-139
Unifirst First Aid Corporation Medi-First Cold Relief 125 PACKET in 1 BOX, UNIT-DOSE (47682-139-48) > 2 TABLET, FILM COATED in 1 PACKET (47682-139-99)
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
47682-139
DOH 690-292 May 2016 341 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCUnifirst First Aid Corporation Medi-First Plus Cold Relief 50 PACKET in 1 BOX, UNIT-DOSE
(47682-159-33) > 2 TABLET, FILM COATED in 1 PACKET
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
47682-159
Unifirst First Aid Corporation Medi-First Plus Cold Relief 125 PACKET in 1 BOX, UNIT-DOSE (47682-159-48) > 2 TABLET, FILM COATED in 1 PACKET
325 mg/1, 15 mg/1, 200 mg/1, 5 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, GUAIFENESIN, PHENYLEPHRINE HYDROCHLORIDE
47682-159
UNIFIRST FIRST AID CORPORATION Medique Guaicon DMS 20 PACKET in 1 BOX (47682-217-71) > 10 mL in 1 PACKET
100 mg/5mL, 10 mg/5mL Guaifenesin, Dextromethorphan Hbr
47682-217
Unipharm, Inc. Gripmax 12 TABLET in 1 BLISTER PACK (62900-4012-2)
325 mg/1, 25 mg/1, 10.5 mg/1
Acetaminophen, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromide
62900-4012
United Exchange Corp. Family Care Cold and Flu Nighttime 118 mL in 1 BOTTLE, PLASTIC (65923-629-04)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan hydrobromide, and Doxylamine succinate
65923-629
United Exchange Corp. Family Care Cold and Flu Multi Symptom 118 mL in 1 BOTTLE, PLASTIC (65923-630-04)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan hydrobromide, Doxylamine succinate
65923-630
DOH 690-292 May 2016 342 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCUnited Exchange Corp. Family Care Cold and Flu Multi Symptom 118 mL in 1 BOTTLE, PLASTIC
(65923-627-04)325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan hydrobromide, and Phenylephrine hydrochloride
65923-627
United Exchange Corp. Family Care Cough Nighttime 118 mL in 1 BOTTLE, PLASTIC (65923-625-04)
30 mg/30mL, 12.5 mg/30mL
Dextromethorphan hydrobromide, and Doxylamine succinate
65923-625
United Exchange Corp. Family Care Cough and Cold 118 mL in 1 BOTTLE (65923-633-04) 40 mg/10mL, 400 mg/10mL Dextromethorphan hydrobromide, and Guaifenesin
65923-633
United Exchange Corp. Family Care Multi Symptom Cold 118 mL in 1 BOTTLE, PLASTIC (65923-632-04)
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan hydrobromide, Guaifenesin, and Phenylephrine hydrochloride
65923-632
US Pharmaceutical Corporation NorelCS 15 mL in 1 BOTTLE, PLASTIC (52747-480-01)
4 mg/5mL, 12.5 mg/5mL, 10 mg/5mL
Chlorpheniramine Maleate/Dextromethorphan Hydrobromide/Phenylephrine Hydrochloride
52747-480
US Pharmaceutical Corporation NorelCS 473 mL in 1 BOTTLE, PLASTIC (52747-480-90)
4 mg/5mL, 12.5 mg/5mL, 10 mg/5mL
Chlorpheniramine Maleate/Dextromethorphan Hydrobromide/Phenylephrine Hydrochloride
52747-480
VALUE MERCHANDISERS COMPANY, Multi-Symptom Cold 2 BLISTER PACK in 1 CARTON (63941-473-08) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
63941-473V
DOH 690-292 May 2016 343 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCVALUE MERCHANDISERS COMPANY, Multi-Symptom Cold 2 BLISTER PACK in 1 CARTON
(63941-503-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
63941-503
VALUE MERCHANDISERS COMPANY, Severe Multi-Symptom Cold 1 BLISTER PACK in 1 CARTON (63941-053-08) > 24 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Phenylephrine HCl, Dextromethorphan HBr and Guiafenesin
63941-053
VALUE MERCHANDISERS COMPANY, Multi-Symptom Cold 2 BLISTER PACK in 1 CARTON (63941-470-08) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
63941-470
VALUE MERCHANDISERS COMPANY, Cold and Cough High Blood Pressure 2 BLISTER PACK in 1 CARTON (63941-411-21) > 8 TABLET in 1 BLISTER PACK
4 mg/1, 30 mg/1 Chlorpheniramine maleate, Dextromethorphan HBr
63941-411
Velocity Pharma NightTime Cold and Flu 12 CARTON in 1 BLISTER PACK (76168-056-02) > 1 CAPSULE, LIQUID FILLED in 1 CARTON
325 mg/1, 10 mg/1, 6.25 mg/1
Acetaminophen,Dextromethorphan,Doxylamine
76168-056
Velocity Pharma DayTime Cold and Flu 12 CARTON in 1 BLISTER PACK (76168-055-02) > 1 CAPSULE, LIQUID FILLED in 1 CARTON
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen,Dextromethorphan,Phenylephrine
76168-055
Velocity Pharma Pain Reliever Fever Reducer 6 CARTON in 1 BLISTER PACK (76168-021-13) > 1 TABLET, EFFERVESCENT in 1 CARTON
250 mg/1, 10 mg/1, 5 mg/1, 2 mg/1
Acetaminophen,Dextromethorphan hydrobromide,Phenylephrine Hydrochloride,Chlorpheniramine Maleate
76168-021
Velocity Pharma Cough and Congestion DM 16 CARTON in 1 BOTTLE (76168-060-37) > 1 CAPSULE, LIQUID FILLED in 1CARTON
10 mg/1, 200 mg/1 Dextromethorphan and Guaifenesin
76168-060
DOH 690-292 May 2016 344 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDC
Wakefern Food Corporation ShopRite Childrens Multi Symptom Cold Relief 1 BOTTLE in 1 CARTON (41190-903-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
41190-903
Wakefern Food Corporation ShopRite Ni Calm 8 BLISTER PACK in 1 CARTON (41190-977-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
41190-977
Wakefern Food Corporation ShopRite Ni Calm 8 BLISTER PACK in 1 CARTON (41190-056-73) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41190-056
Wakefern Food Corporation ShopRite Ni Calm 237 mL in 1 BOTTLE (41190-335-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41190-335
Wakefern Food Corporation ShopRite Ni Calm 355 mL in 1 BOTTLE (41190-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41190-335
Wakefern Food Corporation ShopRite Ni Calm 237 mL in 1 BOTTLE (41190-459-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41190-459
Wakefern Food Corporation ShopRite Ni Calm 355 mL in 1 BOTTLE (41190-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
41190-459
Wakefern Food Corporation shoprite ni calm 355 mL in 1 BOTTLE (41190-763-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
41190-763
W
DOH 690-292 May 2016 345 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWakefern Food Corporation shoprite day calm severe 12 BLISTER PACK in 1 CARTON
(41190-548-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
41190-548
Wakefern Food Corporation ShopRite Day Calm Severe 355 mL in 1 BOTTLE (41190-603-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
41190-603
Wakefern Food Corporation ShopRite Severe Cold 2 BLISTER PACK in 1 CARTON (41190-308-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
41190-308
WAKEFERN FOOD CORPORATION ShopRite DayTime Flu Plus Severe Cold And Cough 5 POWDER, FOR SOLUTION in 1 CARTON (41190-112-07)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan hydrobromide, and Phenylephrine hydrochloride
41190-112
Wakefern Food Corporation ShopRite Day Calm 355 mL in 1 BOTTLE (41190-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
41190-656
Wakefern Food Corporation ShopRite Day Calm 8 BLISTER PACK in 1 CARTON (41190-944-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
41190-944
Wakefern Food Corporation ShopRite Childrens Cold and Cough 1 BOTTLE in 1 CARTON (41190-987-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
41190-987
Wakefern Food Corporation ShopRite Cough DM 1 BOTTLE in 1 CARTON (41190-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 41190-384
Wakefern Food Corporation ShopRite Ni Calm 355 mL in 1 BOTTLE (41190-668-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr, Doxylamine succinate
41190-668
DOH 690-292 May 2016 346 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWakefern Food Corporation shoprite adult tussin 1 BOTTLE in 1 CARTON (41190-359-
26) > 118 mL in 1 BOTTLE20 mg/10mL, 200 mg/10mL Dextromethorphan HBr,
Guaifenesin41190-359
Wakefern Food Corporation shoprite adult tussin 1 BOTTLE in 1 CARTON (41190-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
41190-359
Wakefern Food Corporation ShopRite Adult Tussin 1 BOTTLE in 1 CARTON (41190-799-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
41190-799
Wakefern Food Corporation ShopRite Adult Tussin 1 BOTTLE in 1 CARTON (41190-516-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
41190-516
Wakefern Food Corporation ShopRite Adult Tussin 1 BOTTLE in 1 CARTON (41190-516-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
41190-516
Wakefern Food Corporation ShopRite Adult Tussin 1 BOTTLE in 1 CARTON (41190-284-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL, 10 mg/10mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
41190-284
WALGREEN CO. Nighttime Multi-Symptom Cold 2 BLISTER PACK in 1 CARTON (0363-4730-08) > 12 CAPSULE in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
0363-4730
WALGREEN CO. Flu HBP 2 BLISTER PACK in 1 CARTON (0363-0461-09) > 10 TABLET, FILM COATED in 1 BLISTER PACK
500 mg/1, 15 mg/1, 2 mg/1 Acetaminophen, Dextromethorphan HBr, Chlorpheniramine maleate
0363-0461
WALGREEN CO. Nighttime Multi-Symptom Cold and Flu Relief 1 BLISTER PACK in 1 CARTON (0363-0535-21) > 16 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
0363-0535
WALGREEN CO. Cold and Flu 2 BLISTER PACK in 1 CARTON (0363-6600-08) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
0363-6600
DOH 690-292 May 2016 347 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWALGREEN CO. Cold and Flu 2 BLISTER PACK in 1 CARTON (0363-
6600-21) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
0363-6600
WALGREEN CO. Cold and Flu 2 BLISTER PACK in 1 CARTON (0363-6770-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
0363-6770
WALGREEN CO. Severe Cold 3 BLISTER PACK in 1 CARTON (0363-0503-07) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0363-0503
WALGREEN CO. Severe Cold 2 BLISTER PACK in 1 CARTON (0363-0503-08) > 12 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0363-0503
WALGREEN CO. Mucus Relief Plus 1 BOTTLE in 1 CARTON (0363-0372-01) > 30 TABLET, FILM COATED in 1BOTTLE
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0363-0372
WALGREEN CO. Mucus Relief Plus 1 BOTTLE, PLASTIC in 1 CARTON (0363-0372-10) > 40 TABLET, FILM COATED in 1 BOTTLE, PLASTIC
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0363-0372
WALGREEN CO. Mucus Relief 2 BLISTER PACK in 1 PACKAGE (0363-0616-09) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0363-0616
DOH 690-292 May 2016 348 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWALGREEN CO. Cold and Flu 2 BLISTER PACK in 1 CARTON (0363-
0640-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0363-0640
WALGREEN CO. Wal-Phed PE 2 BLISTER PACK in 1 CARTON (0363-5460-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0363-5460
WALGREEN CO. Mucus Relief 2 BLISTER PACK in 1 PACKAGE (0363-6170-09) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0363-6170
WALGREEN CO. Walgreens Severe Cold Multi-Symptom For Adults 1 BOTTLE in 1 CARTON (0363-8591-20) > 240 mL in 1 BOTTLE
325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride
0363-8591
WALGREEN CO. Walgreens Severe Warming Cold and Flu For Adults 1 BOTTLE in 1 CARTON (0363-8592-20) > 240 mL in 1 BOTTLE
325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hydrobromide, guaifenesin and phenylephrine hydrochloride
0363-8592
WALGREEN CO. Walgreens Daytime non-drowsy cold multi-symptom for adults
1 BOTTLE in 1 CARTON (0363-8589-20) > 240 mL in 1 BOTTLE
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, phenylephrine hydrochloride and dextromethorphan hydrobromide
0363-8589
WALGREEN CO. Cold and Flu 2 BLISTER PACK in 1 CARTON (0363-6590-08) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
0363-6590
DOH 690-292 May 2016 349 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWALGREEN CO. Cold and Flu 4 BLISTER PACK in 1 CARTON (0363-
6590-22) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
0363-6590
WALGREEN CO. Wal-Phed 2 BLISTER PACK in 1 CARTON (0363-5110-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
0363-5110
Walgreen Co. Walgreens Daytime Wal-Flu Severe Cold and Cough 6 GRANULE, FOR SOLUTION in 1 BOX (0363-1100-06)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr and Phenylephrine HCL
0363-1100
WALGREEN CO. Multi-Symptom Cold Warming Effect Daytime 1 BLISTER PACK in 1 CARTON (0363-0106-08) > 24 CAPSULE in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylepherine
0363-0106
WALGREEN CO. Cold Multi-Symptom Daytime Non-Drowsy 1 BLISTER PACK in 1 BOX (0363-0470-08) > 24 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
0363-0470
WALGREEN CO. Cold 2 BLISTER PACK in 1 CARTON (0363-0560-08) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
0363-0560
WALGREEN CO. Daytime Multi-Symptom Non-Drowsy Cold and Flu 2 BLISTER PACK in 1 CARTON (0363-0534-21) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
0363-0534
WALGREEN CO. Multi-Symptom Nighttime Cold 1 BLISTER PACK in 1 CARTON (0363-0591-08) > 24 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
0363-0591
WALGREEN CO. Wal-Tussin 1 BOTTLE, PLASTIC in 1 PACKAGE (0363-6610-09) > 20 CAPSULE, LIQUID FILLED in 1 BOTTLE, PLASTIC
15 mg/1 Dextromethorphan HBr 0363-6610
DOH 690-292 May 2016 350 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWALGREEN CO. Non-Drowsy Formula Wal-Tussin 1 BOTTLE in 1 PACKAGE (0363-0244-
09) > 20 CAPSULE, GELATINCOATED in 1 BOTTLE
15 mg/1 Dextromethorphan HBr 0363-0244
WALGREEN CO. Mucus Relief Severe Congestion and Cough 2 BLISTER PACK in 1 CARTON (0363-6480-09) > 10 TABLET, FILM COATED in 1 BLISTER PACK
10 mg/1, 200 mg/1, 5 mg/1 Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0363-6480
WALGREEN CO. Mucus Relief DM 3 BLISTER PACK in 1 CARTON (0363-0533-01) > 10 TABLET in 1 BLISTER PACK
400 mg/1, 20 mg/1 Guaifenesin and Dextromethorphan HBr
0363-0533
WALGREEN CO. Mucus Relief DM 1 BOTTLE in 1 CARTON (0363-0533-11) > 60 TABLET in 1 BOTTLE
400 mg/1, 20 mg/1 Guaifenesin and Dextromethorphan HBr
0363-0533
WALGREEN CO. Mucus Relief DM 2 BOTTLE in 1 CARTON (0363-0533-32) > 120 TABLET in 1 BOTTLE
400 mg/1, 20 mg/1 Guaifenesin and Dextromethorphan HBr
0363-0533
Walgreen Company cold and cough 237 mL in 1 BOTTLE (0363-0698-34) 500 mg/15mL, 15 mg/15mL Acetaminophen, Dextromethorphan HBr
0363-0698
Walgreen Company Cold and Flu 237 mL in 1 BOTTLE (0363-0566-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0566
Walgreen Company Cold and Flu 473 mL in 1 BOTTLE (0363-0566-43) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0566
Walgreen Company Cold and Flu 2 BOTTLE in 1 PACKAGE (0363-0566-50) > 355 mL in 1 BOTTLE (0363-0566-40)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0566
Walgreen Company nighttime cold and flu relief 177 mL in 1 BOTTLE (0363-0459-30) 325 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0459
DOH 690-292 May 2016 351 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWalgreen Company nighttime cold and flu relief 296 mL in 1 BOTTLE (0363-0459-38) 325 mg/15mL, 15
mg/15mL, 6.25 mg/15mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0459
Walgreen Company nighttime cold and flu relief 355 mL in 1 BOTTLE (0363-0459-40) 325 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0459
Walgreen Company nighttime cold and flu relief 473 mL in 1 BOTTLE (0363-0459-43) 325 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0459
Walgreen Company Cold and Flu 237 mL in 1 BOTTLE (0363-0401-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0401
Walgreen Company Cold and Flu 355 mL in 1 BOTTLE (0363-0401-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0401
Walgreen Company Walgreen Nighttime 177 mL in 1 BOTTLE (0363-0041-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate liquid
0363-0041
Walgreen Company Walgreen Nighttime 590 mL in 1 BOTTLE (0363-0041-33) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate liquid
0363-0041
Walgreen Company Walgreen Nighttime 296 mL in 1 BOTTLE (0363-0041-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate liquid
0363-0041
DOH 690-292 May 2016 352 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWalgreen Company Walgreen Nighttime 473 mL in 1 BOTTLE (0363-0041-43) 500 mg/15mL, 15
mg/15mL, 6.25 mg/15mLacetaminophen, dextromethorphan hydrobromide and doxylamine succinate liquid
0363-0041
Walgreen Company nighttime cold and flu relief 177 mL in 1 BOTTLE (0363-0335-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0335
Walgreen Company nighttime cold and flu relief 237 mL in 1 BOTTLE (0363-0335-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0335
Walgreen Company nighttime cold and flu relief 355 mL in 1 BOTTLE (0363-0335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0335
Walgreen Company nighttime cold and flu relief 2 BLISTER PACK in 1 CARTON (0363-1005-01) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine succinate
0363-1005
Walgreen Company nighttime cold and flu relief 2 BLISTER PACK in 1 CARTON (0363-1005-02) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine succinate
0363-1005
Walgreen Company cold and flu relief 355 mL in 1 BOTTLE (0363-0872-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0872
Walgreen Company Nighttime 177 mL in 1 BOTTLE (0363-0908-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
0363-0908
DOH 690-292 May 2016 353 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWalgreen Company Nighttime 2 BOTTLE in 1 PACKAGE (0363-0908-
33) > 296 mL in 1 BOTTLE500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
0363-0908
Walgreen Company Nighttime 296 mL in 1 BOTTLE (0363-0908-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
0363-0908
Walgreen Company Nighttime 473 mL in 1 BOTTLE (0363-0908-43) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
0363-0908
Walgreen Company Cold and Flu 355 mL in 1 BOTTLE (0363-0917-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0917
Walgreen Company Cold and Flu 2 BOTTLE in 1 PACKAGE (0363-0917-50) > 355 mL in 1 BOTTLE
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
0363-0917
Walgreen Company Nighttime Cold and Flu Relief 296 mL in 1 BOTTLE (0363-0990-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
0363-0990
Walgreen Company Nighttime Cold and Flu Relief 355 mL in 1 BOTTLE (0363-0990-40) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
0363-0990
Walgreen Company Severe Cold and Flu 355 mL in 1 BOTTLE (0363-0763-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
0363-0763
DOH 690-292 May 2016 354 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWalgreen Company severe cold and flu 355 mL in 1 BOTTLE (0363-0623-40) 650 mg/30mL, 20
mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, dextromethorphan HBr, doxylamine succinate, phenylephrine HCl
0363-0623
Walgreen Company Nighttime D 296 mL in 1 BOTTLE (0363-0609-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL, 30 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Pseudoephedrine Hydrochloride
0363-0609
Walgreen Company Cold and Flu Nighttime D 355 mL in 1 BOTTLE (0363-0807-40) 1000 mg/30mL, 30 mg/30mL, 12.5 mg/30mL, 60 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Pseudoephedrine HCl
0363-0807
Walgreen Company Nighttime D 296 mL in 1 BOTTLE (0363-0550-38) 1000 mg/30mL, 30 mg/30mL, 12.5 mg/30mL, 60 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Pseudoephedrine HCl
0363-0550
Walgreen Company Nighttime D 355 mL in 1 BOTTLE (0363-0550-40) 1000 mg/30mL, 30 mg/30mL, 12.5 mg/30mL, 60 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Pseudoephedrine HCl
0363-0550
Walgreen Company Severe Cold and Flu 355 mL in 1 BOTTLE (0363-0603-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
0363-0603
Walgreen Company Severe Cold and Flu 12 BLISTER PACK in 1 CARTON (0363-0839-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
0363-0839
DOH 690-292 May 2016 355 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWalgreen Company Daytime Cold and Flu Relief 2 BLISTER PACK in 1 CARTON (0363-
1000-01) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 acetaminophen, dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
0363-1000
Walgreen Company Daytime Cold and Flu Relief 2 BLISTER PACK in 1 CARTON (0363-1000-02) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 acetaminophen, dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
0363-1000
Walgreen Company Daytime Cold and Flu Relief 4 BLISTER PACK in 1 CARTON (0363-1003-03) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 acetaminophen, dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
0363-1003
Walgreen Company Daytime Cold and Flu Relief 177 mL in 1 BOTTLE (0363-0656-30) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
0363-0656
Walgreen Company Daytime Cold and Flu Relief 237 mL in 1 BOTTLE (0363-0656-34) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
0363-0656
Walgreen Company Daytime Cold and Flu Relief 296 mL in 1 BOTTLE (0363-0656-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
0363-0656
Walgreen Company Daytime Cold and Flu Relief 355 mL in 1 BOTTLE (0363-0656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
0363-0656
Walgreen Company Cold and Flu 237 mL in 1 BOTTLE (0363-0666-34) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
0363-0666
DOH 690-292 May 2016 356 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWalgreen Company Cold and Flu 355 mL in 1 BOTTLE (0363-0666-40) 325 mg/15mL, 10
mg/15mL, 5 mg/15mLacetaminophen, dextromethorphan Hbr, Phenylephrine HCl
0363-0666
Walgreen Company wal flu severe cold and cough 6 POWDER, FOR SOLUTION in 1 CARTON (0363-0096-91)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
0363-0096
Walgreen Company childrens wal tap 1 BOTTLE in 1 CARTON (0363-0708-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
0363-0708
Walgreen Company childrens wal tap dm 1 BOTTLE in 1 CARTON (0363-0987-26) > 118 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
0363-0987
Walgreen Company Cough DM 1 BOTTLE in 1 CARTON (0363-0958-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 0363-0958
Walgreen Company Cough DM 1 BOTTLE in 1 CARTON (0363-0958-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 0363-0958
Walgreen Company childrens cough dm 1 BOTTLE in 1 CARTON (0363-0899-21) > 89 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan polistirex 0363-0899
Walgreen Company Cough Relief 296 mL in 1 BOTTLE (0363-0689-38) 15 mg/15mL Dextromethorphan HBr 0363-0689
Walgreen Company Cough Relief 355 mL in 1 BOTTLE (0363-0689-40) 15 mg/15mL Dextromethorphan HBr 0363-0689
Walgreen Company daytime cough 296 mL in 1 BOTTLE (0363-0473-38) 15 mg/15mL Dextromethorphan HBr 0363-0473
Walgreen Company Cough DM 1 BOTTLE in 1 CARTON (0363-0494-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 0363-0494
Walgreen Company Cough 355 mL in 1 BOTTLE (0363-0500-40) 15 mg/15mL Dextromethorphan HBr 0363-0500
DOH 690-292 May 2016 357 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWalgreen Company Adult Wal Tussin 1 BOTTLE in 1 CARTON (0363-0300-
26) > 118 mL in 1 BOTTLE30 mg/10mL Dextromethorphan
Hydrobromide0363-0300
Walgreen Company Cough DM 1 BOTTLE in 1 CARTON (0363-0384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 0363-0384
Walgreen Company Cough DM 1 BOTTLE in 1 CARTON (0363-0384-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 0363-0384
Walgreen Company Nighttime Cough 177 mL in 1 BOTTLE (0363-0668-30) 15 mg/15mL, 6.25 mg/15mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
0363-0668
Walgreen Company Nighttime Cough 296 mL in 1 BOTTLE (0363-0668-38) 15 mg/15mL, 6.25 mg/15mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
0363-0668
Walgreen Company cough relief 237 mL in 1 BOTTLE (0363-0588-34) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr, Doxylamine succinate
0363-0588
Walgreen Company cough relief 355 mL in 1 BOTTLE (0363-0588-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr, Doxylamine succinate
0363-0588
Walgreen Company Cough 237 mL in 1 BOTTLE (0363-0019-34) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr, Doxylamine succinate
0363-0019
Walgreen Company Cough 355 mL in 1 BOTTLE (0363-0019-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan HBr, Doxylamine succinate
0363-0019
Walgreen Company wal tussin dm 1 BOTTLE in 1 CARTON (0363-0578-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
0363-0578
Walgreen Company wal tussin dm 1 BOTTLE in 1 CARTON (0363-0578-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
0363-0578
Walgreen Company Wal Tussin 1 BOTTLE in 1 CARTON (0363-0359-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
0363-0359
Walgreen Company Wal Tussin 1 BOTTLE in 1 CARTON (0363-0359-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
0363-0359
DOH 690-292 May 2016 358 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWalgreen Company Wal Tussin 1 BOTTLE in 1 CARTON (0363-0359-
40) > 355 mL in 1 BOTTLE10 mg/5mL, 100 mg/5mL Dextromethorphan
Hydrobromide, Guaifenesin0363-0359
Walgreen Company Cough 1 BOTTLE in 1 CARTON (0363-0419-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan Hydrobromide, Guaifenesin
0363-0419
Walgreen Company wal tussin dm 1 BOTTLE in 1 CARTON (0363-0396-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
0363-0396
Walgreen Company wal tussin dm 1 BOTTLE in 1 CARTON (0363-0396-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
0363-0396
Walgreen Company wal tussin dm 1 BOTTLE in 1 CARTON (0363-0396-40) > 355 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
0363-0396
Walgreen Company Mucus Relief DM 1 BOTTLE in 1 CARTON (0363-0735-30) > 28 TABLET, EXTENDEDRELEASE in 1 BOTTLE
60 mg/1, 1200 mg/1 Dextromethorphan HBr, Guaifenesin
0363-0735
Walgreen Company Mucus Relief DM 1 BOTTLE in 1 CARTON (0363-0735-55) > 42 TABLET, EXTENDEDRELEASE in 1 BOTTLE
60 mg/1, 1200 mg/1 Dextromethorphan HBr, Guaifenesin
0363-0735
Walgreen Company Mucus Relief DM 1 BOTTLE in 1 CARTON (0363-0735-66) > 14 TABLET, EXTENDEDRELEASE in 1 BOTTLE
60 mg/1, 1200 mg/1 Dextromethorphan HBr, Guaifenesin
0363-0735
Walgreen Company wal tussin dm max 1 BOTTLE in 1 CARTON (0363-0702-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
0363-0702
Walgreen Company wal tussin dm max 1 BOTTLE in 1 CARTON (0363-0702-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
0363-0702
Walgreen Company daytime 295 mL in 1 BOTTLE (0363-0818-38) 10 mg/15mL, 200 mg/15mL Dextromethorphan HBr, Guaifenesin
0363-0818
Walgreen Company wal tussin 1 BOTTLE in 1 CARTON (0363-0799-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL Dextromethorphan HBr, Guaifenesin
0363-0799
Walgreen Company wal tussin 1 BOTTLE in 1 CARTON (0363-0799-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL Dextromethorphan HBr, Guaifenesin
0363-0799
DOH 690-292 May 2016 359 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWalgreen Company wal tussin dm max 1 BOTTLE in 1 CARTON (0363-0934-
26) > 118 mL in 1 BOTTLE20 mg/10mL, 400 mg/10mL dextromethorphan hbr,
guaifenesin0363-0934
Walgreen Company childrens multi symptom cold 1 BOTTLE in 1 CARTON (0363-9839-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
0363-9839
Walgreen Company wal tussin cf 1 BOTTLE in 1 CARTON (0363-0704-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
0363-0704
Walgreen Company wal tussin cf 1 BOTTLE in 1 CARTON (0363-0704-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
0363-0704
Walgreen Company wal tussin cf max 1 BOTTLE in 1 CARTON (0363-0296-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 200 mg/5mL, 5 mg/5mL
dextromethorphan hbr, guaifenesin, phenylephrine hcl
0363-0296
Walgreen Company Wal Tussin 1 BOTTLE in 1 CARTON (0363-0516-26) > 118 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
0363-0516
Walgreen Company Wal Tussin 1 BOTTLE in 1 CARTON (0363-0516-34) > 237 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
0363-0516
Walgreen Company Wal Tussin 1 BOTTLE in 1 CARTON (0363-0516-40) > 355 mL in 1 BOTTLE
10 mg/5mL, 100 mg/5mL, 5 mg/5mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
0363-0516
Walgreens Childrens Plus Cough and Runny Nose 1 BOTTLE, PLASTIC in 1 BOX (0363-0297-04) > 118 mL in 1 BOTTLE, PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide
0363-0297
DOH 690-292 May 2016 360 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWalgreens Childrens Plus Flu 1 BOTTLE, PLASTIC in 1 BOX (0363-
0030-04) > 118 mL in 1 BOTTLE, PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan Hydrobromide, Phenylephrine HCI
0363-0030
Walgreens Childrens Plus Multi Symptom Cold 1 BOTTLE, PLASTIC in 1 BOX (0363-0034-04) > 118 mL in 1 BOTTLE, PLASTIC
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Phenylephrine hydrochloride
0363-0034
Walgreens Cough and Sore Throat 1 BOTTLE, PLASTIC in 1 BOX (0363-0029-04) > 118 mL in 1 BOTTLE, PLASTIC
160 mg/5mL, 5 mg/5mL Acetaminophen, Dextromethorphan hydrobromide
0363-0029
Walgreens Childrens Plus Cough and Sore Throat 118 mL in 1 BOTTLE, PLASTIC (0363-0442-44)
160 mg/5mL, 5 mg/5mL Acetaminophen,DEXTROMETHORPHAN HYDROBROMIDE
0363-0442
Walgreens Cough Cold and Sore Throat 1 BOTTLE, PLASTIC in 1 BOX (0363-4050-04) > 118 mL in 1 BOTTLE, PLASTIC
325 mg/10mL, 10 mg/10mL, 200 mg/10mL, 5 mg/10mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0363-4050
Walgreens Flu Relief Therapy 245 mL in 1 BOTTLE, PLASTIC (0363-2104-08)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
0363-2104
Walgreens COLD and FLU 2 BLISTER PACK in 1 CARTON (0363-9892-24) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 200 mg/1, 10 mg/1, 5 mg/1
ACETAMINOPHEN, GUAIFENESIN, DEXTROMETHORPHAN HYDROBROMIDE, and PHENYLEPHRINE HYDROCHLORIDE
0363-9892
DOH 690-292 May 2016 361 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWalgreens Mucus Relief Severe Cold 177 mL in 1 BOTTLE, PLASTIC (0363-
0410-06)20 mg/20mL, 650 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0363-0410
Walgreens Mucus Relief 177 mL in 1 BOTTLE, PLASTIC (0363-3360-06)
20 mg/20mL, 650 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
0363-3360
Walgreens Cough and Chest Congestion DM 177 mL in 1 BOTTLE, PLASTIC (0363-0506-06)
20 mg/20mL, 400 mg/20mL Dextromethorphan HBr, Guaifenesin
0363-0506
Walgreens Cough and Chest Congestion DM 177 mL in 1 BOTTLE, PLASTIC (0363-0417-06)
20 mg/20mL, 400 mg/20mL Dextromethorphan HBr, Guaifenesin
0363-0417
Walgreens Mucus Relief 177 mL in 1 BOTTLE, PLASTIC (0363-3380-06)
20 mg/20mL, 400 mg/20mL Dextromethorphan HBr, Guaifenesin
0363-3380
Walgreens Mucus Relief Severe Congestion and Cough 177 mL in 1 BOTTLE, PLASTIC (0363-0337-06)
20 mg/20mL, 400 mg/20mL, 10 mg/20mL
dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride
0363-0337
Walgreens Triacting Daytime Cold Cough 1 BOTTLE, PLASTIC in 1 BOX (0363-3780-04) > 118 mL in 1 BOTTLE, PLASTIC
5 mg/5mL, 2.5 mg/5mL Dextromethorphan HBr, Phenylephrine HCl
0363-3780
Walgreens MUCUS RELIEF DM 3 BLISTER PACK in 1 CARTON (0363-9891-30) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
400 mg/1, 20 mg/1 GUAIFENESIN and DEXTROMETHORPHAN HYDROBROMIDE
0363-9891
Walgreens Co. Well At Walgreens Multi-Symptom Severe Cold 6 GRANULE, FOR SOLUTION in 1 BOX (0363-1104-06)
500 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr and Phenylephrine HCL
0363-1104
DOH 690-292 May 2016 362 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWal-Mart Stores Inc Nighttime 296 mL in 1 BOTTLE (49035-041-38) 500 mg/15mL, 15
mg/15mL, 6.25 mg/15mLacetaminophen, dextromethorphan hydrobromide and doxylamine succinate
49035-041
Wal-Mart Stores Inc Equate NiteTime 12 BLISTER PACK in 1 CARTON (49035-056-62) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49035-056
Wal-Mart Stores Inc equate nitetime 296 mL in 1 BOTTLE (49035-335-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49035-335
Wal-Mart Stores Inc equate nitetime 355 mL in 1 BOTTLE (49035-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49035-335
Wal-Mart Stores Inc equate nitetime 710 mL in 1 BOTTLE (49035-335-50) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49035-335
Wal-Mart Stores Inc equate nitetime 237 mL in 1 BOTTLE (49035-459-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49035-459
Wal-Mart Stores Inc equate nitetime 296 mL in 1 BOTTLE (49035-459-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49035-459
Wal-Mart Stores Inc equate nitetime 355 mL in 1 BOTTLE (49035-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49035-459
Wal-Mart Stores Inc equate nitetime 2 BOTTLE in 1 CARTON (49035-459-50) > 355 mL in 1 BOTTLE
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49035-459
DOH 690-292 May 2016 363 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWal-Mart Stores Inc equate nitetime 2 BLISTER PACK in 1 CARTON
(49035-977-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
49035-977
Wal-Mart Stores Inc equate nitetime 2 BLISTER PACK in 1 CARTON (49035-977-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
49035-977
Wal-Mart Stores Inc NiteTime Cold/Flu, Multi-Symptom Relief 2 BLISTER PACK in 1 PACKAGE (49035-978-04) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
49035-978
Wal-Mart Stores Inc equate nite time 296 mL in 1 BOTTLE (49035-908-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
49035-908
Wal-Mart Stores Inc equate nitetime severe 355 mL in 1 BOTTLE (49035-763-40) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
49035-763
Wal-Mart Stores Inc Equate DayTime Severe 355 mL in 1 BOTTLE (49035-603-40) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
49035-603
Wal-Mart Stores Inc Multi-Symptom Cold Flu and Sore Throat 3 BLISTER PACK in 1 PACKAGE (49035-616-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
49035-616
Wal-Mart Stores Inc Severe Cold Multi-Symptom 1 BLISTER PACK in 1 CARTON (49035-503-08) > 24 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Phenylephrine HCl, Dextromethorphan HBr and Guiafenesin
49035-503
DOH 690-292 May 2016 364 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWal-Mart Stores Inc equate daytime severe 12 BLISTER PACK in 1 CARTON
(49035-548-62) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
acetaminophen, dextromethorphan HBr, guaifenesin, phenylephrine HCl
49035-548
Wal-Mart Stores Inc Cold and Flu 2 BLISTER PACK in 1 CARTON (49035-053-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen,Dextromethorphan HBr,Guaifenesin,Phenylephrine HCl
49035-053
Wal-Mart Stores Inc equate flu and severe cold and cough 6 POWDER, FOR SOLUTION in 1 CARTON (49035-096-91)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49035-096
Wal-Mart Stores Inc equate daytime 4 BLISTER PACK in 1 CARTON (49035-215-58) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49035-215
Wal-Mart Stores Inc equate daytime 2 BLISTER PACK in 1 CARTON (49035-215-60) > 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49035-215
Wal-Mart Stores Inc equate daytime 2 BLISTER PACK in 1 CARTON (49035-215-62) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49035-215
Wal-Mart Stores Inc Cold Multi-Symptom 2 BLISTER PACK in 1 CARTON (49035-560-08) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, and Phenylephrine HCl
49035-560
DOH 690-292 May 2016 365 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWal-Mart Stores Inc Equate Day time 296 mL in 1 BOTTLE (49035-656-38) 325 mg/15mL, 10
mg/15mL, 5 mg/15mLacetaminophen, dextromethorphan Hbr, Phenylephrine HCl
49035-656
Wal-Mart Stores Inc Equate Day time 355 mL in 1 BOTTLE (49035-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
49035-656
Wal-Mart Stores Inc Cold and Flu 4 BLISTER PACK in 1 CARTON (49035-659-22) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
49035-659
Wal-Mart Stores Inc equate daytime 10 BLISTER PACK in 1 CARTON (49035-994-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49035-994
Wal-Mart Stores Inc equate daytime 12 BLISTER PACK in 1 CARTON (49035-994-62) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
49035-994
Wal-Mart Stores Inc equate childrens cold and cough 1 BOTTLE in 1 CARTON (49035-082-34) > 237 mL in 1 BOTTLE
1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Brompheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
49035-082
Wal-Mart Stores Inc equate cough dm 1 BOTTLE in 1 CARTON (49035-899-28) > 148 mL in 1 BOTTLE
30 mg/5mL Dextromethorphan polistirex 49035-899
Wal-Mart Stores Inc Equate Cough DM 1 BOTTLE in 1 CARTON (49035-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 49035-384
Wal-Mart Stores Inc Equate Cough DM 1 BOTTLE in 1 CARTON (49035-384-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 49035-384
Wal-Mart Stores Inc Equate Cough DM 1 BOTTLE in 1 CARTON (49035-958-28) > 148 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 49035-958
DOH 690-292 May 2016 366 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWal-Mart Stores Inc Equate Nite Time 296 mL in 1 BOTTLE (49035-668-38) 30 mg/30mL, 12.5
mg/30mLDextromethorphan Hydrobromide, Doxylamine Succinate
49035-668
Wal-Mart Stores Inc Equate Nite Time 355 mL in 1 BOTTLE (49035-668-40) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
49035-668
Wal-Mart Stores Inc Equate Tussin DM Max 1 BOTTLE in 1 CARTON (49035-799-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
49035-799
Wal-Mart Stores Inc Equate Tussin DM 1 BOTTLE in 1 CARTON (49035-359-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
49035-359
Wal-Mart Stores Inc Equate Tussin DM 1 BOTTLE in 1 CARTON (49035-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan Hydrobromide, Guaifenesin
49035-359
Wal-Mart Stores Inc Equate Tussin CF 1 BOTTLE in 1 CARTON (49035-516-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49035-516
Wal-Mart Stores Inc Equate Tussin CF 1 BOTTLE in 1 CARTON (49035-516-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
49035-516
We Care Distributor Inc. NIGHTTIME COLD AND FLU 2 POUCH in 1 POUCH (70005-005-02) > 2 CAPSULE, LIQUID FILLED in 1POUCH
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr and Doxylamine Succinate 325 mg, 15 mg and 6.25 mg
70005-005
We Care Distributor Inc. NIGHTTIME COLD AND FLU 25 POUCH in 1 BOX (70005-005-25) > 2 CAPSULE, LIQUID FILLED in 1POUCH
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr and Doxylamine Succinate 325 mg, 15 mg and 6.25 mg
70005-005
DOH 690-292 May 2016 367 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWe Care Distributor Inc. NIGHTTIME COLD AND FLU 50 POUCH in 1 BOX (70005-005-50)
> 2 CAPSULE, LIQUID FILLED in 1POUCH
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr and Doxylamine Succinate 325 mg, 15 mg and 6.25 mg
70005-005
We Care Distributor Inc. DAYTIME COLD AND FLU 2 POUCH in 1 POUCH (70005-003-02) > 2 CAPSULE, LIQUID FILLED in 1POUCH
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr and Phenylephrine HCl 325 mg, 10 mg and 5 mg
70005-003
We Care Distributor Inc. DAYTIME COLD AND FLU 25 POUCH in 1 BOX (70005-003-25) > 2 CAPSULE, LIQUID FILLED in 1POUCH
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr and Phenylephrine HCl 325 mg, 10 mg and 5 mg
70005-003
We Care Distributor Inc. DAYTIME COLD AND FLU 50 POUCH in 1 BOX (70005-003-50) > 2 CAPSULE, LIQUID FILLED in 1POUCH
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr and Phenylephrine HCl 325 mg, 10 mg and 5 mg
70005-003
Western Family Foods Inc multi symptom cold plus 1 BOTTLE in 1 CARTON (55312-903-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 1 mg/5mL, 5 mg/5mL, 2.5 mg/5mL
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan HBr, Phenylephrine HCl
55312-903
Western Family Foods Inc Cold Relief 2 BLISTER PACK in 1 CARTON (55312-393-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55312-393
DOH 690-292 May 2016 368 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWestern Family Foods Inc cold relief 2 BLISTER PACK in 1 CARTON
(55312-014-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55312-014
Western Family Foods Inc Childrens Cough Plus 1 BOTTLE in 1 CARTON (55312-196-26) > 118 mL in 1 BOTTLE
160 mg/5mL, 5 mg/5mL Acetaminophen, Dextromethorphan HBr
55312-196
Western Family Foods Inc cough and sore throat 237 mL in 1 BOTTLE (55312-698-34) 500 mg/15mL, 15 mg/15mL Acetaminophen, Dextromethorphan HBr
55312-698
Western Family Foods Inc cold and cough daytime 237 mL in 1 BOTTLE (55312-700-34) 500 mg/15mL, 15 mg/15mL Acetaminophen, Dextromethorphan HBr
55312-700
Western Family Foods Inc NightRelief Free 177 mL in 1 BOTTLE (55312-908-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
55312-908
Western Family Foods Inc NightRelief Free 296 mL in 1 BOTTLE (55312-908-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
55312-908
Western Family Foods Inc NightRelief Free 2 BOTTLE in 1 PACKAGE (55312-908-40) > 177 mL in 1 BOTTLE
500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen,dextromethorphan HBr, doxylamine succinate
55312-908
Western Family Foods Inc night relief 6 BLISTER PACK in 1 CARTON (55312-977-53) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55312-977
Western Family Foods Inc night relief 8 BLISTER PACK in 1 CARTON (55312-977-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
55312-977
DOH 690-292 May 2016 369 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWestern Family Foods Inc night relief free 177 mL in 1 BOTTLE (55312-459-30) 650 mg/30mL, 30
mg/30mL, 12.5 mg/30mLAcetaminophen, Dextromethorphan HBr, Doxylamine succinate
55312-459
Western Family Foods Inc night relief free 237 mL in 1 BOTTLE (55312-459-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55312-459
Western Family Foods Inc night relief free 296 mL in 1 BOTTLE (55312-459-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55312-459
Western Family Foods Inc night relief free 355 mL in 1 BOTTLE (55312-459-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55312-459
Western Family Foods Inc cold and cough 237 mL in 1 BOTTLE (55312-666-34) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate
55312-666
Western Family Foods inc Night Relief Free 177 mL in 1 BOTTLE (55312-041-30) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
55312-041
Western Family Foods inc Night Relief Free 296 mL in 1 BOTTLE (55312-041-38) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
55312-041
Western Family Foods inc Night Relief Free 473 mL in 1 BOTTLE (55312-041-43) 500 mg/15mL, 15 mg/15mL, 6.25 mg/15mL
acetaminophen, dextromethorphan hydrobromide and doxylamine succinate
55312-041
DOH 690-292 May 2016 370 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWestern Family Foods Inc night relief 8 BLISTER PACK in 1 CARTON
(55312-056-73) > 2 CAPSULE, GELATIN COATED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55312-056
Western Family Foods Inc night relief free 177 mL in 1 BOTTLE (55312-335-30) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55312-335
Western Family Foods Inc night relief free 237 mL in 1 BOTTLE (55312-335-34) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55312-335
Western Family Foods Inc night relief free 296 mL in 1 BOTTLE (55312-335-38) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55312-335
Western Family Foods Inc night relief free 355 mL in 1 BOTTLE (55312-335-40) 650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine succinate
55312-335
Western Family Foods Inc allergy and cough 10 BLISTER PACK in 1 CARTON (55312-345-60) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 6.25 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, Phenylephrine Hydrochloride
55312-345
Western Family Foods Inc nitetime severe cold and flu relief 237 mL in 1 BOTTLE (55312-763-34) 650 mg/30mL, 20 mg/30mL, 12.5 mg/30mL, 10 mg/30mL
Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl
55312-763
Western Family Foods Inc Mucus Relief 2 BLISTER PACK in 1 CARTON (55312-922-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55312-922
DOH 690-292 May 2016 371 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWestern Family Foods Inc Mucus Relief 10 BLISTER PACK in 1 CARTON
(55312-381-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55312-381
Western Family Foods Inc DayTime Severe Cold and Flu Relief 237 mL in 1 BOTTLE (55312-603-34) 325 mg/15mL, 10 mg/15mL, 200 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl
55312-603
Western Family Foods Inc Mucus Relief 10 BLISTER PACK in 1 PACKAGE (55312-025-01) > 2 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55312-025
Western Family Foods Inc cold relief 2 BLISTER PACK in 1 CARTON (55312-308-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
55312-308
Western Family Foods Inc cold relief 12 BLISTER PACK in 1 CARTON (55312-234-62) > 2 TABLET, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55312-234
Western Family Foods Inc Flu and Severe Cold and Cough 6 POWDER, FOR SOLUTION in 1 CARTON (55312-096-91)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55312-096
Western Family Foods Inc day relief pe 1 BLISTER PACK in 1 CARTON (55312-215-53) > 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55312-215
DOH 690-292 May 2016 372 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWestern Family Foods Inc day relief pe 2 BLISTER PACK in 1 CARTON
(55312-215-73) > 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55312-215
Western Family Foods Inc DayRelief 177 mL in 1 BOTTLE (55312-656-30) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
55312-656
Western Family Foods Inc DayRelief 237 mL in 1 BOTTLE (55312-656-34) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
55312-656
Western Family Foods Inc DayRelief 296 mL in 1 BOTTLE (55312-656-38) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
55312-656
Western Family Foods Inc DayRelief 355 mL in 1 BOTTLE (55312-656-40) 325 mg/15mL, 10 mg/15mL, 5 mg/15mL
acetaminophen, dextromethorphan Hbr, Phenylephrine HCl
55312-656
Western Family Foods Inc Cold Relief 2 BLISTER PACK in 1 CARTON (55312-371-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55312-371
Western Family Foods Inc cold relief 2 BLISTER PACK in 1 CARTON (55312-402-62) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55312-402
Western Family Foods Inc dayrelief pe 12 BLISTER PACK in 1 CARTON (55312-994-53) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55312-994
DOH 690-292 May 2016 373 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWestern Family Foods Inc dayrelief pe 8 BLISTER PACK in 1 CARTON
(55312-994-73) > 2 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55312-994
Western Family Foods Inc adult tussin cough 1 BOTTLE in 1 CARTON (55312-300-26) > 118 mL in 1 BOTTLE
30 mg/10mL Dextromethorphan Hydrobromide
55312-300
Western Family Foods Inc 12 Hour Cough Relief 1 BOTTLE in 1 CARTON (55312-958-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 55312-958
Western Family Foods Inc 12 hour cough relief 1 BOTTLE in 1 CARTON (55312-384-21) > 89 mL in 1 BOTTLE
30 mg/5mL dextromethorphan polistirex 55312-384
Western Family Foods Inc Night Relief Cough 177 mL in 1 BOTTLE (55312-668-30) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
55312-668
Western Family Foods Inc Night Relief Cough 237 mL in 1 BOTTLE (55312-668-34) 30 mg/30mL, 12.5 mg/30mL
Dextromethorphan Hydrobromide, Doxylamine Succinate
55312-668
Western Family Foods Inc Childrens mucus relief 1 BOTTLE in 1 CARTON (55312-608-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan hbr, Guaifenesin
55312-608
Western Family Foods Inc tussin dm 1 BOTTLE in 1 CARTON (55312-578-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
55312-578
Western Family Foods Inc expectorant cough 1 BOTTLE in 1 CARTON (55312-419-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL Dextromethorphan hbr, Guaifenesin
55312-419
Western Family Foods Inc tussin 1 BOTTLE in 1 CARTON (55312-359-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
55312-359
Western Family Foods Inc tussin 1 BOTTLE in 1 CARTON (55312-359-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
55312-359
Western Family Foods Inc Adult Tussin DM Max 1 BOTTLE in 1 CARTON (55312-799-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 400 mg/10mL Dextromethorphan HBr, Guaifenesin
55312-799
DOH 690-292 May 2016 374 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWestern Family Foods Inc day relief 296 mL in 1 BOTTLE (55312-818-38) 10 mg/15mL, 200 mg/15mL Dextromethorphan HBr,
Guaifenesin55312-818
Western Family Foods Inc childrens mucus relief multi symptom cold 1 BOTTLE in 1 CARTON (55312-839-26) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
dextromethorphan HBr, guaifenesin, phenylephrine HCl
55312-839
Western Family Foods Inc Tussin CF 1 BOTTLE in 1 CARTON (55312-516-26) > 118 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
55312-516
Western Family Foods Inc Tussin CF 1 BOTTLE in 1 CARTON (55312-516-34) > 237 mL in 1 BOTTLE
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
55312-516
Western Family Foods Inc. Mucus Relief DM Max 177 mL in 1 BOTTLE, PLASTIC (55312-232-06)
400 mg/20mL, 20 mg/20mL Mucinex DM Max Maximum Strength
55312-232
Western Family Foods, Inc. DayRelief 355 mL in 1 BOTTLE, PLASTIC (55312-066-12)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
55312-066
Western Family Foods, Inc. Cough Relief Grape 1 BOTTLE, PLASTIC in 1 BOX (55312-038-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 55312-038
Western Family Foods, Inc. Cough Relief 1 BOTTLE, PLASTIC in 1 BOX (55312-039-04) > 118 mL in 1 BOTTLE,PLASTIC
15 mg/5mL Dextromethorphan HBr 55312-039
Western Family Foods, Inc. Mucus Relief 177 mL in 1 BOTTLE, PLASTIC (55312-336-06)
20 mg/20mL, 650 mg/20mL, 400 mg/20mL, 10 mg/20mL
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55312-336
DOH 690-292 May 2016 375 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWestern Family Foods, Inc. Tussin DM 1 BOTTLE, PLASTIC in 1 BOX (55312-
385-08) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
55312-385
Western Family Foods, Inc. Expectorant Tab DM 1 BOTTLE in 1 BOX (55312-109-30) > 30 TABLET in 1 BOTTLE
20 mg/1, 400 mg/1 Dextromethorphan Hydrobromide and Guaifenesin
55312-109
Western Family Foods, Inc. Mucus Relief Severe Congestion and Cough 177 mL in 1 BOTTLE, PLASTIC (55312-037-06)
20 mg/20mL, 400 mg/20mL, 10 mg/20mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
55312-037
Western Family Foods, Inc. Tussin CF 1 BOTTLE, PLASTIC in 1 BOX (55312-382-08) > 237 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCI
55312-382
Western Family Foods, Inc. Mucus Relief Cold, Flu and Sore Throat 177 mL in 1 BOTTLE, PLASTIC (55312-233-06)
400 mg/20mL, 20 mg/20mL, 650 mg/20mL, 10 mg/20mL
Mucinex Cold, Flu and Sore Throat Maximum Strength
55312-233
WinCo Foods, LLC Cold and Flu Relief 24 BLISTER PACK in 1 CARTON (67091-206-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 15 mg/1, 6.25 mg/1
ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
67091-206
WinCo Foods, LLC Cold and Flu Relief 237 mL in 1 BOTTLE, PLASTIC (67091-258-23)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
67091-258
WinCo Foods, LLC Cold and Flu Relief 355 mL in 1 BOTTLE, PLASTIC (67091-258-54)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
67091-258
DOH 690-292 May 2016 376 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWinCo Foods, LLC Cold and Flu Relief 237 mL in 1 BOTTLE, PLASTIC
(67091-260-23)650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
67091-260
WinCo Foods, LLC Cold and Flu Relief 355 mL in 1 BOTTLE, PLASTIC (67091-260-54)
650 mg/30mL, 30 mg/30mL, 12.5 mg/30mL
Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate
67091-260
WinCo Foods, LLC Cold and Flu Relief 2 BLISTER PACK in 1 CARTON (67091-288-24) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
67091-288
WinCo Foods, LLC Cold and Flu Relief 2 BLISTER PACK in 1 CARTON (67091-211-24) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
67091-211
WinCo Foods, LLC WinCo Foods Daytime Severe Cold and Cough 6 GRANULE, FOR SOLUTION in 1 BOX (67091-142-06)
650 mg/1, 20 mg/1, 10 mg/1
Acetaminophen, Dextromethorphan HBr and Phenylephrine HCL
67091-142
WinCo Foods, LLC Cold and Flu Relief 24 BLISTER PACK in 1 CARTON (67091-205-24) > 1 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 ACETAMINOHPEN, DEXTROMETHORPHAN HBr, PHENYLEPHRINE HCL
67091-205
WinCo Foods, LLC Cold and Flu Relief 355 mL in 1 BOTTLE, PLASTIC (67091-257-54)
325 mg/15mL, 10 mg/15mL, 5 mg/15mL
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
67091-257
DOH 690-292 May 2016 377 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWinCo Foods, LLC Childrens Multi-Symptom Cold and Fever Relief 1 BOTTLE in 1 CARTON (67091-221-
18) > 118 mL in 1 BOTTLE325 mg/10mL, 10 mg/10mL, 5 mg/10mL, 200 mg/10mL
Acteaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
67091-221
WinCo Foods, LLC Tussin DM Cough and Chest 1 BOTTLE, PLASTIC in 1 BOX (67091-265-18) > 118 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL Dextromethorphan HBr, Guaifenesin
67091-265
WinCo Foods, LLC Tussin CF 1 BOTTLE, PLASTIC in 1 BOX (67091-266-18) > 118 mL in 1 BOTTLE,PLASTIC
20 mg/10mL, 200 mg/10mL, 10 mg/10mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
67091-266
WinCo Foods, LLC Childrens Multi-symptom Cold 1 BOTTLE in 1 CARTON (67091-220-18) > 118 mL in 1 BOTTLE
5 mg/5mL, 100 mg/5mL, 2.5 mg/5mL
Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
67091-220
WOONSOCKET PRESCRIPTION CENTEHead Congestion Cold Relief 1 BLISTER PACK in 1 CARTON (59779-473-01) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 2 mg/1, 10 mg/1, 5 mg/1
Acetaminophen, Chlorpheniramine maleate, Dextromethorphan HBr, Phenylephrine HCl
59779-473
WOONSOCKET PRESCRIPTION CENTEHead Congestion Cold Relief 1 BLISTER PACK in 1 CARTON (59779-470-01) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
59779-470
WOONSOCKET PRESCRIPTION CENTESEVERE COLD AND FLU RELIEF 2 BLISTER PACK in 1 CARTON (59779-889-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guiafenesin, Phenylephrine HCl
59779-889
WOONSOCKET PRESCRIPTION CENTECold, Flu and Sore Throat 3 BLISTER PACK in 1 PACKAGE (59779-916-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
59779-916
DOH 690-292 May 2016 378 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWOONSOCKET PRESCRIPTION CENTENon Drowsy Cold and Cough PE 1 BLISTER PACK in 1 CARTON
(59779-799-03) > 10 CAPSULE, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
Acetaminophen, Dextromathorphan HBr, Gauifenesin, Phenylephrine HCl
59779-799
WOONSOCKET PRESCRIPTION CENTENon Drowsy Cold and Cough PE 1 BLISTER PACK in 1 CARTON (59779-799-09) > 20 CAPSULE, COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
Acetaminophen, Dextromathorphan HBr, Gauifenesin, Phenylephrine HCl
59779-799
WOONSOCKET PRESCRIPTION CENTESevere Congestion and Cold 3 BLISTER PACK in 1 PACKAGE (59779-761-01) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
59779-761
WOONSOCKET PRESCRIPTION CENTESevere Congestion and Cold 2 BLISTER PACK in 1 PACKAGE (59779-761-09) > 10 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 200 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
59779-761
WOONSOCKET PRESCRIPTION CENTESinus PE Pressure, Pain and Cold 2 BLISTER PACK in 1 CARTON (59779-599-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 100 mg/1, 5 mg/1
Acetaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl
59779-599
WOONSOCKET PRESCRIPTION CENTECold Relief 2 BLISTER PACK in 1 CARTON (59779-560-08) > 12 TABLET in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
59779-560
WOONSOCKET PRESCRIPTION CENTESinus PE Pressure, Pain plus Cough 2 BLISTER PACK in 1 CARTON (59779-555-08) > 12 TABLET, FILM COATED in 1 BLISTER PACK
325 mg/1, 10 mg/1, 5 mg/1 Acetaminophen, Dextromethorphan HBr, Phenylephrine HCl
59779-555
WOONSOCKET PRESCRIPTION CENTELong Acting Tussin Cough Gels 1 BOTTLE in 1 PACKAGE (59779-442-09) > 20 CAPSULE, GELATINCOATED in 1 BOTTLE
15 mg/1 Dextromethorphan HBr 59779-442
DOH 690-292 May 2016 379 of 379
Labeler Name Proprietary Name Package Description Strength Non-Proprietary Name Product NDCWOONSOCKET PRESCRIPTION CENTETussin Cough 1 BOTTLE in 1 PACKAGE (59779-662-
09) > 20 CAPSULE, LIQUID FILLED in1 BOTTLE
15 mg/1 Dextromethorphan HBr 59779-662
Zee Medical Inc Cough Syrup DM 6 PACKET in 1 CARTON (35418-119-37) > 10 mL in 1 PACKET (35418-119-42)
10 mg/5mL, 100 mg/5mL Guaifenesin, Dextromethorpham HBr
35418-119Z
Top Related