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    NDC 00485-0171-16 ED A-HIST DM 4; 15; 10 mg/5mL; mg/5mL; mg/5mL Details

    ED A-HIST DM 4; 15; 10 mg/5mL; mg/5mL; mg/5mL

    ED A-HIST DM is a ORAL LIQUID in the HUMAN OTC DRUG category. It is labeled and distributed by EDWARDS PHARMACEUTICALS, INC.. The primary component is CHLORPHENIRAMINE MALEATE; DEXTROMETHORPHAN HYDROBROMIDE; PHENYLEPHRINE HYDROCHLORIDE.

    Product Information

    NDC 00485-0171
    Product ID 0485-0171_a8ccc98b-2b69-4a3a-a608-996a3585b296
    Associated GPIs 43995803120930
    GCN Sequence Number 051896
    GCN Sequence Number Description chlorpheniramine/phenyleph/DM LIQUID 4-10-15/5 ORAL
    HIC3 B3R
    HIC3 Description NON-OPIOID ANTITUS-1ST GEN.ANTIHISTAMINE-DECONGEST
    GCN 19347
    HICL Sequence Number 000375
    HICL Sequence Number Description CHLORPHENIRAMINE MALEATE/PHENYLEPHRINE HCL/DEXTROMETHORPHAN
    Brand/Generic Generic
    Proprietary Name ED A-HIST DM
    Proprietary Name Suffix n/a
    Non-Proprietary Name DEXTROMETHORPHAN HYDROBROMIDE, CHLORPHENIRAMINE MALEATE, and PHENYLEPHRINE HYDROCHLORIDE
    Product Type HUMAN OTC DRUG
    Dosage Form LIQUID
    Route ORAL
    Active Ingredient Strength 4; 15; 10
    Active Ingredient Units mg/5mL; mg/5mL; mg/5mL
    Substance Name CHLORPHENIRAMINE MALEATE; DEXTROMETHORPHAN HYDROBROMIDE; PHENYLEPHRINE HYDROCHLORIDE
    Labeler Name EDWARDS PHARMACEUTICALS, INC.
    Pharmaceutical Class Adrenergic alpha1-Agonists [MoA], Histamine H1 Receptor Antagonists [MoA], Histamine-1 Receptor Antagonist [EPC], Sigma-1 Agonist [EPC], Sigma-1 Receptor Agonists [MoA], Uncompetitive N-methyl-D-aspartate Receptor Antagonist [EPC], Uncompetitive NMDA Rece
    DEA Schedule n/a
    Marketing Category OTC MONOGRAPH FINAL
    Application Number part341
    Listing Certified Through 2023-12-31

    Package

    NDC 00485-0171-16 (00485017116)

    NDC Package Code 0485-0171-16
    Billing NDC 00485017116
    Package 473 mL in 1 BOTTLE, PLASTIC (0485-0171-16)
    Marketing Start Date 2012-09-11
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.06194
    Pricing Unit ML
    Effective Date 2024-01-17
    NDC Description ED-A-HIST DM LIQUID
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 4, 5
    Classification for Rate Setting G
    As of Date 2024-02-21
    This pricing file, entitled the NADAC (National Average Drug Acquisition Cost) files, provide state Medicaid agencies with covered outpatient drug prices by averaging survey invoice prices from retail community pharmacies across the United States. These pharmacies include independent retail community pharmacies and chain pharmacies. The prices are updated on a weekly and monthly basis

    Standard Product Labeling (SPL)/Prescribing Information SPL e0e2b117-62bc-4132-9f7c-fe2a912052b1 Details

    Revised: 10/2022