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    NDC 00904-6758-59 robafen 20; 200 mg/10mL; mg/10mL Details

    robafen 20; 200 mg/10mL; mg/10mL

    robafen is a ORAL SOLUTION in the HUMAN OTC DRUG category. It is labeled and distributed by Major Pharmaceuticals. The primary component is DEXTROMETHORPHAN HYDROBROMIDE; GUAIFENESIN.

    Product Information

    NDC 00904-6758
    Product ID 0904-6758_e0860161-f303-4c4a-871c-68131e2be221
    Associated GPIs 43997002520910
    GCN Sequence Number 000652
    GCN Sequence Number Description guaifenesin/dextromethorphan LIQUID 100-10MG/5 ORAL
    HIC3 B3T
    HIC3 Description NON-OPIOID ANTITUSSIVE AND EXPECTORANT COMBINATION
    GCN 53491
    HICL Sequence Number 000223
    HICL Sequence Number Description GUAIFENESIN/DEXTROMETHORPHAN HBR
    Brand/Generic Generic
    Proprietary Name robafen
    Proprietary Name Suffix n/a
    Non-Proprietary Name Dextromethorphan HBr, Guaifenesin
    Product Type HUMAN OTC DRUG
    Dosage Form SOLUTION
    Route ORAL
    Active Ingredient Strength 20; 200
    Active Ingredient Units mg/10mL; mg/10mL
    Substance Name DEXTROMETHORPHAN HYDROBROMIDE; GUAIFENESIN
    Labeler Name Major Pharmaceuticals
    Pharmaceutical Class Sigma-1 Agonist [EPC], Sigma-1 Receptor Agonists [MoA], Uncompetitive N-methyl-D-aspartate Receptor Antagonist [EPC], Uncompetitive NMDA Receptor Antagonists [MoA]
    DEA Schedule n/a
    Marketing Category OTC MONOGRAPH FINAL
    Application Number part341
    Listing Certified Through 2024-12-31

    Package

    NDC 00904-6758-59 (00904675859)

    NDC Package Code 0904-6758-59
    Billing NDC 00904675859
    Package 1 BOTTLE in 1 CARTON (0904-6758-59) / 237 mL in 1 BOTTLE
    Marketing Start Date 2018-08-13
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.01026
    Pricing Unit ML
    Effective Date 2022-07-20
    NDC Description ROBAFEN DM COUGH LIQUID
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 4, 5
    Classification for Rate Setting G
    As of Date 2022-11-23
    This pricing file, entitled the NADAC (National Average Drug Acquisition Cost) files, provide state Medicaid agencies with covered outpatient drug prices by averaging survey invoice prices from retail community pharmacies across the United States. These pharmacies include independent retail community pharmacies and chain pharmacies. The prices are updated on a weekly and monthly basis

    Standard Product Labeling (SPL)/Prescribing Information SPL 006a7a11-92b7-4522-b2f4-02e29d7b05d6 Details

    Revised: 9/2020