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    NDC 17856-0172-04 Delsym 30 mg/5mL Details

    Delsym 30 mg/5mL

    Delsym is a ORAL SUSPENSION, EXTENDED RELEASE in the HUMAN OTC DRUG category. It is labeled and distributed by ATLANTIC BIOLOGICALS CORP.. The primary component is DEXTROMETHORPHAN.

    Product Information

    NDC 17856-0172
    Product ID 17856-0172_a4b63a00-f1e7-4954-98ad-b2b459e82ef1
    Associated GPIs
    GCN Sequence Number 004630
    GCN Sequence Number Description dextromethorphan polistirex SUS ER 12H 30 MG/5 ML ORAL
    HIC3 H6C
    HIC3 Description ANTITUSSIVES, NON-OPIOID
    GCN 17802
    HICL Sequence Number 010295
    HICL Sequence Number Description DEXTROMETHORPHAN POLISTIREX
    Brand/Generic Generic
    Proprietary Name Delsym
    Proprietary Name Suffix n/a
    Non-Proprietary Name Dextromethorphan
    Product Type HUMAN OTC DRUG
    Dosage Form SUSPENSION, EXTENDED RELEASE
    Route ORAL
    Active Ingredient Strength 30
    Active Ingredient Units mg/5mL
    Substance Name DEXTROMETHORPHAN
    Labeler Name ATLANTIC BIOLOGICALS CORP.
    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 NDA
    Application Number NDA018658
    Listing Certified Through 2023-12-31

    Package

    NDC 17856-0172-04 (17856017204)

    NDC Package Code 17856-0172-4
    Billing NDC 17856017204
    Package 1 BOX, UNIT-DOSE in 1 CUP, UNIT-DOSE (17856-0172-4) / 72 CUP, UNIT-DOSE in 1 BOX, UNIT-DOSE (17856-0172-1) / 10 mL in 1 CUP, UNIT-DOSE
    Marketing Start Date 2022-09-02
    NDC Exclude Flag N
    Pricing Information N/A

    Standard Product Labeling (SPL)/Prescribing Information SPL 00f8f5b4-f5a8-4dcf-8133-15964ad4801e Details

    Revised: 9/2022