Home › NDC Lookup › Ingredients › Acetaminophen, Dextromethorphan Hbr, Dox... › 41520-0561-40
🧴image loading
(from DailyMed)

CareOne Nighttime Severe Cold and Flu Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL Solution, 355 mL — NDC 41520-561-40 (Billing 41520-0561-40)

by American Sales Company · 355 mL in 1 BOTTLE

This is a package of 355 mL of CareOne Nighttime Severe Cold and Flu Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL Solution from American Sales Company, marketed since Apr 2016 and currently FDA-listed. It is this product's only package size.

NDC 41520-0561-40
🏷️ FDA NDC (as labeled) 41520-561-40 billing pads the product segment with a zero
OTC On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Oct 1, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 41520-561-40
Product NDC 41520-561
11-digit billing NDC 41520056140
RxCUI 1431245
UNII 362O9ITL9D, 9D2RTI9KYH, V9BI9B5YI2, 04JA59TNSJ
Application # M012
SPL Set ID 819d5c82-0240-4013-9904-c335bd65d03e
Established class (EPC) Antihistamine; Sigma-1 Agonist; Uncompetitive N-methyl-D-aspartate Receptor Antagonist; Uncompetitive NMDA Receptor Antagonists [MoA
Mechanism of action Adrenergic alpha1-Agonists; Histamine Receptor Antagonists; Sigma-1 Receptor Agonists
DEA schedule Non-controlled
Marketing category OTC MONOGRAPH DRUG
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2016-04-11
Route ORAL
Dosage form SOLUTION
Substance ACETAMINOPHEN; DEXTROMETHORPHAN HYDROBROMIDE; DOXYLAMINE SUCCINATE; PHENYLEPHRINE HYDROCHLORIDE
Quick answers
  • RxCUI (RxNorm): 1431245
Why two NDCs? The FDA registers this code as 41520-561-40 — a 5-3-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the product segment → 41520-0561-40. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

RxNorm drug class

This medicine belongs to the Anilides class.

Drug family (ATC) Anilides
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

Clinical

🧪 What is this product?

CareOne Nighttime Severe Cold and Flu is an over-the-counter oral solution containing four active ingredients commonly used together for cold and flu symptom relief. Acetaminophen is typically used to reduce fever and relieve pain and aches. Dextromethorphan is commonly used as a cough suppressant. Doxylamine succinate is a sedating antihistamine typically used to promote sleep and reduce runny nose symptoms. Phenylephrine hydrochloride is a nasal decongestant typically used to relieve sinus and nasal congestion.

Supplement & herbal interactions

🌿 Drug–supplement interaction checker →
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer mLPer package
Retail pharmacies payNADAC · weekly Not in the retail survey — common for institutional, discontinued, or low-volume packs.
Medicaid paysCMS SDUD · 12 mo No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data.
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
ℹ️
No price is published for this exact package yet. CMS surveys NADAC per package size, so a different pack of the same drug often has one.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

Packaging — all sizes for this product

Package NDCDescription Marketing startMarketing endStatus
41520-0561-40 You're viewing this Main listing 355 mL in 1 BOTTLE 2016-04-11 — Active

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Good Sense Severe NightTime 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 00113-0019-40 L. 354 ml $0.010 — Availability likely —
foster and thrive nighttime severe cold and flu relief 325 mg/15mL; 10 mg/15mL; 6.25 mg/15mL; 5 mg/15mL 70677-1030-01 Strategic 355 ml $0.013 — FDA listed —
Good Sense Severe NightTime Cold and Flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 00113-0763-34 L. 237 ml — — Discontinued —
good sense night time cold and flu 325 mg/15mL; 10 mg/15mL; 6.25 mg/15mL; 5 mg/15mL 00113-2501-40 L. 354 ml — — FDA listed —
Night Time Severe Cold and Flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 00363-0331-26 Walgreen 237 ml — — FDA listed —
severe cold and flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 00363-0623-40 Walgreen 355 ml — — FDA listed —
Severe Cold and Flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 00363-0763-40 Walgreen 355 ml — — FDA listed —
nighttime severe cold and flu 325 mg/15mL; 10 mg/15mL; 6.25 mg/15mL; 5 mg/15mL 00363-2029-40 Walgreen 355 ml — — FDA listed —
Walgreen NightTime Cold and Flu relief 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 00363-6142-12 WALGREENS 354 ml — — FDA listed —
Nighttime Severe Honey Cold and Flu 6.25 mg/15mL; 325 mg/15mL; 10 mg/15mL; 5 mg/15mL 11673-0322-01 TARGET 354 ml — — FDA listed —
Nighttime severe cold and flu 20 mg/30mL; 650 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 11673-0828-01 TARGET 354 ml — — FDA listed —
nighttime severe cold and flu relief 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 11822-0511-01 Rite 355 ml — — FDA listed —
severe cold and flu relief 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 11822-0763-01 Rite 355 ml — — FDA listed —
severe cold and flu relief 325 mg/15mL; 10 mg/15mL; 6.25 mg/15mL; 5 mg/15mL 11822-4099-00 Rite 355 ml — — FDA listed —
Signature Care Nighttime Severe Cold and Flu Relief 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 21130-0129-40 Safeway 355 ml — — FDA listed —
NightTime Severe Cold and Flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 30142-0763-40 Kroger 354 ml — — FDA listed —
topcare nite time cold and flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 36800-0291-40 Topco 355 ml — — FDA listed —
Vicks NyQuil Severe Cold and Flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 37000-0812-01 The 30 ml — — FDA listed —
Vicks NyQuil Severe Cold and Flu 10 mg/30mL; 12.5 mg/30mL; 20 mg/30mL; 650 mg/30mL 37000-0815-08 The 236 ml — — FDA listed —
nighttime severe cold and flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 37808-0763-40 H 355 ml — — FDA listed —
equaline nighttime severe cold and flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 41163-0763-40 United 355 ml — — FDA listed —
Severe Cold and Flu Nighttime Honey 10 mg/15mL; 5 mg/15mL; 6.25 mg/15mL; 325 mg/15mL 41226-0767-01 Kroger 354 ml — — FDA listed —
Nighttime Severe Cold and Flu 12.5 mg/30mL; 10 mg/30mL; 650 mg/30mL; 20 mg/30mL 41226-0775-01 Kroger 354 ml — — FDA listed —
Nitetime Cold and Flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 41250-0763-40 Meijer 355 ml — — FDA listed —
nitetime cold and flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 41250-0811-40 Meijer 355 ml — — FDA listed —
CareOne Nighttime Severe Cold and Flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mLthis 41520-0561-40 American 355 ml — — FDA listed —
Severe Cold and Flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 42507-0020-40 HyVee 355 ml — — FDA listed —
Severe Cold and Flu Night time 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 42507-0763-40 HyVee 355 ml — — FDA listed —
severe cold and flu 325 mg/15mL; 10 mg/15mL; 6.25 mg/15mL; 5 mg/15mL 42507-0861-40 HyVee 355 ml — — FDA listed —
equate nighttime cold and flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 49035-0807-40 Wal-Mart 355 ml — — FDA listed —
Severe cold and flu Nighttime 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 49580-0416-08 P 237 ml — — FDA listed —
Severe cold and flu Nighttime 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 49580-4160-08 P 237 ml — — FDA listed —
Tylenol Cold plus Flu plus Cough Night 325 mg/15mL; 10 mg/15mL; 6.25 mg/15mL; 5 mg/15mL 50580-0369-01 Kenvue 240 ml — — FDA listed —
nighttime severe 325 mg/15mL; 10 mg/15mL; 6.25 mg/15mL; 5 mg/15mL 51316-0179-40 CVS 355 ml — — FDA listed —
Severe Cold And Flu 325 mg/15mL; 10 mg/15mL; 6.25 mg/15mL; 5 mg/15mL 51316-0533-40 CVS 355 ml — — FDA listed —
CVS NightTime Cold 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 51316-0641-12 CVS 354 ml — — FDA listed —
Severe Nighttime Cold and Flu Relief 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 55319-0641-08 Family 237 ml — — FDA listed —
Severe cold and flu Nighttime 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 55910-0716-08 Dolgencorp, 237 ml — — FDA listed —
dg health cold and flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 55910-0900-34 Dolgencorp, 237 ml — — FDA listed —
DG Health Cold and Flu Severe 325 mg/15mL; 10 mg/15mL; 6.25 mg/15mL; 5 mg/15mL 55910-0928-40 Dolgencorp 355 ml — — FDA listed —
nitetime severe 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 56062-0763-40 Publix 355 ml — — FDA listed —
Rompe Pecho Nighttime 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 58593-0830-06 EFFICIENT 1 bottle — — FDA listed —
Nighttime SEVERE 325 mg/15mL; 10 mg/15mL; 6.25 mg/15mL; 5 mg/15mL 59640-0423-40 H 355 ml — — FDA listed —
Severe Nighttime 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 59779-0763-34 CVS 237 ml — — Discontinued —
VICKS NyQuil SEVERE HONEY FLAVOR COLD and FLU 325 mg/15mL; 5 mg/15mL; 10 mg/15mL; 6.25 mg/15mL 69423-0807-08 Procter 236 ml — — FDA listed —
Vicks NyQuil Severe Honey Cold and Flu 325 mg/15mL; 5 mg/15mL; 10 mg/15mL; 6.25 mg/15mL 69423-0968-08 Procter 236 ml — — FDA listed —
NyQuil VapoCOOL SEVERE COLD and FLU plus CONGESTION 10 mg/30mL; 12.5 mg/30mL; 20 mg/30mL; 650 mg/30mL 69423-0989-08 The 236 ml — — FDA listed —
Nighttime Severe 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 69842-0800-40 CVS 355 ml — — FDA listed —
basic care nighttime severe cold and flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 72288-0189-40 Amazon.com 355 ml — — FDA listed —
basic care nighttime severe cold and flu 325 mg/15mL; 10 mg/15mL; 6.25 mg/15mL; 5 mg/15mL 72288-0601-40 Amazon.com 355 ml — — FDA listed —
basic care nighttime severe cold and flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 72288-0639-40 Amazon.com 355 ml — — FDA listed —
topcare nite time cold and flu 325 mg/15mL; 10 mg/15mL; 6.25 mg/15mL; 5 mg/15mL 76162-0202-40 Topco 355 ml — — FDA listed —
night time cold and flu 325 mg/15mL; 10 mg/15mL; 6.25 mg/15mL; 5 mg/15mL 79481-8999-00 Meijer, 355 ml — — FDA listed —
equate nighttime cold and flu 325 mg/15mL; 10 mg/15mL; 6.25 mg/15mL; 5 mg/15mL 79903-0122-12 WALMART 1 bottle — — FDA listed —
Cold and Flu plus Congestion Nighttime 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 79903-0191-12 WALMART 355 ml — — FDA listed —
Nighttime Severe Cold and Flu 12.5 mg/30mL; 10 mg/30mL; 650 mg/30mL; 20 mg/30mL 85828-0775-01 Grocery 354 ml — — FDA listed —
nighttime severe cold and flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 51316-0415-40 CVS 355 ml — — FDA listed —
Nighttime Severe Cold And Flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 51316-0477-40 CVS 355 ml — — FDA listed —
nighttime severe cold and flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 72288-0259-40 Amazon.com 355 ml — — FDA listed —
nighttime severe cold and flu 650 mg/30mL; 20 mg/30mL; 12.5 mg/30mL; 10 mg/30mL 72288-0646-40 Amazon.com 355 ml — — FDA listed —
About this product: other versions of the same ingredient, strength and form are listed above, least expensive first, with FDA equivalence ratings where available.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2016
On the market since
Apr 2016
📍
2026
Currently FDA-listed
10 years listed
🔒
·
No generic listed yet
brand only
ℹ️No FDA-approved generic found

We did not find an FDA-approved generic match for this exact strength, form and route.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

Loading inactive ingredients from the official FDA label in the background. No external source is being called by this page request.
Where does this data come from?
Source: official FDA Structured Product Labeling (SPL) via DailyMed and the openFDA label index. Structured IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

Manufacturer & labeler

LabelerAmerican Sales Company
FDA applicationM012 (OTC MONOGRAPH DRUG)
Labeler code41520
First marketedApr 2016
Product typeHuman Otc Drug
Portfolio100 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

FDA label — Drug Facts FDA SPL

The complete FDA label for this product — the official Drug Facts labeling, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage ⏱️ Dosage and Administration ⚠️ Warnings 📦 Storage and Handling 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose 📄 Do Not Use 📄 Ask a Doctor Before Use If 📄 Ask a Doctor or Pharmacist Before Use If 📄 When Using This Product 📄 Stop Use and Ask a Doctor If 🤰 If Pregnant or Breast-Feeding 📄 Keep Out of Reach of Children 📄 Questions or Comments 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 66 words ▾

Uses temporarily relieves common cold/flu symptoms: • nasal congestion • sinus congestion and pressure • minor aches and pains • headache • fever • sore throat • runny nose and sneezing • cough due to minor throat and bronchial irritation • cough to help you sleep • reduces swelling of nasal passages • promotes nasal and/or sinus drainage • temporarily restores freer breathing through the nose

⏱️ Dosage and Administration 73 words ▾

Directions • take only as directed – see Overdose warning • only use the dose cup provided • do not exceed 4 doses per 24 hrs adults & children 12 yrs & over 30 mL every 4 hrs children 4 to under 12 yrs ask a doctor children under 4 yrs do not use Other information • each 30 mL contains: sodium 41 mg • store at 20-25 ° C (68-77 ° F)

⚠️ Warnings ~2 min read ▾

Warnings Liver warning : This product contains acetaminophen. Severe liver damage may occur if you take • more than 4,000 mg of acetaminophen in 24 hours • with other drugs containing acetaminophen • 3 or more alcoholic drinks every day while using this product Allergy alert: Acetaminophen may cause severe skin reactions. Symptoms may include: • skin reddening • blisters • rash If a skin reaction occurs, stop use and seek medical help right away.

Sore throat warning: If sore throat is severe, persists for more than 2 days, is accompanied or followed by fever, headache, rash, nausea, or vomiting, consult a doctor promptly. Do not use • with any other drug containing acetaminophen (prescription or nonprescription). If you are not sure whether a drug contains acetaminophen, ask a doctor or pharmacist. • if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric, or emotional conditions, or Parkinson’s disease), or for 2 weeks after stopping the MAOI drug.

If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product. • if you have ever had an allergic reaction to this product or any of its ingredients Ask a doctor before use if you have • liver disease • heart disease • high blood pressure • thyroid disease • diabetes • glaucoma • cough that occurs with too much phlegm (mucus) • a breathing problem such as emphysema or chronic bronchitis • trouble urinating due to an enlarged prostate gland • persistent or chronic cough such as occurs with smoking, asthma, or emphysema • a sodium-restricted diet Ask a doctor or pharmacist before use if you are • taking sedatives or tranquilizers • taking the blood thinning drug warfarin When using this product • do not use more than directed • excitability may occur, especially in children • marked drowsiness may occur • avoid alcoholic drinks • be careful when driving a motor vehicle or operating machinery • alcohol, sedatives, and tranquilizers may increase drowsiness Stop use and ask a doctor if • you get nervous, dizzy or sleepless • pain, nasal congestion, or cough gets worse or lasts more than 7 days • fever gets worse or lasts more than 3 days • redness or swelling is present • new symptoms occur • cough comes back or occurs with rash or headache that lasts.

These could be signs of a serious condition. If pregnant or breast-feeding, ask a health professional before use.

📦 Storage and Handling 19 words ▾

Other information • each 30 mL contains: sodium 41 mg • store at 20-25 ° C (68-77 ° F)

🧪 Active Ingredient 21 words ▾

Active ingredients (in each 30 mL) Acetaminophen 650 mg Dextromethorphan HBr 20 mg Doxylamine succinate 12.5 mg Phenylephrine HCl 10 mg

🧪 Inactive Ingredients 34 words ▾

Inactive ingredients anhydrous citric acid, edetate disodium, FD&C blue #1, FD&C red #40, flavor, glycerin, propylene glycol, purified water, saccharin sodium, sodium benzoate, sodium chloride, sodium citrate, sorbitol solution, sucralose, xanthan gum Questions? 1-800-719-9260

🎯 Purpose 9 words ▾

Purpose Pain reliever/fever reducer Cough suppressant Antihistamine Nasal decongestant

📄 Do Not Use 98 words ▾

Do not use • with any other drug containing acetaminophen (prescription or nonprescription). If you are not sure whether a drug contains acetaminophen, ask a doctor or pharmacist. • if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric, or emotional conditions, or Parkinson’s disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product. • if you have ever had an allergic reaction to this product or any of its ingredients

📄 Ask a Doctor Before Use If 70 words ▾

Ask a doctor before use if you have • liver disease • heart disease • high blood pressure • thyroid disease • diabetes • glaucoma • cough that occurs with too much phlegm (mucus) • a breathing problem such as emphysema or chronic bronchitis • trouble urinating due to an enlarged prostate gland • persistent or chronic cough such as occurs with smoking, asthma, or emphysema • a sodium-restricted diet

📄 Ask a Doctor or Pharmacist Before Use If 22 words ▾

Ask a doctor or pharmacist before use if you are • taking sedatives or tranquilizers • taking the blood thinning drug warfarin

📄 When Using This Product 46 words ▾

When using this product • do not use more than directed • excitability may occur, especially in children • marked drowsiness may occur • avoid alcoholic drinks • be careful when driving a motor vehicle or operating machinery • alcohol, sedatives, and tranquilizers may increase drowsiness

📄 Stop Use and Ask a Doctor If 68 words ▾

Stop use and ask a doctor if • you get nervous, dizzy or sleepless • pain, nasal congestion, or cough gets worse or lasts more than 7 days • fever gets worse or lasts more than 3 days • redness or swelling is present • new symptoms occur • cough comes back or occurs with rash or headache that lasts. These could be signs of a serious condition.

🤰 If Pregnant or Breast-Feeding 10 words ▾

If pregnant or breast-feeding, ask a health professional before use.

📄 Keep Out of Reach of Children 46 words ▾

Keep out of reach of children. Overdose warning: In case of overdose, get medical help or contact a Poison Control Center right away (1-800-222-1222). Quick medical attention is critical for adults as well as for children even if you do not notice any signs or symptoms.

📄 Questions or Comments 2 words ▾

Questions? 1-800-719-9260

📄 Package Label / Principal Display Panel 64 words ▾

Package/Label Principal Display Panel CAREone ® Compare to the active ingredients in Vicks ® NyQuil ® Severe Cold & Flu NIGHTTIME SEVERE COLD & FLU Pain Reliever / Fever Reducer-Acetaminophen Cough Suppressant-Dextromethorphan HBr Antihistamine-Doxylamine Succinate Nasal Decongestant-Phenylephrine HCl Max Strength Relieves: Aches, Fever, Sore Throat Nasal/Sinus Congestion & Sinus Pressure Runny Nose Sneezing Cough OUR PHARMACISTS RECOMMEND Berry Flavor 12 FL OZ (355mL) 763-of-nighttime-severe-cold-and-flu

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

About this NDC listing & data coverage

Over-the-counter (OTC) product
What data is (and isn’t) available for this NDC — tap to expand
NDC identity (package / product / labeler codes) ✓ Available
Labeler ✓ Available
Product & package description ✓ Available
Marketing category & status ✓ Available
Active ingredient / dosage form / route ✓ Available
FDA label (SPL via DailyMed) ✓ Available
Package photos — Not published for this NDC No photo available yet for this listing.
Inactive ingredients (structured) — Not published for this NDC The labeler did not submit a structured excipient list, or no SPL is available.
NADAC pharmacy acquisition price (CMS) — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey.
Orange Book / therapeutic-equivalence data — Not published for this NDC Applies only to products approved under an NDA/ANDA; many listings are out of scope.
HCPCS J-code billing crosswalk — Not published for this NDC Most self-administered / retail products have no J-code — that is normal.
Medicaid utilization (CMS SDUD) — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold.
“Not published” reflects what the public FDA / CMS / NLM sources provide for this exact package code — it is a property of the data feeds, not a judgment about the product.

Questions about this listing

Is this NDC FDA-approved?
An NDC listing does not by itself establish FDA approval — the NDC Directory records that a product is listed with FDA, not that it was reviewed and approved. This listing's marketing category is "Otc Monograph Drug". Products approved under an application carry an NDA, ANDA, or BLA number.
Why is there no price listed?
The pricing shown on our NDC pages comes from CMS NADAC, a voluntary survey of retail community pharmacy invoices. CMS does not publish a NADAC for every NDC — packages outside the retail survey (institutional and hospital products, bulk packages, discontinued items, and many OTC items) may never receive one. A missing price reflects the survey's scope, not this product's actual cost, and does not mean the product is free or unavailable.
Is the NDC printed on the package the same as the 11-digit billing NDC?
Yes, they identify this exact package in different formats. The form printed on the packaging and shown on DailyMed is the one the FDA registered. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero and the dashes are dropped. The Identity section at the top of this page lists each form of this code.
Is this package still being marketed?
Yes, per the latest FDA NDC Directory data on this page: this package is listed as actively marketed, with no marketing end date reported by American Sales Company. Listing status can change — the directory data on this page refreshes weekly.
Who lists this product with the FDA?
American Sales Company is the labeler of record for this NDC — the company under whose FDA-assigned code the package is listed. The labeler may be the manufacturer itself or a distributor marketing the product under its own code.
Do I need a prescription for this product?
This NDC is listed with FDA as an over-the-counter product, so it does not require a prescription. Follow the package directions, and ask your pharmacist if you are unsure whether it is right for you.
This page identifies an FDA-listed package (the NDC) and reports public regulatory and pricing data about the listing. It is reference information, not a medical recommendation — talk to your pharmacist or prescriber about your own medication.
Where does this data come from?
Listing facts (marketing category, packager status, marketing dates) from the FDA openFDA NDC Directory; label availability from DailyMed; pricing coverage from CMS NADAC; equivalence scope from the FDA Orange Book.
← 41520-0558-09 · Foodhold 41520-0565-46 · Foodhold →
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.