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NDC 63824-0171-65 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 RB Health (US) LLC. The primary component is DEXTROMETHORPHAN.
MedlinePlus Drug Summary
Dextromethorphan is used to temporarily relieve cough caused by the common cold, the flu, or other conditions. Dextromethorphan will relieve a cough but will not treat the cause of the cough or speed recovery. Dextromethorphan is in a class of medications called antitussives. It works by decreasing activity in the part of the brain that causes coughing.
Related Packages: 63824-0171-65Last Updated: 12/01/2022
MedLinePlus Full Drug Details: Dextromethorphan
Product Information
| NDC | 63824-0171 |
|---|---|
| Product ID | 63824-171_04a74259-fbbd-4df7-bcc4-b595eadf2851 |
| Associated GPIs | 4310203060G110 |
| 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 | Brand |
| 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 | RB Health (US) LLC |
| 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 | 2024-12-31 |
Package
Package Images
NDC 63824-0171-65 (63824017165)
| NDC Package Code | 63824-171-65 |
|---|---|
| Billing NDC | 63824017165 |
| Package | 1 BOTTLE in 1 CARTON (63824-171-65) / 148 mL in 1 BOTTLE |
| Marketing Start Date | 2010-05-04 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.07651 |
| Pricing Unit | ML |
| Effective Date | 2024-02-21 |
| NDC Description | DELSYM 30 MG/5 ML SUSPENSION |
| Pharmacy Type Indicator | C/I |
| OTC | Y |
| Explanation Code | 1, 5 |
| Classification for Rate Setting | B |
| 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 234e6a2c-a280-4a39-8777-9316e9d681fb Details
Active ingredient (in each 5 mL)
Uses
Warnings
Do not use 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.
Ask a doctor before use if you have
- chronic cough that lasts such as occurs with smoking, asthma, or emphysema
- cough that occurs with too much phlegm (mucus)
Directions
- shake bottle well before use
- measure only with dosing cup provided
- do not use dosing cup with other products
- dose as follows or as directed by a doctor
- mL = milliliter
| adults and children 12 years of age and over | 10 mL every 12 hours, not to exceed 20 mL in 24 hours |
| children 6 to under 12 years of age | 5 mL every 12 hours, not to exceed 10 mL in 24 hours |
| children 4 to under 6 years of age | 2.5 mL every 12 hours, not to exceed 5 mL in 24 hours |
| children under 4 years of age | do not use |
Inactive ingredients
citric acid anhydrous, D&C red no. 33, edetate disodium, ethylcellulose, FD&C blue no. 1, flavor, high fructose corn syrup, methylparaben, partially hydrogenated vegetable oil (soybean, cottonseed), polyethylene glycol 3350, polysorbate 80, propylene glycol, propylparaben, purified water, sucrose, tragacanth, xanthan gum
PRINCIPAL DISPLAY PANEL - 148 mL Bottle Carton
INGREDIENTS AND APPEARANCE
| DELSYM
dextromethorphan suspension, extended release |
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| Labeler - RB Health (US) LLC (081049410) |
Revised: 6/2022
Document Id: 04a74259-fbbd-4df7-bcc4-b595eadf2851
Set id: 234e6a2c-a280-4a39-8777-9316e9d681fb
Version: 12
Effective Time: 20220620