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    NDC 63824-0213-66 Delsym 20; 400 mg/20mL; mg/20mL Details

    Delsym 20; 400 mg/20mL; mg/20mL

    Delsym is a ORAL SOLUTION in the HUMAN OTC DRUG category. It is labeled and distributed by RB Health (US) LLC. The primary component is DEXTROMETHORPHAN HYDROBROMIDE; GUAIFENESIN.

    Product Information

    NDC 63824-0213
    Product ID 63824-213_f5b682aa-a182-09ff-e053-2a95a90ade73
    Associated GPIs 43997002520905
    GCN Sequence Number 023893
    GCN Sequence Number Description guaifenesin/dextromethorphan LIQUID 100-5 MG/5 ORAL
    HIC3 B3T
    HIC3 Description NON-OPIOID ANTITUSSIVE AND EXPECTORANT COMBINATION
    GCN 53497
    HICL Sequence Number 000223
    HICL Sequence Number Description GUAIFENESIN/DEXTROMETHORPHAN HBR
    Brand/Generic Generic
    Proprietary Name Delsym
    Proprietary Name Suffix Cough Plus Chest Congestion DM
    Non-Proprietary Name Dextromethorphan Hydrobromide and Guaifenesin
    Product Type HUMAN OTC DRUG
    Dosage Form SOLUTION
    Route ORAL
    Active Ingredient Strength 20; 400
    Active Ingredient Units mg/20mL; mg/20mL
    Substance Name DEXTROMETHORPHAN HYDROBROMIDE; GUAIFENESIN
    Labeler Name RB Health (US) LLC
    Pharmaceutical Class Decreased Respiratory Secretion Viscosity [PE], Expectorant [EPC], Increased Respiratory Secretions [PE], Sigma-1 Agonist [EPC], Sigma-1 Receptor Agonists [MoA], Uncompetitive N-methyl-D-aspartate Receptor Antagonist [EPC], Uncompetitive NMDA Receptor Ant
    DEA Schedule n/a
    Marketing Category OTC MONOGRAPH FINAL
    Application Number part341
    Listing Certified Through 2024-12-31

    Package

    NDC 63824-0213-66 (63824021366)

    NDC Package Code 63824-213-66
    Billing NDC 63824021366
    Package 180 mL in 1 BOTTLE (63824-213-66)
    Marketing Start Date 2013-03-31
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.06234
    Pricing Unit ML
    Effective Date 2023-12-20
    NDC Description DELSYM COUGH+CHEST CNGST DM LQ
    Pharmacy Type Indicator C/I
    OTC Y
    Explanation Code 2, 5, 6
    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