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NDC 63824-0223-66 Delsym Nighttime Cough 650; 20; 2.5 mg/20mL; mg/20mL; mg/20mL Details
Delsym Nighttime Cough 650; 20; 2.5 mg/20mL; mg/20mL; mg/20mL
Delsym Nighttime Cough is a ORAL SOLUTION in the HUMAN OTC DRUG category. It is labeled and distributed by RB Health (US) LLC. The primary component is ACETAMINOPHEN; DEXTROMETHORPHAN HYDROBROMIDE; TRIPROLIDINE HYDROCHLORIDE.
Product Information
| NDC | 63824-0223 |
|---|---|
| Product ID | 63824-223_f5b6422f-53ff-60e0-e053-2995a90a6981 |
| Associated GPIs | 43998903302020 |
| GCN Sequence Number | 080838 |
| GCN Sequence Number Description | triprolidine/DM/acetaminophen LIQUID 2.5-650/20 ORAL |
| HIC3 | B4G |
| HIC3 Description | NON-OPIOID ANTITUS-1ST GEN ANTIHIST-ANALGESIC COMB |
| GCN | 47819 |
| HICL Sequence Number | 046405 |
| HICL Sequence Number Description | TRIPROLIDINE HCL/DEXTROMETHORPHAN HBR/ACETAMINOPHEN |
| Brand/Generic | Brand |
| Proprietary Name | Delsym Nighttime Cough |
| Proprietary Name Suffix | n/a |
| Non-Proprietary Name | ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, and TRIPROLIDINE HYDROCHLORIDE |
| Product Type | HUMAN OTC DRUG |
| Dosage Form | SOLUTION |
| Route | ORAL |
| Active Ingredient Strength | 650; 20; 2.5 |
| Active Ingredient Units | mg/20mL; mg/20mL; mg/20mL |
| Substance Name | ACETAMINOPHEN; DEXTROMETHORPHAN HYDROBROMIDE; TRIPROLIDINE HYDROCHLORIDE |
| 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 | OTC MONOGRAPH FINAL |
| Application Number | part341 |
| Listing Certified Through | 2024-12-31 |
Package
NDC 63824-0223-66 (63824022366)
| NDC Package Code | 63824-223-66 |
|---|---|
| Billing NDC | 63824022366 |
| Package | 180 mL in 1 BOTTLE (63824-223-66) |
| Marketing Start Date | 2020-06-30 |
| NDC Exclude Flag | N |
| Pricing Information | |
| Price Per Unit | 0.05673 |
| Pricing Unit | ML |
| Effective Date | 2022-04-01 |
| NDC Description | DELSYM NIGHTTIME COUGH LIQUID |
| Pharmacy Type Indicator | C/I |
| OTC | Y |
| Explanation Code | 4, 5, 6 |
| Classification for Rate Setting | B |
| As of Date | 2022-06-29 |
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