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    NDC 65162-0680-86 Promethazine Hydrochloride and Dextromethorphan Hydrobromide 15; 6.25 mg/5mL; mg/5mL Details

    Promethazine Hydrochloride and Dextromethorphan Hydrobromide 15; 6.25 mg/5mL; mg/5mL

    Promethazine Hydrochloride and Dextromethorphan Hydrobromide is a ORAL SOLUTION in the HUMAN PRESCRIPTION DRUG category. It is labeled and distributed by Amneal Pharmaceuticals LLC. The primary component is DEXTROMETHORPHAN HYDROBROMIDE; PROMETHAZINE HYDROCHLORIDE.

    Product Information

    NDC 65162-0680
    Product ID 65162-680_3236c3e4-8625-4dc0-bdbd-ee6c91aab6aa
    Associated GPIs 43995702301210
    GCN Sequence Number 048493
    GCN Sequence Number Description promethazine/dextromethorphan SYRUP 6.25-15/5 ORAL
    HIC3 B4E
    HIC3 Description NON-OPIOID ANTITUSSIVE-1ST GEN ANTIHISTAMINE COMB.
    GCN 13975
    HICL Sequence Number 000366
    HICL Sequence Number Description PROMETHAZINE HCL/DEXTROMETHORPHAN HBR
    Brand/Generic Generic
    Proprietary Name Promethazine Hydrochloride and Dextromethorphan Hydrobromide
    Proprietary Name Suffix n/a
    Non-Proprietary Name Promethazine Hydrochloride and Dextromethorphan Hydrobromide
    Product Type HUMAN PRESCRIPTION DRUG
    Dosage Form SOLUTION
    Route ORAL
    Active Ingredient Strength 15; 6.25
    Active Ingredient Units mg/5mL; mg/5mL
    Substance Name DEXTROMETHORPHAN HYDROBROMIDE; PROMETHAZINE HYDROCHLORIDE
    Labeler Name Amneal Pharmaceuticals LLC
    Pharmaceutical Class Phenothiazine [EPC], Phenothiazines [CS], 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 ANDA
    Application Number ANDA090575
    Listing Certified Through 2024-12-31

    Package

    NDC 65162-0680-86 (65162068086)

    NDC Package Code 65162-680-86
    Billing NDC 65162068086
    Package 118 mL in 1 BOTTLE (65162-680-86)
    Marketing Start Date 2011-03-04
    NDC Exclude Flag N
    Pricing Information
    Price Per Unit 0.06338
    Pricing Unit ML
    Effective Date 2024-02-21
    NDC Description PROMETHAZINE-DM 6.25-15 MG/5 ML
    Pharmacy Type Indicator C/I
    OTC N
    Explanation Code 1, 5
    Classification for Rate Setting G
    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