Ohio Medicaid Fee-For-Service Cough and Cold Drug List Effective October 1, 2013 $ 2 Co-Pay May Apply
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- Conrad Melton
- 8 years ago
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1 NDC ANALGESICS Label Name Generic Drug Name Drug Strength Dosage Form ACEPHEN 120 MG SUPPOSITORY ACETAMINOPHEN 120 MG SUPP.RECT ACETAMINOPHEN 120 MG SUPPOSITORY ACETAMINOPHEN 120 MG SUPP.RECT FEVERALL 120 MG SUPPOSITORY ACETAMINOPHEN 120 MG SUPP.RECT ACEPHEN 325 MG SUPPOSITORY ACETAMINOPHEN 325 MG SUPP.RECT FEVERALL 325 MG SUPPOSITORY ACETAMINOPHEN 325 MG SUPP.RECT ACEPHEN 650 MG SUPPOSITORY ACETAMINOPHEN 650 MG SUPP.RECT ACETAMINOPHEN 650 MG SUPPOSITORY ACETAMINOPHEN 650 MG SUPP.RECT FEVERALL 650 MG SUPPOSITORY ACETAMINOPHEN 650 MG SUPP.RECT ADVIL LIQUI-GELS 200 MG CAPSULE IBUPROFEN 200 MG CAPSULE HM IBUPROFEN 200 MG CAPSULE IBUPROFEN 200 MG CAPSULE IBUPROFEN 200 MG SOFTGEL IBUPROFEN 200 MG CAPSULE PV IBUPROFEN 200 MG SOFTGEL IBUPROFEN 200 MG CAPSULE ADVIL 200 MG TABLET IBUPROFEN 200 MG TABLET HM IBUPROFEN 200 MG CAPLET IBUPROFEN 200 MG TABLET IBUPROFEN 200 MG CAPLET IBUPROFEN 200 MG TABLET IBUPROFEN 200 MG TABLET IBUPROFEN 200 MG TABLET PROVIL 200 MG TABLET IBUPROFEN 200 MG TABLET QC IBUPROFEN 200 MG CAPLET IBUPROFEN 200 MG TABLET SM IBUPROFEN IB 200 MG TABLET IBUPROFEN 200 MG TABLET ADVIL 100 MG TABLET IBUPROFEN 100 MG TABLET ADVIL JR STR 100 MG TAB CHEW IBUPROFEN 100 MG TAB CHEW IBUPROFEN JR STR 100 MG CHEW IBUPROFEN 100 MG TAB CHEW CHILD IBUPROFEN 100 MG/5 ML IBUPROFEN 100 MG/5ML ORAL SUSP CHILDREN IBUPROFEN 100 MG/5 ML IBUPROFEN 100 MG/5ML ORAL SUSP CHILDREN'S ADVIL 100 MG/5 ML IBUPROFEN 100 MG/5ML ORAL SUSP IBUPROFEN 100 MG/5 ML SUSPENSION IBUPROFEN 100 MG/5ML ORAL SUSP Page 1 of 11
2 NDC ANALGESICS Label Name Generic Drug Name Drug Strength Dosage Form IBUPROFEN 200 MG/10 ML SUSPENSION IBUPROFEN 100 MG/5ML ORAL SUSP PV CHILD IBUPROFEN 100 MG/5 ML IBUPROFEN 100 MG/5ML ORAL SUSP QC IBUPROFEN 100 MG/5 ML SUSPENSION IBUPROFEN 100 MG/5ML ORAL SUSP SM IBUPROFEN 100 MG/5 ML SUSPENSION IBUPROFEN 100 MG/5ML ORAL SUSP HM INF IBUPROFEN 50 MG/1.25 ML IBUPROFEN 50 MG/1.25 ML DROPS SUSP IBU-DROPS 40 MG/ML SUSP DROPS IBUPROFEN 50 MG/1.25 ML DROPS SUSP INFANT IBUPROFEN 50 MG/1.25 ML IBUPROFEN 50 MG/1.25 ML DROPS SUSP INFANTS IBU-DROPS SUSPENSION IBUPROFEN 50 MG/1.25 ML DROPS SUSP SM INFANT IBUPROFEN SUSP DROPS IBUPROFEN 50 MG/1.25 ML DROPS SUSP NAPROXEN SODIUM 220 MG CAPS NAPROXEN SODIUM 220 MG CAPSULE SM NAPROXEN SODIUM 220 MG NAPROXEN SODIUM 220 MG CAPSULE ALL DAY PAIN RELIEF 220 MG NAPROXEN SODIUM 220 MG TABLET ALL DAY PAIN RLF 220 MG CAP NAPROXEN SODIUM 220 MG TABLET HM NAPROXEN SOD 220 MG CAP NAPROXEN SODIUM 220 MG TABLET NAPROXEN SODIUM 220 MG TABLET NAPROXEN SODIUM 220 MG TABLET PV NAPROXEN SOD 220 MG TABLET NAPROXEN SODIUM 220 MG TABLET QC NAPROXEN SOD 220 MG TABLET NAPROXEN SODIUM 220 MG TABLET NDC EXPECTORANTS Label Name Generic Drug Name Drug Strength Dosage Form EXPECTORANT 100 MG/5 ML SYRUP GUAIFENESIN 100 MG/5ML SYRUP HM ADULT TUSSIN CHEST CONG GUAIFENESIN 100 MG/5ML SYRUP CHILDREN'S MUCUS RELIEF LIQUID GUAIFENESIN 100 MG/5ML LIQUID COUGH SYRUP 100 MG/5 ML GUAIFENESIN 100 MG/5ML LIQUID Page 2 of 11
3 NDC EXPECTORANTS Label Name Generic Drug Name Drug Strength Dosage Form DIABETIC SILTUSSIN DAS-NA LIQUID GUAIFENESIN 100 MG/5ML LIQUID GUAIFENESIN 100 MG/5 ML LIQUID GUAIFENESIN 100 MG/5ML LIQUID GUAIFENESIN 100 MG/5 ML SOLUTION GUAIFENESIN 100 MG/5ML LIQUID IOPHEN NR LIQUID GUAIFENESIN 100 MG/5ML LIQUID PV CHILD MUCUS RELIEF EXP LIQUID GUAIFENESIN 100 MG/5ML LIQUID PV TUSSIN 100 MG/5 ML LIQUID GUAIFENESIN 100 MG/5ML LIQUID QC MEDIFIN EXP MUCUS RLF LIQUID GUAIFENESIN 100 MG/5ML LIQUID QC TUSSIN 100 MG/5 ML LIQUID GUAIFENESIN 100 MG/5ML LIQUID Q-TUSSIN 100 MG/5 ML SOLUTION GUAIFENESIN 100 MG/5ML LIQUID ROBAFEN 100 MG/5 ML SYRUP GUAIFENESIN 100 MG/5ML LIQUID ROBITUSSIN MUCUS-CHEST CONG GUAIFENESIN 100 MG/5ML LIQUID SILTUSSIN SA 100 MG/5 ML SYRUP GUAIFENESIN 100 MG/5ML LIQUID SM TUSSIN 100 MG/5 ML LIQUID GUAIFENESIN 100 MG/5ML LIQUID TUSSIN 100 MG/5 ML SYRUP GUAIFENESIN 100 MG/5ML LIQUID TUSSIN CHEST CONGESTION LIQUID GUAIFENESIN 100 MG/5ML LIQUID TUSSIN MUCUS-CONGEST 100 MG GUAIFENESIN 100 MG/5ML LIQUID COUGHTAB 200 MG TABLET GUAIFENESIN 200 MG TABLET GUAIFENESIN 200 MG TABLET GUAIFENESIN 200 MG TABLET ORGAN-I NR 200 MG TABLET GUAIFENESIN 200 MG TABLET ALLFEN 400 MG TABLET GUAIFENESIN 400 MG TABLET CHEST CONGESTION RELIEF TABLET GUAIFENESIN 400 MG TABLET G-FENESIN 400 MG CAPLET GUAIFENESIN 400 MG TABLET HM CHEST CONGEST RLF 400 MG GUAIFENESIN 400 MG TABLET MUCUS RELIEF 400 MG TABLET GUAIFENESIN 400 MG TABLET TUSSIN 400 MG TABLET GUAIFENESIN 400 MG TABLET GUAIFENESIN ER 600 MG TABLET GUAIFENESIN 600 MG TABLET ER Page 3 of 11
4 NDC EXPECTORANTS Label Name Generic Drug Name Drug Strength Dosage Form MUCUS ER 600 MG TABLET GUAIFENESIN 600 MG TABLET ER SM MUCUS ER 600 MG TABLET GUAIFENESIN 600 MG TABLET ER NDC ANTITUSSIVES Label Name Generic Drug Name Drug Strength Dosage Form DAY TIME COUGH LIQUID DEXTROMETHORPHAN HBR 5 MG/5 ML SYRUP ROBITUSSIN PEDIATRIC COUGH DEXTROMETHORPHAN HBR 7.5 MG/5ML SYRUP ADT ROBITUSSIN LINGER COLD DEXTROMETHORPHAN HBR 15 MG/5 ML SYRUP COUGH RELIEF LIQUID DEXTROMETHORPHAN HBR 15 MG/5 ML LIQUID HM COUGH RELIEF LIQUID DEXTROMETHORPHAN HBR 15 MG/5 ML LIQUID PV COUGH RELIEF LIQUID DEXTROMETHORPHAN HBR 15 MG/5 ML LIQUID PV TUSSIN COUGH LIQUID DEXTROMETHORPHAN HBR 15 MG/5 ML LIQUID QC COUGH RELIEF LIQUID DEXTROMETHORPHAN HBR 15 MG/5 ML LIQUID SM COUGH RELIEF LIQUID DEXTROMETHORPHAN HBR 15 MG/5 ML LIQUID TUSSIN COUGH LIQUID DEXTROMETHORPHAN HBR 15 MG/5 ML LIQUID COUGH DM ER 30 MG/5 ML SUSPENSION DEXTROMETHORPHAN POLISTIREX 30 MG/5 ML SUS ER 12H DELSYM 30 MG/5 ML SUSPENSION DEXTROMETHORPHAN POLISTIREX 30 MG/5 ML SUS ER 12H DEXTROMETHORPHAN ER 30 MG/5 DEXTROMETHORPHAN POLISTIREX 30 MG/5 ML SUS ER 12H HM COUGH DM ER 30 MG/5 ML SUSP DEXTROMETHORPHAN POLISTIREX 30 MG/5 ML SUS ER 12H Page 4 of 11
5 NDC DECONGESTANTS Label Name Generic Drug Name Drug Strength Dosage Form EPHEDRINE SULFATE 25 MG CAP EPHEDRINE SULFATE 25 MG CAPSULE HM NASAL DECONG PE 10 MG TABLET PHENYLEPHRINE HCL 10 MG TABLET NASAL DECONGESTANT PE 10 MG PHENYLEPHRINE HCL 10 MG TABLET QC SUPHEDRINE PE 10 MG TABLET PHENYLEPHRINE HCL 10 MG TABLET SM NASAL DECONG PE 10 MG TABLET PHENYLEPHRINE HCL 10 MG TABLET SUDOGEST PE 10 MG TABLET PHENYLEPHRINE HCL 10 MG TABLET NASAL DECON(P-EPHED)30 MG/5 PSEUDOEPHEDRINE HCL 30 MG/5 ML LIQUID PSEUDOEPHED 30 MG/5 ML SOLUTION PSEUDOEPHEDRINE HCL 30 MG/5 ML LIQUID SUPHEDRIN LIQUID PSEUDOEPHEDRINE HCL 15 MG/5 ML LIQUID HM NASAL DECONGEST 30 MG TABLET PSEUDOEPHEDRINE HCL 30 MG TABLET NASAL DECONGESTANT 30 MG TABLET PSEUDOEPHEDRINE HCL 30 MG TABLET PSEUDOEPHEDRINE 30 MG TABLET PSEUDOEPHEDRINE HCL 30 MG TABLET QC SUPHEDRINE 30 MG TABLET PSEUDOEPHEDRINE HCL 30 MG TABLET SM NASAL DECONGEST 30 MG TABLET PSEUDOEPHEDRINE HCL 30 MG TABLET SUDOGEST 30 MG TABLET PSEUDOEPHEDRINE HCL 30 MG TABLET SUPHEDRIN 30 MG TABLET PSEUDOEPHEDRINE HCL 30 MG TABLET SUPHEDRINE SINUS CONG 30 MG PSEUDOEPHEDRINE HCL 30 MG TABLET SUDOGEST 60 MG TABLET PSEUDOEPHEDRINE HCL 60 MG TABLET HM NASAL DECONGEST ER 120 MG PSEUDOEPHEDRINE HCL 120 MG TABLET ER NDC ANTIHISTAMINES Label Name Generic Drug Name Drug Strength Dosage Form BANOPHEN 12.5 MG/5 ML ELIXIR DIPHENHYDRAMINE HCL 12.5MG/5ML LIQUID BANOPHEN ALLERGY 12.5 MG/5 ML DIPHENHYDRAMINE HCL 12.5MG/5ML LIQUID Page 5 of 11
6 NDC ANTIHISTAMINES Label Name Generic Drug Name Drug Strength Dosage Form CHILD'S ALLERGY 12.5 MG/5 ML DIPHENHYDRAMINE HCL 12.5MG/5ML LIQUID COMPLETE ALLERGY 12.5 MG/5 ML DIPHENHYDRAMINE HCL 12.5MG/5ML LIQUID DIPHEDRYL 12.5 MG/5 ML ELIXIR DIPHENHYDRAMINE HCL 12.5MG/5ML LIQUID DIPHENHIST 12.5 MG/5 ML SOLUTION DIPHENHYDRAMINE HCL 12.5MG/5ML LIQUID HM CHILD ALLERGY 12.5 MG/5 ML DIPHENHYDRAMINE HCL 12.5MG/5ML LIQUID PV CHILD ALLERGY 12.5 MG/5 ML DIPHENHYDRAMINE HCL 12.5MG/5ML LIQUID Q-DRYL 12.5 MG/5 ML LIQUID DIPHENHYDRAMINE HCL 12.5MG/5ML LIQUID SILADRYL 12.5 MG/5 ML LIQUID DIPHENHYDRAMINE HCL 12.5MG/5ML LIQUID SM ALLERGY RELIEF 12.5 MG/5 ML DIPHENHYDRAMINE HCL 12.5MG/5ML LIQUID DIPHENHYDRAMINE 12.5 MG/5 ML DIPHENHYDRAMINE HCL 12.5MG/5ML ELIXIR QUENALIN 12.5 MG/5 ML SYRUP DIPHENHYDRAMINE HCL 12.5MG/5ML SYRUP ALLERGY 25 MG CAPSULE DIPHENHYDRAMINE HCL 25 MG CAPSULE ALLERGY RELIEF 25 MG CAPSULE DIPHENHYDRAMINE HCL 25 MG CAPSULE BANOPHEN 25 MG CAPSULE DIPHENHYDRAMINE HCL 25 MG CAPSULE COMPLETE ALLERGY 25 MG CAP DIPHENHYDRAMINE HCL 25 MG CAPSULE DIPHENHIST 25 MG CAPSULE DIPHENHYDRAMINE HCL 25 MG CAPSULE DIPHENHYDRAMINE 25 MG CAPSULE DIPHENHYDRAMINE HCL 25 MG CAPSULE HM ALLERGY 25 MG CAPSULE DIPHENHYDRAMINE HCL 25 MG CAPSULE PHARBEDRYL 25 MG CAPSULE DIPHENHYDRAMINE HCL 25 MG CAPSULE PV COMPLETE ALLERGY 25 MG S DIPHENHYDRAMINE HCL 25 MG CAPSULE QC COMPLETE ALLERGY 25 MG C DIPHENHYDRAMINE HCL 25 MG CAPSULE Q-DRYL 25 MG CAPSULE DIPHENHYDRAMINE HCL 25 MG CAPSULE ALLERGY 25 MG TABLET DIPHENHYDRAMINE HCL 25 MG TABLET ALLERGY RELIEF 25 MG TABLET DIPHENHYDRAMINE HCL 25 MG TABLET BANOPHEN 25 MG TABLET DIPHENHYDRAMINE HCL 25 MG TABLET DIPHEDRYL 25 MG TABLET DIPHENHYDRAMINE HCL 25 MG TABLET Page 6 of 11
7 NDC ANTIHISTAMINES Label Name Generic Drug Name Drug Strength Dosage Form HM ALLERGY 25 MG TABLET DIPHENHYDRAMINE HCL 25 MG TABLET QC COMPLETE ALLERGY 25 MG C DIPHENHYDRAMINE HCL 25 MG TABLET BANOPHEN 50 MG CAPSULE DIPHENHYDRAMINE HCL 50 MG CAPSULE PHARBEDRYL 50 MG CAPSULE DIPHENHYDRAMINE HCL 50 MG CAPSULE CETIRIZINE HCL 1 MG/1 ML SOLN CETIRIZINE HCL 1 MG/ML SOLUTION CETIRIZINE HCL 1 MG/ML SOLN CETIRIZINE HCL 1 MG/ML SOLUTION CHILD ALL DAY ALLERGY 1 MG/ML CETIRIZINE HCL 1 MG/ML SOLUTION CHILD CETIRIZINE HCL 1 MG/ML CETIRIZINE HCL 1 MG/ML SOLUTION HM CHILD CETIRIZINE 1 MG/ML CETIRIZINE HCL 1 MG/ML SOLUTION HM CHLD ALLER COMPLETE 1 MG CETIRIZINE HCL 1 MG/ML SOLUTION SM CHILD ALL DAY ALLER 1 MG CETIRIZINE HCL 1 MG/ML SOLUTION CHILD CETIRIZINE 5 MG CHEW CETIRIZINE HCL 5 MG TAB CHEW ALL DAY ALLERGY 5 MG CHEW TABLET CETIRIZINE HCL 5 MG TAB CHEW CETIRIZINE HCL 5 MG CHEW TABLET CETIRIZINE HCL 5 MG TAB CHEW CETIRIZINE HCL 5 MG TABLET CETIRIZINE HCL 5 MG TABLET ALL DAY ALLERGY 10 MG CHEW CETIRIZINE HCL 10 MG TAB CHEW CETIRIZINE HCL 10 MG CHEW TABLET CETIRIZINE HCL 10 MG TAB CHEW CHILD CETIRIZINE 10 MG CHEW CETIRIZINE HCL 10 MG TAB CHEW ALL DAY ALLERGY 10 MG TABLET CETIRIZINE HCL 10 MG TABLET CETIRIZINE HCL 10 MG TABLET CETIRIZINE HCL 10 MG TABLET HM ALL DAY ALLERGY 10 MG TABLET CETIRIZINE HCL 10 MG TABLET QC ALL DAY ALLERGY 10 MG TABLET CETIRIZINE HCL 10 MG TABLET ED CHLORPED DROPS CHLORPHENIRAMINE MALEATE 2 MG/ML DROPS ALLER-CHLOR SYRUP CHLORPHENIRAMINE MALEATE 2 MG/5 ML SYRUP ED CHLORPED JR SYRUP CHLORPHENIRAMINE MALEATE 2 MG/5 ML SYRUP ALLER-CHLOR 4 MG TABLET CHLORPHENIRAMINE MALEATE 4 MG TABLET Page 7 of 11
8 NDC ANTIHISTAMINES Label Name Generic Drug Name Drug Strength Dosage Form ED-CHLORTAN 4 MG TABLET CHLORPHENIRAMINE MALEATE 4 MG TABLET HM ALLERGY RELIEF 4 MG TABLET CHLORPHENIRAMINE MALEATE 4 MG TABLET QC CHLORPHENIRAMINE 4 MG TABLET CHLORPHENIRAMINE MALEATE 4 MG TABLET SM ALLERGY 4-HR 4 MG TABLET CHLORPHENIRAMINE MALEATE 4 MG TABLET CHLORPHENIRAMINE ER 12 MG TABLET CHLORPHENIRAMINE MALEATE 12 MG TABLET ER ALLERHIST MG TABLET CLEMASTINE FUMARATE 1.34 MG TABLET CLEMASTINE FUM 1.34 MG TABLET CLEMASTINE FUMARATE 1.34 MG TABLET DAYHIST ALLERGY 1.34 MG TABLET CLEMASTINE FUMARATE 1.34 MG TABLET SM ALLERGY RELIEF 1.34 MG TABLET CLEMASTINE FUMARATE 1.34 MG TABLET CHILD'S CLARITIN 5 MG TAB CHEW LORATADINE 5 MG TAB CHEW ALLERGY RELIEF 5 MG/5 ML SOLN LORATADINE 5 MG/5 ML SOLUTION ALLERGY RELIEF SYRUP LORATADINE 5 MG/5 ML SOLUTION CHILD LORATADINE 5 MG/5 ML LORATADINE 5 MG/5 ML SOLUTION CLARITIN 5 MG/5 ML SYRUP LORATADINE 5 MG/5 ML SOLUTION HM CHILD LORATADINE 5 MG/5 ML LORATADINE 5 MG/5 ML SOLUTION LORATADINE 5 MG/5 ML SOLN LORATADINE 5 MG/5 ML SOLUTION LORATADINE 5 MG/5 ML SYRUP LORATADINE 5 MG/5 ML SOLUTION LORATADINE ALLERGY 5 MG/5 ML LORATADINE 5 MG/5 ML SOLUTION LORATADINE HIVES 5 MG/5 ML LORATADINE 5 MG/5 ML SOLUTION SM LORATADINE 5 MG/5 ML SYRUP LORATADINE 5 MG/5 ML SOLUTION ALLERGY RELIEF 10 MG ODT LORATADINE 10 MG TAB RAPDIS CHILD CLEAR-ATADINE 10 MG TAB LORATADINE 10 MG TAB RAPDIS HM ALLERGY RELIEF 10 MG ODT LORATADINE 10 MG TAB RAPDIS PV ALLERGY RELIEF 10 MG ODT LORATADINE 10 MG TAB RAPDIS QC ALLERGY RELIEF 10 MG ODT LORATADINE 10 MG TAB RAPDIS SM LORATADINE 10 MG ODT LORATADINE 10 MG TAB RAPDIS Page 8 of 11
9 NDC ANTIHISTAMINES Label Name Generic Drug Name Drug Strength Dosage Form ALLERGY 10 MG TABLET LORATADINE 10 MG TABLET ALLERGY RELIEF 10 MG TABLET LORATADINE 10 MG TABLET CLEAR-ATADINE 10 MG TABLET LORATADINE 10 MG TABLET HM ALLERGY RELIEF 10 MG TABLET LORATADINE 10 MG TABLET NON-DROWSY ALLERGY 10 MG TABLET LORATADINE 10 MG TABLET QC LORATADINE 10 MG TABLET LORATADINE 10 MG TABLET SB LORATADINE 10 MG TABLET LORATADINE 10 MG TABLET SM LORATADINE 10 MG TABLET LORATADINE 10 MG TABLET NDC NASAL PRODUCTS Label Name Generic Drug Name Drug Strength Dosage Form CROMOLYN SODIUM NASAL SOLUTION CROMOLYN SODIUM 5.2 MG SPRAY/PUMP CROMOLYN SODIUM NASAL SPRAY CROMOLYN SODIUM 5.2 MG SPRAY/PUMP HM ORIGINAL NASAL SPRAY OXYMETAZOLINE HCL 0.05 % SPRAY HM SINUS NASAL SPRAY 0.05% OXYMETAZOLINE HCL 0.05 % SPRAY LONG ACTING 0.05% NASAL SPRAY OXYMETAZOLINE HCL 0.05 % SPRAY NASAL DECONGESTANT 0.05% SPRAY OXYMETAZOLINE HCL 0.05 % SPRAY NASAL SPRAY 0.05% OXYMETAZOLINE HCL 0.05 % SPRAY NASAL SPRAY X-MOIST OXYMETAZOLINE HCL 0.05 % SPRAY NO DRIP 0.05% NASAL SPRAY OXYMETAZOLINE HCL 0.05 % SPRAY NRS-NASAL RELIEF NOSE SPRAY OXYMETAZOLINE HCL 0.05 % SPRAY QC NASAL RELIEF 0.05% SPRAY OXYMETAZOLINE HCL 0.05 % SPRAY QC NO DRIP NASAL RLF 0.05% OXYMETAZOLINE HCL 0.05 % SPRAY SINUS NASAL SPRAY 0.05% OXYMETAZOLINE HCL 0.05 % SPRAY Page 9 of 11
10 NDC NASAL PRODUCTS Label Name Generic Drug Name Drug Strength Dosage Form SM 12HR NASAL SPRAY 0.05% OXYMETAZOLINE HCL 0.05 % SPRAY SM NASAL SPRAY 0.05% OXYMETAZOLINE HCL 0.05 % SPRAY SM NASAL SPRAY SINUS OXYMETAZOLINE HCL 0.05 % SPRAY HM NOSE DROPS PHENYLEPHRINE HCL 1 % DROPS NOSE DROPS PHENYLEPHRINE HCL 1 % DROPS SM NOSE DROPS PHENYLEPHRINE HCL 1 % DROPS DEEP SEA 0.65% NOSE SPRAY SODIUM CHLORIDE 0.65 % SPRAY HM SALINE 0.65% NASAL SPRAY SODIUM CHLORIDE 0.65 % SPRAY NASAL MOISTURIZING 0.65% SPRAY SODIUM CHLORIDE 0.65 % SPRAY OCEAN 0.65% NASAL SPRAY SODIUM CHLORIDE 0.65 % SPRAY OCEAN 0.65% NOSE SPRAY SODIUM CHLORIDE 0.65 % SPRAY SALINE 0.65% NOSE SPRAY SODIUM CHLORIDE 0.65 % SPRAY SALINE MIST 0.65% NOSE SPRY SODIUM CHLORIDE 0.65 % SPRAY SEA SOFT 0.65% NASAL MIST SODIUM CHLORIDE 0.65 % SPRAY SM SALINE 0.65% NASAL SPRAY SODIUM CHLORIDE 0.65 % SPRAY NDC EYE PRODUCTS Label Name Generic Drug Name Drug Strength Dosage Form ALAWAY 0.025% EYE DROPS KETOTIFEN FUMARATE % DROPS ALLERGY 0.025% EYE DROPS KETOTIFEN FUMARATE % DROPS CHILD'S ALAWAY 0.025% EYE DROPS KETOTIFEN FUMARATE % DROPS EYE ITCH RELIEF 0.025% DROP KETOTIFEN FUMARATE % DROPS HM EYE ITCH RELIEF 0.025% DROPS KETOTIFEN FUMARATE % DROPS ITCHY EYE 0.025% DROPS KETOTIFEN FUMARATE % DROPS Page 10 of 11
11 KETOTIFEN FUM 0.025% EYE DROPS KETOTIFEN FUMARATE % DROPS SM EYE ITCH RELIEF 0.025% DROPS KETOTIFEN FUMARATE % DROPS ZADITOR 0.025% EYE DROPS KETOTIFEN FUMARATE % DROPS Page 11 of 11
12 OTC NDC Expectorant/Decongestant/Analgesic Label Name Generic Drug Name Drug Strength Dosage Form MUCINEX COLD & SINUS LIQUID GUAIFENESIN/PHENYLEPHRINE/ACETAMINOPHEN /20ML LIQUID MUCINEX FAST-MAX COLD-SINUS GUAIFENESIN/PHENYLEPHRINE/ACETAMINOPHEN MG TABLET NDC Antihistamine/Decongestant/Analgesic Label Name Generic Drug Name Drug Strength Dosage Form SINUS CONG-PAIN DAY-NIGHT PHENYLEPHRINE/ACETAMINOPHEN/CHLORPHENIRAMINE MG TABLET ALLERGY MULTI-SYMPTOM CAPLET PHENYLEPHRINE/ACETAMINOPHEN/CHLORPHENIRAMINE MG TABLET DRISTAN COLD MULTI-SYMP TABLET PHENYLEPHRINE/ACETAMINOPHEN/CHLORPHENIRAMINE MG TABLET PAIN RELIEF ALLERGY CAPLET PHENYLEPHRINE/ACETAMINOPHEN/CHLORPHENIRAMINE MG TABLET PV SINUS CONGESTION PAIN CP PHENYLEPHRINE/ACETAMINOPHEN/CHLORPHENIRAMINE MG TABLET QC ALLERGY RELIEF MUL-SYM C PHENYLEPHRINE/ACETAMINOPHEN/CHLORPHENIRAMINE MG TABLET SINUS CONGESTION PAIN CAPLET PHENYLEPHRINE/ACETAMINOPHEN/CHLORPHENIRAMINE MG TABLET SINUS CONGESTION-PAIN CAPLET PHENYLEPHRINE/ACETAMINOPHEN/CHLORPHENIRAMINE MG TABLET SINUS RELIEF-CONG-PAIN CAPLET PHENYLEPHRINE/ACETAMINOPHEN/CHLORPHENIRAMINE MG TABLET SINUTROL PE MG TABLET PHENYLEPHRINE/ACETAMINOPHEN/CHLORPHENIRAMINE MG TABLET SM ALLERGY MULTI-SYMPTOM CP PHENYLEPHRINE/ACETAMINOPHEN/CHLORPHENIRAMINE MG TABLET ADT ROBITUSSIN NGT M-S COLD DIPHENHYDRAMINE/PHENYLEPHRINE/ACETAMINOPHEN /5ML LIQUID FLU RELIEF THERAPY NIGHT LIQUID DIPHENHYDRAMINE/PHENYLEPHRINE/ACETAMINOPHEN /30ML LIQUID PV FLU RELIEF THERAPY LIQUID DIPHENHYDRAMINE/PHENYLEPHRINE/ACETAMINOPHEN /30ML LIQUID SM FLU RELIEF THERAPY LIQUID DIPHENHYDRAMINE/PHENYLEPHRINE/ACETAMINOPHEN /30ML LIQUID ALLERGY-SEVERE SINUS HA CAP DIPHENHYDRAMINE/PHENYLEPHRINE/ACETAMINOPHEN MG TABLET NIGHT-TIME SINUS SOFTGEL PHENYLEPHRINE/ACETAMINOPHEN/DOXYLAMINE CAPSULE NDC Antihistamine/Decongestant/Analgesic/ Antitussive Label Name Generic Drug Name Drug Strength Dosage Form CHILD'S DIMETAPP COLD-FLU LIQUID DEXTROMETHORPHAN/PHENYLEPHRINE/APAP/CHLORPHENIRAMINE MG LIQUID CHILDREN'S PLUS M-S COLD SUSP DEXTROMETHORPHAN/PHENYLEPHRINE/APAP/CHLORPHENIRAMINE MG ORAL SUSP CHILDRENS PLUS M-S COLD SUSP DEXTROMETHORPHAN/PHENYLEPHRINE/APAP/CHLORPHENIRAMINE MG ORAL SUSP PV CHILD'S PLUS M-S COLD SUSP DEXTROMETHORPHAN/PHENYLEPHRINE/APAP/CHLORPHENIRAMINE MG ORAL SUSP QC CHILDRENS PLUS COLD SUSP DEXTROMETHORPHAN/PHENYLEPHRINE/APAP/CHLORPHENIRAMINE MG ORAL SUSP SM CHILDRENS PLUS COLD SUSP DEXTROMETHORPHAN/PHENYLEPHRINE/APAP/CHLORPHENIRAMINE MG ORAL SUSP COLD HEAD CONGESTION CAPLET DEXTROMETHORPHAN/PHENYLEPHRINE/APAP/CHLORPHENIRAMINE MG TABLET COLD MULTI-SYMPTOM CAPLET DEXTROMETHORPHAN/PHENYLEPHRINE/APAP/CHLORPHENIRAMINE MG TABLET COMTREX COLD-COUGH NIGHT CP DEXTROMETHORPHAN/PHENYLEPHRINE/APAP/CHLORPHENIRAMINE MG TABLET COLD MULTI-SYMPTOM NIGHT LIQUID DEXTROMETHORPHAN/PHENYLEPHRINE/ACETAMINOPHEN/DOXYLAMINE 5-325MG/15 LIQUID Page 1 of 9
13 OTC NDC Antihistamine/Decongestant/Antitussive Label Name Generic Drug Name Drug Strength Dosage Form CHILDREN COLD & COUGH DM ELIXIR BROMPHENIRAMINE/PHENYLEPHRINE/DEXTROMETHORPHAN /5ML SOLUTION CHILDREN'S COLD & COUGH ELIXIR BROMPHENIRAMINE/PHENYLEPHRINE/DEXTROMETHORPHAN /5ML SOLUTION CHILDS COLD & COUGH DM ELIXIR BROMPHENIRAMINE/PHENYLEPHRINE/DEXTROMETHORPHAN /5ML SOLUTION COLD & COUGH ELIXIR BROMPHENIRAMINE/PHENYLEPHRINE/DEXTROMETHORPHAN /5ML SOLUTION DIMAPHEN DM ELIXIR BROMPHENIRAMINE/PHENYLEPHRINE/DEXTROMETHORPHAN /5ML SOLUTION DIMETAPP COLD & COUGH LIQUID BROMPHENIRAMINE/PHENYLEPHRINE/DEXTROMETHORPHAN /5ML SOLUTION DIMETAPP DM COLD & COUGH ELIXIR BROMPHENIRAMINE/PHENYLEPHRINE/DEXTROMETHORPHAN /5ML SOLUTION ENDACOF-DM LIQUID BROMPHENIRAMINE/PHENYLEPHRINE/DEXTROMETHORPHAN /5ML SOLUTION HM CHILD'S COLD & COUGH ELIXIR BROMPHENIRAMINE/PHENYLEPHRINE/DEXTROMETHORPHAN /5ML SOLUTION RYNEX DM LIQUID BROMPHENIRAMINE/PHENYLEPHRINE/DEXTROMETHORPHAN /5ML SOLUTION SM COLD & COUGH DM LIQUID BROMPHENIRAMINE/PHENYLEPHRINE/DEXTROMETHORPHAN /5ML SOLUTION BROTAPP DM LIQUID DEXTROMETHORPHAN/PSEUDOEPHEDRINE/BROMPHENIRAMINE MG/5ML ELIXIR Q-TAPP DM ELIXIR DEXTROMETHORPHAN/PSEUDOEPHEDRINE/BROMPHENIRAMINE MG/5ML ELIXIR DE-CHLOR DM LIQUID DEXTROMETHORPHAN/PHENYLEPHRINE/CHLORPHENIRAMINE /5ML SYRUP TRI-DEX PE LIQUID DEXTROMETHORPHAN/PHENYLEPHRINE/CHLORPHENIRAMINE /5ML SYRUP CORFEN-DM LIQUID DEXTROMETHORPHAN/PHENYLEPHRINE/CHLORPHENIRAMINE /5ML LIQUID ED-A-HIST DM LIQUID DEXTROMETHORPHAN/PHENYLEPHRINE/CHLORPHENIRAMINE /5ML LIQUID NOHIST-DM LIQUID DEXTROMETHORPHAN/PHENYLEPHRINE/CHLORPHENIRAMINE /5ML LIQUID CPM-15DM-5PEH LIQUID DEXTROMETHORPHAN/PHENYLEPHRINE/CHLORPHENIRAMINE MG/5ML LIQUID DONATUSSIN DM DROPS DEXTROMETHORPHAN/PHENYLEPHRINE/CHLORPHENIRAMINE /ML DROPS NASOHIST DM PEDIATRIC DROPS DEXTROMETHORPHAN/PHENYLEPHRINE/CHLORPHENIRAMINE 3-2-1MG/ML DROPS TRIGOFEN DM DROPS DEXTROMETHORPHAN/PHENYLEPHRINE/CHLORPHENIRAMINE 3-2-1MG/ML DROPS M-END DM SYRUP DEXTROMETHORPHAN/PSEUDOEPHEDRINE/CHLORPHENIRAMINE /5ML SYRUP MESEHIST DM LIQUID DEXTROMETHORPHAN/PSEUDOEPHEDRINE/CHLORPHENIRAMINE /5ML SYRUP RESCON-DM LIQUID DEXTROMETHORPHAN/PSEUDOEPHEDRINE/CHLORPHENIRAMINE /5ML LIQUID KIDKARE COUGH & COLD LIQUID DEXTROMETHORPHAN/PSEUDOEPHEDRINE/CHLORPHENIRAMINE MG/5ML LIQUID PEDIA RELIEF COUGH-COLD LIQUID DEXTROMETHORPHAN/PSEUDOEPHEDRINE/CHLORPHENIRAMINE MG/5ML LIQUID PEDIATRIC COUGH-COLD LIQUID DEXTROMETHORPHAN/PSEUDOEPHEDRINE/CHLORPHENIRAMINE MG/5ML LIQUID CODITUSS DM SYRUP PYRILAMINE/PHENYLEPHRINE/DEXTROMETHORPHAN MG LIQUID Page 2 of 9
14 OTC NDC Antitussive/Analgesic Label Name Generic Drug Name Drug Strength Dosage Form PAIN RELIEF COLD & COUGH LIQUID DEXTROMETHORPHAN/ACETAMINOPHEN /30ML LIQUID COUGH & SORE THROAT LIQUID DEXTROMETHORPHAN/ACETAMINOPHEN 5-160MG/5ML LIQUID NDC Antitussive/Antihistamine Label Name Generic Drug Name Drug Strength Dosage Form NITE TIME COUGH LIQUID DEXTROMETHORPHAN/DOXYLAMINE /15ML SOLUTION PV NIGHT TIME COUGH LIQUID DEXTROMETHORPHAN/DOXYLAMINE /15ML SOLUTION QC NIGHTTIME COUGH LIQUID DEXTROMETHORPHAN/DOXYLAMINE /15ML SOLUTION SM NITE TIME COUGH LIQUID DEXTROMETHORPHAN/DOXYLAMINE /15ML SOLUTION DIMETAPP LONG-ACTING COUGH DEXTROMETHORPHAN/CHLORPHENIRAMINE 7.5-1MG/5ML LIQUID ROBITUSSIN LONG-ACTING LIQUID DEXTROMETHORPHAN/CHLORPHENIRAMINE 7.5-1MG/5ML LIQUID NDC Antitussive/Decongestant Label Name Generic Drug Name Drug Strength Dosage Form TRIAMINIC DAYTIME COLD-COUGH DEXTROMETHORPHAN/PHENYLEPHRINE MG/5ML LIQUID NDC Antitussive/Expectorant Label Name Generic Drug Name Drug Strength Dosage Form EXPECTORANT DM COUGH SYRUP GUAIFENESIN/DEXTROMETHORPHAN MG/5ML SYRUP EXTRA ACTION COUGH SYRUP GUAIFENESIN/DEXTROMETHORPHAN MG/5ML SYRUP GUAIFENESIN DM SYRUP GUAIFENESIN/DEXTROMETHORPHAN MG/5ML SYRUP HM ADULT TUSSIN DM SYRUP GUAIFENESIN/DEXTROMETHORPHAN MG/5ML SYRUP QC TUSSIN DM SYRUP GUAIFENESIN/DEXTROMETHORPHAN MG/5ML SYRUP Q-TUSSIN DM SYRUP GUAIFENESIN/DEXTROMETHORPHAN MG/5ML SYRUP Q-TUSSIN-DM SYRUP GUAIFENESIN/DEXTROMETHORPHAN MG/5ML SYRUP ROBAFEN-DM SYRUP GUAIFENESIN/DEXTROMETHORPHAN MG/5ML SYRUP SILTUSSIN DM COUGH SYRUP GUAIFENESIN/DEXTROMETHORPHAN MG/5ML SYRUP SM TUSSIN DM SYRUP GUAIFENESIN/DEXTROMETHORPHAN MG/5ML SYRUP TUSSIN DM CLEAR LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML SYRUP TUSSIN DM CLEAR SYRUP GUAIFENESIN/DEXTROMETHORPHAN MG/5ML SYRUP TUSSIN DM SYRUP GUAIFENESIN/DEXTROMETHORPHAN MG/5ML SYRUP COUGH SYRUP GUAIFENESIN/DEXTROMETHORPHAN MG/5ML SYRUP EXPECTORANT DM COUGH LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID INTENSE COUGH RELIEVER LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID DAYTIME MUCUS RELIEF DM LIQUID GUAIFENESIN/DEXTROMETHORPHAN /15ML LIQUID ADT ROBITUSSIN PEAK CLD DM GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID DIABETIC SILTUSSIN-DM MAX-S GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID Page 3 of 9
15 OTC NDC Antitussive/Expectorant Label Name Generic Drug Name Drug Strength Dosage Form DIABETIC TUSSIN DM MAX-STR GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID DIABETIC TUSSIN MAX-STR LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID PV TUSSIN DM MAX LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID TUSSIN DM MAX LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID ADULT ROBITUSSIN PEAK COLD GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID DIABETIC SILTUSSIN-DM LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID DIABETIC TUSSIN DM LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID GUAIFENESIN-DM SOLUTION GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID HM ADT TUSSIN COUGH CONG DM GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID IOPHEN DM-NR LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID ROBAFEN DM COUGH LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID TUSNEL DIABETIC LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID TUSSIN DM LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID ULTRA DM FREE & CLEAR LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID CHILD MUCUS RELIEF COUGH LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID CHILDREN'S MUCINEX COUGH LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID MUCINEX FAST-MAX DM MAX LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID PV CHILD MUCUS RELIEF COUGH GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID SM MUCUS RELIEF COUGH LIQUID GUAIFENESIN/DEXTROMETHORPHAN MG/5ML LIQUID CHEST CONGST-COUGH RELIEF TAB GUAIFENESIN/DEXTROMETHORPHAN 400MG-20MG TABLET G-FENESIN DM MG CAPLET GUAIFENESIN/DEXTROMETHORPHAN 400MG-20MG TABLET HM CHEST CONGEST RLF DM CAP GUAIFENESIN/DEXTROMETHORPHAN 400MG-20MG TABLET TUSSIN DM MG TABLET GUAIFENESIN/DEXTROMETHORPHAN 400MG-20MG TABLET MUCINEX DM ER MG TAB GUAIFENESIN/DEXTROMETHORPHAN 600MG-30MG TAB ER 12H MUCINEX DM ER 1, MG GUAIFENESIN/DEXTROMETHORPHAN MG TBMP 12HR NDC Antitussive/Antihistamine/Analgesic Label Name Generic Drug Name Drug Strength Dosage Form COUGH & SORE THROAT LIQUID DEXTROMETHORPHAN/ACETAMINOPHEN/DOXYLAMINE /30ML LIQUID NIGHT TIME COLD-FLU RELIEF DEXTROMETHORPHAN/ACETAMINOPHEN/DOXYLAMINE /30ML LIQUID NIGHTTIME COLD MEDICINE LIQUID DEXTROMETHORPHAN/ACETAMINOPHEN/DOXYLAMINE /30ML LIQUID NITE TIME COLD-FLU RELIEF LIQUID DEXTROMETHORPHAN/ACETAMINOPHEN/DOXYLAMINE /30ML LIQUID PV NIGHT TIME COLD-FLU RELIEF DEXTROMETHORPHAN/ACETAMINOPHEN/DOXYLAMINE /30ML LIQUID QC NIGHTTIME COLD MEDICINE DEXTROMETHORPHAN/ACETAMINOPHEN/DOXYLAMINE /30ML LIQUID Page 4 of 9
16 OTC NDC Antitussive/Antihistamine/Analgesic Label Name Generic Drug Name Drug Strength Dosage Form SM NITE TIME COLD & FLU RELIEF DEXTROMETHORPHAN/ACETAMINOPHEN/DOXYLAMINE /30ML LIQUID CORICIDIN HBP COLD-MULTI SYMP DEXTROMETHORPHAN/ACETAMINOPHEN/DOXYLAMINE /15ML LIQUID DELSYM NIGHTTIME MULTI-SYMP DEXTROMETHORPHAN/ACETAMINOPHEN/DOXYLAMINE /15ML LIQUID HM NIGHT TIME COLD & FLU LIQUID DEXTROMETHORPHAN/ACETAMINOPHEN/DOXYLAMINE /15ML LIQUID SM NITE TIME COLD-FLU LIQUID DEXTROMETHORPHAN/ACETAMINOPHEN/DOXYLAMINE /15ML LIQUID NIGHT TIME SOFTGEL DEXTROMETHORPHAN/ACETAMINOPHEN/DOXYLAMINE 15MG-325MG CAPSULE ROBITUSSIN COLD-FLU NIGHT C DEXTROMETHORPHAN/ACETAMINOPHEN/DOXYLAMINE 15MG-325MG CAPSULE PV CHILD PLUS COUGH-RUNNY NOSE DEXTROMETHORPHAN/ACETAMINOPHEN/CHLORPHENIRAMINE /5ML ORAL SUSP TRIAMINIC MULTI-SYMP FEVER DEXTROMETHORPHAN/ACETAMINOPHEN/CHLORPHENIRAMINE LIQUID NDC Antitussive/Decongestant/Analgesic Label Name Generic Drug Name Drug Strength Dosage Form ROBITUSSIN COLD-FLU DAY CAP DEXTROMETHORPHAN/PHENYLEPHRINE/ACETAMINOPHEN MG CAPSULE COLD HEAD CONGESTION CAPLET DEXTROMETHORPHAN/PHENYLEPHRINE/ACETAMINOPHEN MG TABLET COLD MULTI-SYMPTOM CAPLET DEXTROMETHORPHAN/PHENYLEPHRINE/ACETAMINOPHEN MG TABLET COLD RELIEF MULTI-SYMPTOM C DEXTROMETHORPHAN/PHENYLEPHRINE/ACETAMINOPHEN MG TABLET VICKS NATURE FUSION CAPLETS DEXTROMETHORPHAN/PHENYLEPHRINE/ACETAMINOPHEN MG TABLET DAY TIME COLD-FLU RELIEF LIQUID DEXTROMETHORPHAN/PHENYLEPHRINE/ACETAMINOPHEN 5-325MG/15ML LIQUID FLU RELIEF THERAPY DAYTIME DEXTROMETHORPHAN/PHENYLEPHRINE/ACETAMINOPHEN 5-325MG/15ML LIQUID SM DAY TIME COLD-FLU RELIEF DEXTROMETHORPHAN/PHENYLEPHRINE/ACETAMINOPHEN 5-325MG/15ML LIQUID NDC Antitussive/Decongestant/Analgesic/ Expectorant Label Name Generic Drug Name Drug Strength Dosage Form COLD HEAD CONGESTION CAPLET PHENYLEPHRINE/DEXTROMETHORPHAN/APAP/GUAIFENESIN MG TABLET COLD MULTI-SYMPTOM SEVERE C PHENYLEPHRINE/DEXTROMETHORPHAN/APAP/GUAIFENESIN MG TABLET COLD RELIEF MULTI-SYMPTOM C PHENYLEPHRINE/DEXTROMETHORPHAN/APAP/GUAIFENESIN MG TABLET COLD RLF HEAD CONGESTION CAP PHENYLEPHRINE/DEXTROMETHORPHAN/APAP/GUAIFENESIN MG TABLET COLD SEVERE CONGESTION CAPLET PHENYLEPHRINE/DEXTROMETHORPHAN/APAP/GUAIFENESIN MG TABLET MUCINEX FAST-MAX CNGST-COLD PHENYLEPHRINE/DEXTROMETHORPHAN/APAP/GUAIFENESIN MG TABLET MUCINEX FAST-MAX COLD-FLU TABLET PHENYLEPHRINE/DEXTROMETHORPHAN/APAP/GUAIFENESIN MG TABLET Page 5 of 9
17 OTC NDC Antitussive/Decongestant/Analgesic/ Expectorant Label Name Generic Drug Name Drug Strength Dosage Form MULTI-SYMPTOM COLD CAPLET PHENYLEPHRINE/DEXTROMETHORPHAN/APAP/GUAIFENESIN MG TABLET PAIN RELIEF COLD CAPLET PHENYLEPHRINE/DEXTROMETHORPHAN/APAP/GUAIFENESIN MG TABLET SM COLD HEAD CONGESTION CAP PHENYLEPHRINE/DEXTROMETHORPHAN/APAP/GUAIFENESIN MG TABLET CHILD'S MUCINEX COLD-CGH-SO PHENYLEPHRINE/DEXTROMETHORPHAN/APAP/GUAIFENESIN 5-325MG/10ML LIQUID CHILD'S MUCINEX COLD-FEVER PHENYLEPHRINE/DEXTROMETHORPHAN/APAP/GUAIFENESIN 5-325MG/10ML LIQUID MUCINEX COLD-FLU-SORETHROAT PHENYLEPHRINE/DEXTROMETHORPHAN/APAP/GUAIFENESIN /20ML LIQUID NDC Antitussive/Decongestant/Expectorant Label Name Generic Drug Name Drug Strength Dosage Form CHILD MUCINEX MULTI-SYMPTOM GUAIFENESIN/DEXTROMETHORPHAN/PHENYLEPHRINE MG/5ML LIQUID MUCINEX SEVERE CONGES-COUGH GUAIFENESIN/DEXTROMETHORPHAN/PHENYLEPHRINE MG/5ML LIQUID ROBITUSSIN COUGH-COLD CF LIQUID GUAIFENESIN/DEXTROMETHORPHAN/PHENYLEPHRINE /5ML LIQUID ADT ROBITUSSIN PEAK CLD M-S GUAIFENESIN/DEXTROMETHORPHAN/PHENYLEPHRINE /5ML LIQUID HM ADT TUSSIN M-S COLD LIQUID GUAIFENESIN/DEXTROMETHORPHAN/PHENYLEPHRINE /5ML LIQUID PV TUSSIN CF LIQUID GUAIFENESIN/DEXTROMETHORPHAN/PHENYLEPHRINE /5ML LIQUID QC TUSSIN CF LIQUID GUAIFENESIN/DEXTROMETHORPHAN/PHENYLEPHRINE /5ML LIQUID ROBAFEN CF LIQUID GUAIFENESIN/DEXTROMETHORPHAN/PHENYLEPHRINE /5ML LIQUID SM TUSSIN CF SYRUP GUAIFENESIN/DEXTROMETHORPHAN/PHENYLEPHRINE /5ML LIQUID TUSSIN CF COUGH & COLD LIQUID GUAIFENESIN/DEXTROMETHORPHAN/PHENYLEPHRINE /5ML LIQUID TUSSIN CF COUGH & COLD SYRUP GUAIFENESIN/DEXTROMETHORPHAN/PHENYLEPHRINE /5ML LIQUID TUSSIN CF LIQUID GUAIFENESIN/DEXTROMETHORPHAN/PHENYLEPHRINE /5ML LIQUID DM-100GFN-10PEH LIQUID GUAIFENESIN/DEXTROMETHORPHAN/PHENYLEPHRINE LIQUID ADULT ROBITUSSIN M-S COLD LIQUID GUAIFENESIN/DEXTROMETHORPHAN/PHENYLEPHRINE /5ML LIQUID TUSNEL PEDIATRIC LIQUID GUAIFENESIN/DEXTROMETHORPHAN/PSEUDOEPHEDRINE /5ML LIQUID TUSNEL LIQUID GUAIFENESIN/DEXTROMETHORPHAN/PSEUDOEPHEDRINE /5ML SOLUTION CAPMIST DM TABLET GUAIFENESIN/DEXTROMETHORPHAN/PSEUDOEPHEDRINE MG TABLET Page 6 of 9
18 OTC NDC Decongestant/Analgesic Label Name Generic Drug Name Drug Strength Dosage Form ADULT ROBITUSSIN NASAL RLF PHENYLEPHRINE/ACETAMINOPHEN 5MG-325MG TABLET EXCEDRIN SINUS HEADACHE CAP PHENYLEPHRINE/ACETAMINOPHEN 5MG-325MG TABLET MAPAP SINUS CAPLET PHENYLEPHRINE/ACETAMINOPHEN 5MG-325MG TABLET PAIN RELIEF SINUS PE CAPLET PHENYLEPHRINE/ACETAMINOPHEN 5MG-325MG TABLET QC SINUS PAIN RELIEF CAPLET PHENYLEPHRINE/ACETAMINOPHEN 5MG-325MG TABLET SINUS CONGESTION-PAIN CAPLET PHENYLEPHRINE/ACETAMINOPHEN 5MG-325MG TABLET SM SINUS MAXIMUM STRENGTH C PHENYLEPHRINE/ACETAMINOPHEN 5MG-325MG TABLET DAYTIME SINUS RELIEF SFTGL PHENYLEPHRINE/ACETAMINOPHEN 5MG-325MG CAPSULE PV DAYTIME SINUS SOFTGEL PHENYLEPHRINE/ACETAMINOPHEN 5MG-325MG CAPSULE NDC Decongestant/Expectorant Label Name Generic Drug Name Drug Strength Dosage Form MUCINEX COLD LIQUID GUAIFENESIN/PHENYLEPHRINE /5ML LIQUID ED BRON GP LIQUID GUAIFENESIN/PHENYLEPHRINE MG/5ML LIQUID RESCON-GG LIQUID GUAIFENESIN/PHENYLEPHRINE MG/5ML LIQUID RESPAIRE-30 CAPSULE GUAIFENESIN/PSEUDOEPHEDRINE 150MG-30MG CAPSULE EXEFEN IR TABLET GUAIFENESIN/PSEUDOEPHEDRINE 400MG-60MG TABLET MUCINEX D ER MG TABLET GUAIFENESIN/PSEUDOEPHEDRINE 600MG-60MG TAB ER 12H MUCINEX D ER 1, MG GUAIFENESIN/PSEUDOEPHEDRINE MG TAB ER 12H NDC Decongestant/NSAID Label Name Generic Drug Name Drug Strength Dosage Form HM COLD-SINUS RELIEF CAPLET IBUPROFEN/PSEUDOEPHEDRINE 200MG-30MG TABLET Page 7 of 9
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