FDA.reportPublic FDA data

GUAIFENESIN DM

Product NDC
0121-0638
11-digit product format
001210638
Labeler code
0121
Product ID
0121-0638_c50b4c5c-6f55-4118-a282-e0b490704e49
Type
HUMAN OTC DRUG
Nonproprietary name
GUAIFENESIN and DEXTROMETHORPHAN
Dosage form
SYRUP
Route
ORAL
Labeler
PAI Holdings, LLC dba PAI Pharma
Application
M012
Marketing category
OTC MONOGRAPH DRUG
Marketing start
1992-07-01
Substance
DEXTROMETHORPHAN; GUAIFENESIN
Active strength
10; 100 mg/5mL; mg/5mL
Pharmacologic classes
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 Antagonists [MoA]
NDC exclude flag
No
Listing certified through
2026-12-31
Current FDA listing
Yes

Additional Listing Data#

Finished product
Yes
Brand name base
GUAIFENESIN DM
Listing expiration
2026-12-31

Active Ingredients#

Ingredient, Strength table
IngredientStrength
DEXTROMETHORPHAN10 mg/5mL
GUAIFENESIN100 mg/5mL

Harmonized Identifiers#

Field, Values table
FieldValues
Unii495W7451VQ, 7355X3ROTS
Rxcui996520

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
4fe95224-f543-4dbb-9445-8cca122b48c8Product name120150609
e8718272-64cb-4436-969b-176c3067c8f4Product name120150609
106ff02a-57e1-4c4c-a307-fd582ff4e311Product name120150212

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
0121-0638-00GUAIFENESIN DM10 in 1 CASESYRUP108
0121-0638-00GUAIFENESIN DM10 in 1 TRAYSYRUP108
0121-0638-04GUAIFENESIN DM118 mL in 1 BOTTLESYRUP1188
0121-0638-05GUAIFENESIN DM5 mL in 1 CUP, UNIT-DOSESYRUP58
0121-0638-08GUAIFENESIN DM237 mL in 1 BOTTLESYRUP2378
0121-0638-16GUAIFENESIN DM473 mL in 1 BOTTLESYRUP4738

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
0121-0638-00ML - Milliliter0121-0638af6ec9d0-3733-4833-bb65-947fe8affb5b12017-11-06
0121-0638-05ML - Milliliter0121-0638a524ff17-1835-4c50-926f-2f85abd8372212014-09-03
0121-0638-10ML - Milliliter0121-06381307fbf2-c43c-45b6-8e8b-d4c0aa0e2bcd12014-09-03

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
IngredientTypeUNIIDailyMed labelSPL versionUploaded
DEXTROMETHORPHANACTIVE INGREDIENT7355X3ROTSGUAIFENESIN DM (GUAIFENESIN AND DEXTROMETHORPHAN) SYRUP [PHARMACEUTICAL ASSOCIATES, INC.]1
GUAIFENESINACTIVE INGREDIENT495W7451VQGUAIFENESIN DM (GUAIFENESIN AND DEXTROMETHORPHAN) SYRUP [PHARMACEUTICAL ASSOCIATES, INC.]1
DEXTROMETHORPHANACTIVE MOIETY7355X3ROTSGUAIFENESIN DM (GUAIFENESIN AND DEXTROMETHORPHAN) SYRUP [PHARMACEUTICAL ASSOCIATES, INC.]1
GUAIFENESINACTIVE MOIETY495W7451VQGUAIFENESIN DM (GUAIFENESIN AND DEXTROMETHORPHAN) SYRUP [PHARMACEUTICAL ASSOCIATES, INC.]1
CITRIC ACID MONOHYDRATEINACTIVE INGREDIENT2968PHW8QPGUAIFENESIN DM (GUAIFENESIN AND DEXTROMETHORPHAN) SYRUP [PHARMACEUTICAL ASSOCIATES, INC.]1
FD&C RED NO. 40INACTIVE INGREDIENTWZB9127XOAGUAIFENESIN DM (GUAIFENESIN AND DEXTROMETHORPHAN) SYRUP [PHARMACEUTICAL ASSOCIATES, INC.]1
GLYCERININACTIVE INGREDIENTPDC6A3C0OXGUAIFENESIN DM (GUAIFENESIN AND DEXTROMETHORPHAN) SYRUP [PHARMACEUTICAL ASSOCIATES, INC.]1
MENTHOLINACTIVE INGREDIENTL7T10EIP3AGUAIFENESIN DM (GUAIFENESIN AND DEXTROMETHORPHAN) SYRUP [PHARMACEUTICAL ASSOCIATES, INC.]1
SACCHARIN SODIUMINACTIVE INGREDIENTSB8ZUX40TYGUAIFENESIN DM (GUAIFENESIN AND DEXTROMETHORPHAN) SYRUP [PHARMACEUTICAL ASSOCIATES, INC.]1
SODIUM BENZOATEINACTIVE INGREDIENTOJ245FE5EUGUAIFENESIN DM (GUAIFENESIN AND DEXTROMETHORPHAN) SYRUP [PHARMACEUTICAL ASSOCIATES, INC.]1
SODIUM CITRATEINACTIVE INGREDIENT1Q73Q2JULRGUAIFENESIN DM (GUAIFENESIN AND DEXTROMETHORPHAN) SYRUP [PHARMACEUTICAL ASSOCIATES, INC.]1
SUCROSEINACTIVE INGREDIENTC151H8M554GUAIFENESIN DM (GUAIFENESIN AND DEXTROMETHORPHAN) SYRUP [PHARMACEUTICAL ASSOCIATES, INC.]1
WATERINACTIVE INGREDIENT059QF0KO0RGUAIFENESIN DM (GUAIFENESIN AND DEXTROMETHORPHAN) SYRUP [PHARMACEUTICAL ASSOCIATES, INC.]1

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
0121-0638GUAIFENESIN DM (GUAIFENESIN AND DEXTROMETHORPHAN) SYRUP [PAI HOLDINGS, LLC DBA PAI PHARMA]8Current NDC, Legacy NDC, 6 package rows20241113_ff970fff-d1a3-4322-83b4-34e361431a1c.zip

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYDailyMedSPL version
996520dextromethorphan HBr 20 MG / guaiFENesin 200 MG in 10 mL Oral SolutionPSN9cfb1abb-98c4-4e90-8dd7-fcffc112f9888
996520dextromethorphan HBr 20 MG / guaiFENesin 200 MG in 10 mL Oral SolutionPSNff970fff-d1a3-4322-83b4-34e361431a1c8
996520dextromethorphan hydrobromide 2 MG/ML / guaifenesin 20 MG/ML Oral SolutionSCD9cfb1abb-98c4-4e90-8dd7-fcffc112f9888
996520dextromethorphan hydrobromide 2 MG/ML / guaifenesin 20 MG/ML Oral SolutionSCDff970fff-d1a3-4322-83b4-34e361431a1c8
996520dextromethorphan hydrobromide 10 MG / guaifenesin 100 MG per 5 ML Oral SolutionSY9cfb1abb-98c4-4e90-8dd7-fcffc112f9888
996520dextromethorphan hydrobromide 10 MG / guaifenesin 100 MG per 5 ML Oral SolutionSYff970fff-d1a3-4322-83b4-34e361431a1c8
996520dextromethorphan hydrobromide 15 MG / guaifenesin 150 MG per 7.5 ML Oral SolutionSY9cfb1abb-98c4-4e90-8dd7-fcffc112f9888
996520dextromethorphan hydrobromide 15 MG / guaifenesin 150 MG per 7.5 ML Oral SolutionSYff970fff-d1a3-4322-83b4-34e361431a1c8
996520dextromethorphan hydrobromide 20 MG / guaifenesin 200 MG per 10 ML Oral SolutionSY9cfb1abb-98c4-4e90-8dd7-fcffc112f9888
996520dextromethorphan hydrobromide 20 MG / guaifenesin 200 MG per 10 ML Oral SolutionSYff970fff-d1a3-4322-83b4-34e361431a1c8

Packages#

Package NDC, 11-digit format, Description table
Package NDC11-digit formatDescriptionUnitsMarketing startMarketing endSampleExclude flagStatus
0121-0638-000012106380010 TRAY in 1 CASE (0121-0638-00) / 10 CUP, UNIT-DOSE in 1 TRAY / 5 mL in 1 CUP, UNIT-DOSE (0121-0638-05) 10 tray1992-07-010000-00-00NoNoCurrent
0121-0638-0400121063804118 mL in 1 BOTTLE (0121-0638-04) 118 ml1992-07-010000-00-00NoNoCurrent
0121-0638-05001210638055 mL in 1 CUP, UNIT-DOSE5 mlHistorical
0121-0638-0800121063808237 mL in 1 BOTTLE (0121-0638-08) 237 ml1992-07-010000-00-00NoNoCurrent
0121-0638-1600121063816473 mL in 1 BOTTLE (0121-0638-16) 473 ml1992-07-010000-00-00NoNoCurrent