FDA.reportPublic FDA data

Guaifenesin and Codeine Phosphate

Product NDC
0121-1775
11-digit product format
001211775
Labeler code
0121
Product ID
0121-1775_2175415b-f07e-50a6-e063-6394a90acabe
Type
HUMAN OTC DRUG
Nonproprietary name
Guaifenesin and Codeine Phosphate
Dosage form
SOLUTION
Route
ORAL
Labeler
PAI Holdings, LLC
Application
M012
Marketing category
OTC MONOGRAPH DRUG
Marketing start
2006-10-01
Substance
CODEINE PHOSPHATE; GUAIFENESIN
Active strength
10; 100 mg/5mL; mg/5mL
Pharmacologic classes
Decreased Respiratory Secretion Viscosity [PE], Expectorant [EPC], Full Opioid Agonists [MoA], Increased Respiratory Secretions [PE], Opioid Agonist [EPC]
DEA schedule
CV
NDC exclude flag
No
Listing certified through
2026-12-31
Current FDA listing
Yes

Additional Listing Data#

Finished product
Yes
Brand name base
Guaifenesin and Codeine Phosphate
Listing expiration
2026-12-31

Active Ingredients#

Ingredient, Strength table
IngredientStrength
CODEINE PHOSPHATE10 mg/5mL
GUAIFENESIN100 mg/5mL

Harmonized Identifiers#

Field, Values table
FieldValues
UniiGSL05Y1MN6, 495W7451VQ
Rxcui995868

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
41b814f3-0166-1c53-c9ef-a0794c7daf9dProduct name320221110
a590be26-846c-8659-a5a1-fb25907965dcProduct name220221110
09d8330d-4fec-be98-3a66-f985140646b2Product name220210513
20c8cafe-5cfc-44f8-a9be-a664f437f780Product name220200225
182f9ab4-4ab5-c449-200f-87ce2ce8e550Product name220151105
e0b6c8be-f2bd-9f86-a9fc-3ed56ffaa814Product name320150910
c6fba691-a132-4ede-95c6-f8c6bd696636Product name120150902
d5e51f11-ad28-caa4-4b49-4143974782adProduct name120150831
c0200ab5-4954-454e-9676-30b741b245bdProduct name120150730
4fe95224-f543-4dbb-9445-8cca122b48c8Product name120150609
e8718272-64cb-4436-969b-176c3067c8f4Product name120150609
106ff02a-57e1-4c4c-a307-fd582ff4e311Product name120150212
e9576821-a971-5261-628e-82ad9e10acdbProduct name220150121
2a21311a-89e2-0e83-2ebd-117f9798b2b2Product name120140508
30c51294-7ae9-8007-7de6-58222684a0beProduct name120140508
47fd879b-91c5-e1e5-130f-29d082a871ecProduct name120140508
c35d1ac8-8885-2ee1-6c52-5a715b242c00Product name120140508
ce055423-1d7f-3c41-dff1-83660fa8cd96Product name120140508

FDA-Initiated Inactive NDC Indexing#

NDC, Effective, Action table
NDCEffectiveActionDocumentIndexing SPLRelated label
0121-1775-002022-03-28C16284748780-1d6a99b39-4ea2-a426-e053-dadaa90af4c2Guaifenesin and Codeine Phosphate
0121-1775-102022-03-28C16284748780-1d6a99b39-4ea2-a426-e053-dadaa90af4c2Guaifenesin and Codeine Phosphate
0121-1775-002022-01-28C16284748780-1d6a99b39-4ea2-a426-e053-dadaa90af4c2Guaifenesin and Codeine Phosphate
0121-1775-102022-01-28C16284748780-1d6a99b39-4ea2-a426-e053-dadaa90af4c2Guaifenesin and Codeine Phosphate

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
0121-1775-00Guaifenesin and Codeine Phosphate10 in 1 TRAYSOLUTION1011
0121-1775-00Guaifenesin and Codeine Phosphate10 in 1 CASESOLUTION1011
0121-1775-05Guaifenesin and Codeine Phosphate5 mL in 1 CUP, UNIT-DOSESOLUTION511
0121-1775-10Guaifenesin and Codeine Phosphate10 in 1 CASESOLUTION1011
0121-1775-10Guaifenesin and Codeine Phosphate10 in 1 TRAYSOLUTION1011
0121-1775-40Guaifenesin and Codeine Phosphate4 in 1 CASESOLUTION411
0121-1775-40Guaifenesin and Codeine Phosphate10 in 1 TRAYSOLUTION1011

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDCBilling unitProduct NDCDailyMed indexing SPLSPL versionEffective
0121-1775-00ML - Milliliter0121-1775fdafec21-258c-4805-9ff7-66930e2484d412017-08-11
0121-1775-05ML - Milliliter0121-17754eac12b0-97b2-4ef1-bef3-888760717dfa12012-07-24
0121-1775-10ML - Milliliter0121-1775fe8b87eb-c801-465e-91f8-5a36471e2a4312012-07-24
0121-1775-40ML - Milliliter0121-177583b2dba4-69f5-4ad4-ad62-88c4211f618412024-02-14

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
IngredientTypeUNIIDailyMed labelSPL versionUploaded
Codeine PhosphateACTIVE INGREDIENTGSL05Y1MN6GUAIFENESIN AND CODEINE PHOSPHATE SOLUTION [PHARMACEUTICAL ASSOCIATES, INC.]1
CODEINE PHOSPHATEACTIVE INGREDIENTGSL05Y1MN6GUAIFENESIN AND CODEINE PHOSPHATE SOLUTION [APOTHECA, INC]1
GuaifenesinACTIVE INGREDIENT495W7451VQGUAIFENESIN AND CODEINE PHOSPHATE SOLUTION [PHARMACEUTICAL ASSOCIATES, INC.]1
GuaifenesinACTIVE INGREDIENT495W7451VQGUAIFENESIN AND CODEINE PHOSPHATE SOLUTION [APOTHECA, INC]1
CodeineACTIVE MOIETYQ830PW7520GUAIFENESIN AND CODEINE PHOSPHATE SOLUTION [PHARMACEUTICAL ASSOCIATES, INC.]1
CODEINE ANHYDROUSACTIVE MOIETYUX6OWY2V7JGUAIFENESIN AND CODEINE PHOSPHATE SOLUTION [APOTHECA, INC]1
GuaifenesinACTIVE MOIETY495W7451VQGUAIFENESIN AND CODEINE PHOSPHATE SOLUTION [PHARMACEUTICAL ASSOCIATES, INC.]1
GUAIFENESINACTIVE MOIETY495W7451VQGUAIFENESIN AND CODEINE PHOSPHATE SOLUTION [APOTHECA, INC]1
MENTHOLINACTIVE INGREDIENTL7T10EIP3AGUAIFENESIN AND CODEINE PHOSPHATE SOLUTION [APOTHECA, INC]1

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
0121-1775GUAIFENESIN AND CODEINE PHOSPHATE SOLUTION [PAI HOLDINGS, LLC]11Current NDC, Legacy NDC, 7 package rows20240907_88d0994c-4270-4408-8837-bd97510b2118.zip

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYDailyMedSPL version
995868codeine phosphate 10 MG / guaiFENesin 100 MG in 5 mL Oral SolutionPSN88d0994c-4270-4408-8837-bd97510b211811
995868codeine phosphate 2 MG/ML / guaifenesin 20 MG/ML Oral SolutionSCD88d0994c-4270-4408-8837-bd97510b211811
995868codeine phosphate 10 MG / guaifenesin 100 MG per 5 ML Oral SolutionSY88d0994c-4270-4408-8837-bd97510b211811
995868codeine phosphate 10 MG / guaiFENesin 100 MG in 5 mL Oral SolutionPSNa9130f36-4761-4e6b-a383-eca3db06ea934
995868codeine phosphate 2 MG/ML / guaifenesin 20 MG/ML Oral SolutionSCDa9130f36-4761-4e6b-a383-eca3db06ea934
995868codeine phosphate 10 MG / guaifenesin 100 MG per 5 ML Oral SolutionSYa9130f36-4761-4e6b-a383-eca3db06ea934
995868codeine phosphate 10 MG / guaiFENesin 100 MG in 5 mL Oral SolutionPSNefe0117a-0afe-4d79-a01f-7423956130811
995868codeine phosphate 2 MG/ML / guaifenesin 20 MG/ML Oral SolutionSCDefe0117a-0afe-4d79-a01f-7423956130811
995868codeine phosphate 10 MG / guaifenesin 100 MG per 5 ML Oral SolutionSYefe0117a-0afe-4d79-a01f-7423956130811

Packages#

Package NDC, 11-digit format, Description table
Package NDC11-digit formatDescriptionUnitsMarketing startMarketing endSampleExclude flagStatus
0121-1775-000012117750010 TRAY in 1 CASE (0121-1775-00) / 10 CUP, UNIT-DOSE in 1 TRAY / 5 mL in 1 CUP, UNIT-DOSE (0121-1775-05) 10 tray2006-10-010000-00-00NoNoCurrent
0121-1775-05001211775055 mL in 1 CUP, UNIT-DOSE5 mlHistorical
0121-1775-100012117751010 TRAY in 1 CASE (0121-1775-10) / 10 CUP, UNIT-DOSE in 1 TRAY / 10 mL in 1 CUP, UNIT-DOSE10 tray2006-10-010000-00-00NoNoCurrent
0121-1775-40001211775404 TRAY in 1 CASE (0121-1775-40) / 10 CUP, UNIT-DOSE in 1 TRAY / 5 mL in 1 CUP, UNIT-DOSE (0121-1775-05) 4 tray2024-01-10NoNoCurrent