Prometh with Codeine

Product NDC: 42254-140
11-digit product format: 422540140
Labeler code: 42254
Product ID: 42254-140_a4fd8978-2036-43cb-ab16-b0dd98d6cd5b
Type: HUMAN PRESCRIPTION DRUG
Nonproprietary name: Promethazine Hydrochloride and Codeine Phosphate
Dosage form: SYRUP
Route: ORAL
Labeler: Rebel Distributors Corp
Application: ANDA088763
Marketing category: ANDA
Marketing start: 1984-10-31
Marketing end: 0000-00-00
Substance: PROMETHAZINE HYDROCHLORIDE; CODEINE PHOSPHATE
Active strength: 6 mg/5mL; mg/5mL
Pharmacologic classes: Phenothiazine [EPC],Phenothiazines [CS]
DEA schedule: CV
NDC exclude flag: E
Listing certified through: 2017-12-31
Current FDA listing: Historical FDA.report record

NDC auxiliary status#

These records are reproduced from FDA’s unfinished, excluded, and compounder listings. They describe what appeared in the source files; a missing record does not establish a regulatory status. View all current auxiliary records, including entries without an NDC. · View the auxiliary file history.

Current NDC status page 1 of 1 · 2 matching rows.

Dataset, Scope, Product NDC table
Dataset	Scope	Product NDC	Package NDC	Code	Status	Reporting period	Source date
excluded product	product	42254-140		I	Inactivated by FDA		2026-08-17
excluded package	package	42254-140	42254-140-04	I	Inactivated by FDA		2026-08-17

Observed NDC auxiliary status history#

This history shows the information present in each captured FDA auxiliary file. It is not a continuous regulatory timeline, and a missing record does not establish a status.

Historic NDC status page 1 of 1 · 44 matching rows.

View current auxiliary records. · View the auxiliary file history.

Captured / source date, Dataset, Scope table
Captured / source date	Dataset	Scope	Package NDC	Snapshot	Source SHA-256
2025-12-14 17:58 UTC · source 2025-12-05	excluded product	product		`d630ba8d3edf…`	`732f749b63fb…`
2025-12-14 17:58 UTC · source 2025-12-05	excluded package	package	42254-140-04	`d630ba8d3edf…`	`732f749b63fb…`
2025-08-27 00:01 UTC · source 2025-08-26	excluded product	product		`f5e01cc5f278…`	`a2eaf40c39c3…`
2025-08-27 00:01 UTC · source 2025-08-26	excluded package	package	42254-140-04	`f5e01cc5f278…`	`a2eaf40c39c3…`
2025-04-01 02:39 UTC · source 2025-03-31	excluded product	product		`2ef7874e63bc…`	`57b86245f4fa…`
2025-04-01 02:39 UTC · source 2025-03-31	excluded package	package	42254-140-04	`2ef7874e63bc…`	`57b86245f4fa…`
2025-03-28 20:22 UTC · source 2025-03-28	excluded product	product		`a1b67e2a42f9…`	`c4cf2c586c0d…`
2025-03-28 20:22 UTC · source 2025-03-28	excluded package	package	42254-140-04	`a1b67e2a42f9…`	`c4cf2c586c0d…`
2025-03-22 03:12 UTC · source 2025-03-21	excluded product	product		`cfe11265f3b6…`	`090c488252e2…`
2025-03-22 03:12 UTC · source 2025-03-21	excluded package	package	42254-140-04	`cfe11265f3b6…`	`090c488252e2…`
2025-03-10 12:48 UTC · source 2025-03-10	excluded product	product		`cdf11ea48f46…`	`ba0047e9e063…`
2025-03-10 12:48 UTC · source 2025-03-10	excluded package	package	42254-140-04	`cdf11ea48f46…`	`ba0047e9e063…`
2025-02-02 03:52 UTC · source 2025-01-31	excluded product	product		`302b2466d912…`	`e7b80fea0513…`
2025-02-02 03:52 UTC · source 2025-01-31	excluded package	package	42254-140-04	`302b2466d912…`	`e7b80fea0513…`
2025-01-20 13:05 UTC · source 2025-01-20	excluded product	product		`ed331223b511…`	`672a5bd82f5f…`
2025-01-20 13:05 UTC · source 2025-01-20	excluded package	package	42254-140-04	`ed331223b511…`	`672a5bd82f5f…`
2025-01-11 03:41 UTC · source 2025-01-10	excluded product	product		`0efc9e666f02…`	`f202fb6c5f17…`
2025-01-11 03:41 UTC · source 2025-01-10	excluded package	package	42254-140-04	`0efc9e666f02…`	`f202fb6c5f17…`
2024-11-09 02:27 UTC · source 2024-11-08	excluded product	product		`ad56d346431e…`	`cc804d4bbf1e…`
2024-11-09 02:27 UTC · source 2024-11-08	excluded package	package	42254-140-04	`ad56d346431e…`	`cc804d4bbf1e…`
2024-10-04 04:10 UTC · source 2024-10-03	excluded product	product		`367a005e9d99…`	`383a685ebd0f…`
2024-10-04 04:10 UTC · source 2024-10-03	excluded package	package	42254-140-04	`367a005e9d99…`	`383a685ebd0f…`
2024-07-10 04:00 UTC · source 2024-07-09	excluded product	product		`557ba5c1ecfa…`	`9c80585c8c6e…`
2024-07-10 04:00 UTC · source 2024-07-09	excluded package	package	42254-140-04	`557ba5c1ecfa…`	`9c80585c8c6e…`
2024-05-28 21:12 UTC · source 2024-05-28	excluded product	product		`8af77b9d5b6f…`	`d9bbb34c5368…`
2024-05-28 21:12 UTC · source 2024-05-28	excluded package	package	42254-140-04	`8af77b9d5b6f…`	`d9bbb34c5368…`
2024-05-15 03:39 UTC · source 2024-05-14	excluded product	product		`834df4deac94…`	`adcc014656a3…`
2024-05-15 03:39 UTC · source 2024-05-14	excluded package	package	42254-140-04	`834df4deac94…`	`adcc014656a3…`
2024-03-11 06:39 UTC · source 2024-03-08	excluded product	product		`1332a3947898…`	`d4bfe170f9cd…`
2024-03-11 06:39 UTC · source 2024-03-08	excluded package	package	42254-140-04	`1332a3947898…`	`d4bfe170f9cd…`
2022-08-30 03:57 UTC · source 2022-08-29	excluded product	product		`fb8cb913e6d1…`	`eb8c232b6be0…`
2022-08-30 03:57 UTC · source 2022-08-29	excluded package	package	42254-140-04	`fb8cb913e6d1…`	`eb8c232b6be0…`
2022-04-09 23:13 UTC · source 2022-04-08	excluded product	product		`86f5da6cb304…`	`a595104c45d7…`
2022-04-09 23:13 UTC · source 2022-04-08	excluded package	package	42254-140-04	`86f5da6cb304…`	`a595104c45d7…`
2022-04-04 05:40 UTC · source 2022-04-01	excluded product	product		`bd6a592717d7…`	`303034d00443…`
2022-04-04 05:40 UTC · source 2022-04-01	excluded package	package	42254-140-04	`bd6a592717d7…`	`303034d00443…`
2021-12-27 23:28 UTC · source 2021-12-27	excluded product	product		`8dfbde2a14a4…`	`c9ff85d89658…`
2021-12-27 23:28 UTC · source 2021-12-27	excluded package	package	42254-140-04	`8dfbde2a14a4…`	`c9ff85d89658…`
2020-12-18 03:04 UTC · source 2020-12-17	excluded product	product		`e2bbac7714bc…`	`27bdfed8d636…`
2020-12-18 03:04 UTC · source 2020-12-17	excluded package	package	42254-140-04	`e2bbac7714bc…`	`27bdfed8d636…`
2020-06-10 20:45 UTC · source 2020-06-10	excluded product	product		`9bebd1f3094a…`	`5416666fcb17…`
2020-06-10 20:45 UTC · source 2020-06-10	excluded package	package	42254-140-04	`9bebd1f3094a…`	`5416666fcb17…`
2019-12-08 06:16 UTC · source 2019-12-05	excluded product	product		`110d247fa046…`	`a55b01930146…`
2019-12-08 06:16 UTC · source 2019-12-05	excluded package	package	42254-140-04	`110d247fa046…`	`a55b01930146…`

Source provenance: Browse the complete Orange Book source catalog · source snapshot 42.

Orange Book products#

Current product rows page 1 of 1 · 1 matching rows.

Application-product, Trade name, Ingredient table
Application-product	Trade name	Ingredient	Strength	Dosage form / route	TE codes	RLD / RS	Approval date
A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	CODEINE PHOSPHATE; PROMETHAZINE HYDROCHLORIDE	10MG/5ML;6.25MG/5ML Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons	SYRUP / ORAL		RLD	1984-10-31

Observed Orange Book product history#

Observed FDA ZIP history: Each table is queried independently by exact application/product key from successfully parsed Orange Book snapshots. Capture times identify archived source observations; absence or a change between snapshots is not inferred. FDA publication files that were not recoverable as structured ZIP data are not represented as states.

Product history page 1 of 2 · 42 observed states.

Captured, Edition, Application-product table
Captured	Edition	Application-product	Trade name	Strength	Dosage form / route	Product TE source text	RLD / RS	Approval date	Source SHA-256
2026-08-18 06:07:40	2026-07	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons	SYRUP / ORAL		RLD	1984-10-31	`caaa826d4ba7…`
2026-02-19 14:30 UTC	2026-02	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons	SYRUP / ORAL		RLD	1984-10-31	`011fe1cb6892…`
2025-12-14 10:44 UTC · 2 captures of this ZIP	2025-12	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`31067a03dcf5…`
2025-08-23 18:47 UTC	2025-08	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`6a471c1ec25d…`
2025-03-22 03:13 UTC · 3 captures of this ZIP	2025-03	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`fd3edfee7708…`
2025-02-26 10:13 UTC · 3 captures of this ZIP	2025-02	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`b8a1b40f171c…`
2025-01-19 17:59 UTC · 7 captures of this ZIP	2025-01	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`03ed91905a0d…`
2024-12-13 21:23 UTC · 2 captures of this ZIP	2024-12	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`2680178bc6a6…`
2024-09-14 05:58 UTC · 2 captures of this ZIP	2024-09	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`5bbf6a4d5a75…`
2024-11-08 22:44 UTC · 3 captures of this ZIP	2024-11	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`d8e5a09893c0…`
2024-10-29 15:01 UTC	2024-10	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`d06236e962d9…`
2024-08-13 05:28 UTC · 3 captures of this ZIP	2024-08	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`79d66fd596c7…`
2024-07-13 05:37 UTC · 2 captures of this ZIP	2024-07	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`301d65b070ca…`
2024-06-18 03:08 UTC · 5 captures of this ZIP	2024-06	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`1e350fbaab3a…`
2024-05-31 18:47 UTC	2024-05	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`8072bd15b7f6…`
2022-06-29 02:47 UTC · 2 captures of this ZIP	2022-06	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RLD, RS	1984-10-31	`5c6f7cd8ea54…`
2022-04-08 23:34 UTC	2022-04	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RLD, RS	1984-10-31	`5d02ea3f76ae…`
2022-04-04 05:41 UTC	2022-04	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RLD, RS	1984-10-31	`4b0b4de00fa7…`
2019-12-13 00:20 UTC	2019-12	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RS	1984-10-31	`74a2ff9319b5…`
2022-03-09 01:35 UTC	2022-03	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RLD, RS	1984-10-31	`bb7c543d1eb4…`
2021-12-28 21:50 UTC	2021-12	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RLD, RS	1984-10-31	`782e0a99824c…`
2021-05-05 16:15 UTC · 3 captures of this ZIP	2021-05	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RS	1984-10-31	`87673890dc5c…`
2021-03-12 10:30 UTC	2021-03	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RS	1984-10-31	`5aa47cf7b7d7…`
2020-12-22 03:56 UTC	2020-12	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RS	1984-10-31	`8869cabd3fbd…`
2020-11-12 02:37 UTC	2020-11	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RS	1984-10-31	`c0c555d07b60…`
2019-12-14 00:12 UTC	2019-12	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RS	1984-10-31	`3f01610625f2…`
2019-09-15 20:21 UTC	2019-09	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RS	1984-10-31	`b00525d2431f…`
2019-07-19 19:46 UTC	2019-07	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RS	1984-10-31	`ea99ee380514…`
2024-03-16 18:09 UTC · 4 captures of this ZIP	2024-03	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`6a51e52b5d6a…`
2024-02-18 07:12 UTC	2024-02	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`1c564ffb4f44…`
2023-12-20 04:57 UTC	2023-12	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`ea1830bbd6c7…`
2023-11-28 05:40 UTC · 2 captures of this ZIP	2023-11	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`a72a2bbeb626…`
2023-10-25 00:34 UTC · 2 captures of this ZIP	2023-10	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL		RLD	1984-10-31	`9b2671bbb829…`
2023-07-15 15:27 UTC · 2 captures of this ZIP	2023-07	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RLD, RS	1984-10-31	`a67488948f0b…`
2023-06-13 01:57 UTC · 3 captures of this ZIP	2023-06	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RLD, RS	1984-10-31	`3f0d92c62455…`
2023-05-13 08:27 UTC	2023-05	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RLD, RS	1984-10-31	`053a50430f4f…`
2023-01-26 05:58 UTC	2023-01	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RLD, RS	1984-10-31	`3bdfa0b2c4d7…`
2022-11-12 20:34 UTC · 5 captures of this ZIP	2022-11	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RLD, RS	1984-10-31	`3a93d1ddd44b…`
2022-10-28 04:53 UTC	2022-10	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RLD, RS	1984-10-31	`f41ea6bd6efb…`
2022-09-29 23:25 UTC	2022-09	A088763-001	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE	10MG/5ML;6.25MG/5ML	SYRUP / ORAL	AA	RLD, RS	1984-10-31	`e64feba35796…`

Observed Orange Book normalized TE history#

Captured, Edition, Application-product table
Captured	Edition	Application-product	TE code	Order	Source SHA-256
2022-06-29 02:47 UTC · 2 captures of this ZIP	2022-06	A088763-001	AA	1	`5c6f7cd8ea54…`
2022-04-08 23:34 UTC	2022-04	A088763-001	AA	1	`5d02ea3f76ae…`
2022-04-04 05:41 UTC	2022-04	A088763-001	AA	1	`4b0b4de00fa7…`
2019-12-13 00:20 UTC	2019-12	A088763-001	AA	1	`74a2ff9319b5…`
2022-03-09 01:35 UTC	2022-03	A088763-001	AA	1	`bb7c543d1eb4…`
2021-12-28 21:50 UTC	2021-12	A088763-001	AA	1	`782e0a99824c…`
2021-05-05 16:15 UTC · 3 captures of this ZIP	2021-05	A088763-001	AA	1	`87673890dc5c…`
2021-03-12 10:30 UTC	2021-03	A088763-001	AA	1	`5aa47cf7b7d7…`
2020-12-22 03:56 UTC	2020-12	A088763-001	AA	1	`8869cabd3fbd…`
2020-11-12 02:37 UTC	2020-11	A088763-001	AA	1	`c0c555d07b60…`
2019-12-14 00:12 UTC	2019-12	A088763-001	AA	1	`3f01610625f2…`
2019-09-15 20:21 UTC	2019-09	A088763-001	AA	1	`b00525d2431f…`
2019-07-19 19:46 UTC	2019-07	A088763-001	AA	1	`ea99ee380514…`
2023-07-15 15:27 UTC · 2 captures of this ZIP	2023-07	A088763-001	AA	1	`a67488948f0b…`
2023-06-13 01:57 UTC · 3 captures of this ZIP	2023-06	A088763-001	AA	1	`3f0d92c62455…`
2023-05-13 08:27 UTC	2023-05	A088763-001	AA	1	`053a50430f4f…`
2023-01-26 05:58 UTC	2023-01	A088763-001	AA	1	`3bdfa0b2c4d7…`
2022-11-12 20:34 UTC · 5 captures of this ZIP	2022-11	A088763-001	AA	1	`3a93d1ddd44b…`
2022-10-28 04:53 UTC	2022-10	A088763-001	AA	1	`f41ea6bd6efb…`
2022-09-29 23:25 UTC	2022-09	A088763-001	AA	1	`e64feba35796…`
2022-07-09 03:26 UTC · 3 captures of this ZIP	2022-07	A088763-001	AA	1	`cb3db0bc1861…`

DailyMed Product Concepts#

Product concept, Relation, Version table
Product concept	Relation	Version	Effective
3036445d-7d13-4411-a100-f2ac5ab8a276	Product name	1	20240110
41b814f3-0166-1c53-c9ef-a0794c7daf9d	Product name	3	20221110
a590be26-846c-8659-a5a1-fb25907965dc	Product name	2	20221110
2e7222fb-e3f1-febd-962f-ddbb495d6b5f	Product name	2	20220126
09d8330d-4fec-be98-3a66-f985140646b2	Product name	2	20210513
20c8cafe-5cfc-44f8-a9be-a664f437f780	Product name	2	20200225
4f881de7-085a-407e-abc2-faa3c0127432	Product name	1	20170811
182f9ab4-4ab5-c449-200f-87ce2ce8e550	Product name	2	20151105
e0b6c8be-f2bd-9f86-a9fc-3ed56ffaa814	Product name	3	20150910
c0200ab5-4954-454e-9676-30b741b245bd	Product name	1	20150730
2a21311a-89e2-0e83-2ebd-117f9798b2b2	Product name	1	20140508
30c51294-7ae9-8007-7de6-58222684a0be	Product name	1	20140508
47fd879b-91c5-e1e5-130f-29d082a871ec	Product name	1	20140508
76633df9-0d59-4b88-03ed-21dee1b966f8	Product name	1	20140508
c35d1ac8-8885-2ee1-6c52-5a715b242c00	Product name	1	20140508
d51697af-7f97-0559-95d1-fe94f3f031d5	Product name	1	20140508
e949165d-714d-e548-2b76-0cb5def16f30	Product name	1	20140508

FDA-Initiated Inactive NDC Indexing#

NDC, Effective, Action table
NDC	Effective	Action	Document	Indexing SPL	Related label
42254-140-04	2019-09-24	C162847	48780-1	9350213a-3c53-c013-e053-90daa90a1393	PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE SYRUP CV FORM NO. 1627 Rev. 1/09 VC3276 Rx Only

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDC	Product	Description	Form	Quantity	Strength	SPL version
42254-140-04	Prometh with Codeine	118 mL in 1 BOTTLE	SYRUP	118		1

DailyMed Billing Units#

Package NDC, Billing unit, Product NDC table
Package NDC	Billing unit	Product NDC	DailyMed indexing SPL	SPL version	Effective
42254-140-04	ML - Milliliter	42254-140	44a47ddc-f9c6-4c18-85e5-924c5f6d1e24	1	2012-07-24

DailyMed Socrata Ingredients#

Ingredient, Type, UNII table
Ingredient	Type	UNII	DailyMed label	SPL version
Codeine Phosphate	ACTIVE INGREDIENT	GSL05Y1MN6	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
Promethazine Hydrochloride	ACTIVE INGREDIENT	R61ZEH7I1I	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
Codeine	ACTIVE MOIETY	Q830PW7520	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
Promethazine	ACTIVE MOIETY	FF28EJQ494	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
alcohol	INACTIVE INGREDIENT	3K9958V90M	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
CITRIC ACID MONOHYDRATE	INACTIVE INGREDIENT	2968PHW8QP	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
corn syrup	INACTIVE INGREDIENT	9G5L16BK6N	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
D&C RED NO. 33	INACTIVE INGREDIENT	9DBA0SBB0L	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
FD&C BLUE NO. 1	INACTIVE INGREDIENT	H3R47K3TBD	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
METHYLPARABEN	INACTIVE INGREDIENT	A2I8C7HI9T	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
propylene glycol	INACTIVE INGREDIENT	6DC9Q167V3	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
propylparaben	INACTIVE INGREDIENT	Z8IX2SC1OH	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
SACCHARIN SODIUM DIHYDRATE	INACTIVE INGREDIENT	SB8ZUX40TY	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
sodium benzoate	INACTIVE INGREDIENT	OJ245FE5EU	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
sodium citrate	INACTIVE INGREDIENT	1Q73Q2JULR	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1
WATER	INACTIVE INGREDIENT	059QF0KO0R	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDC	Dashboard title	SPL version	Validation	Dashboard ZIP
42254-140	PROMETH WITH CODEINE (PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE) SYRUP [REBEL DISTRIBUTORS CORP]	1	Legacy NDC, 1 package rows	20120411_a4fd8978-2036-43cb-ab16-b0dd98d6cd5b.zip

UNII, Preferred term, Registry number table
UNII	Preferred term	Registry number	Matched term
R61ZEH7I1I	PROMETHAZINE HYDROCHLORIDE	58-33-3	PROMETHAZINE HYDROCHLORIDE
GSL05Y1MN6	CODEINE PHOSPHATE	41444-62-6	CODEINE PHOSPHATE

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUI	RxNorm string	TTY	DailyMed	SPL version
991486	codeine phosphate 10 MG / promethazine HCl 6.25 MG in 5 mL Oral Solution	PSN	a4fd8978-2036-43cb-ab16-b0dd98d6cd5b	1
991486	codeine phosphate 2 MG/ML / promethazine hydrochloride 1.25 MG/ML Oral Solution	SCD	a4fd8978-2036-43cb-ab16-b0dd98d6cd5b	1
991486	codeine phosphate 10 MG / promethazine HCl 6.25 MG per 5 ML Oral Syrup	SY	a4fd8978-2036-43cb-ab16-b0dd98d6cd5b	1

Packages#

Package NDC, 11-digit format, Description table
Package NDC	11-digit format	Description	Units	Status
42254-140-04	42254014004	118 mL in 1 BOTTLE	118 ml	Historical

Title, Manufacturer, Effective date table
Title	Manufacturer	Effective date	Type	Version
PROMETHAZINE HYDROCHLORIDE AND CODEINE PHOSPHATE SYRUP CV FORM NO. 1627 Rev. 1/09 VC3276 Rx Only	Rebel Distributors Corp	2012-01-24	HUMAN PRESCRIPTION DRUG LABEL	1