POLY-HIST DM

Product NDC
50991-271
11-digit product format
509910271
Labeler code
50991
Product ID
50991-271_5025c99f-b947-e2e0-e063-6394a90a13fb
Type
HUMAN OTC DRUG
Nonproprietary name
DEXCHLORPHENIRAMINE MALEATE AND DEXTROMETHORPHAN HBR
Dosage form
LIQUID
Route
ORAL
Labeler
POLY PHARMACEUTICALS, INC.
Application
M012
Marketing category
OTC MONOGRAPH DRUG
Marketing start
2026-04-23
Substance
DEXCHLORPHENIRAMINE MALEATE; DEXTROMETHORPHAN HYDROBROMIDE
Active strength
1; 10 mg/5mL; mg/5mL
Pharmacologic classes
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
2027-12-31
Current FDA listing
Yes

Additional Listing Data#

Finished product
Yes
Brand name base
POLY-HIST DM
Listing expiration
2027-12-31

Active Ingredients#

Ingredient, Strength table
IngredientStrength
DEXCHLORPHENIRAMINE MALEATE1 mg/5mL
DEXTROMETHORPHAN HYDROBROMIDE10 mg/5mL

Harmonized Identifiers#

Field, Values table
FieldValues
UniiB10YD955QW, 9D2RTI9KYH
Rxcui2741371

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
bf324df6-7127-7deb-def5-2681c136cd03Product name320250325
43a1ed49-eae2-4840-8075-cb4b33478540Product name120230425
ce6d5c06-3ae0-18a6-d5b3-8cd3cc0f8906Product name720210625
ba088a92-ab5e-b2d4-e908-f5ea691b7587Product name720210201
44893bf2-1be4-4e68-8bc4-bbb0f543085eProduct name120180830
76633df9-0d59-4b88-03ed-21dee1b966f8Product name120140508

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
50991-271-15POLY-HIST DM15 mL in 1 BOTTLELIQUID151
50991-271-16POLY-HIST DM473 mL in 1 BOTTLELIQUID4731

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYDailyMedSPL version
2741371dexchlorpheniramine maleate 1 MG / dextromethorphan HBr 10 MG in 5 mL Oral SolutionPSN5025c99f-b946-e2e0-e063-6394a90a13fb1
2741371dexchlorpheniramine maleate 0.2 MG/ML / dextromethorphan hydrobromide 2 MG/ML Oral SolutionSCD5025c99f-b946-e2e0-e063-6394a90a13fb1
2741371dexchlorpheniramine maleate 1 MG / dextromethorphan hydrobromide 10 MG per 5 mL Oral SolutionSY5025c99f-b946-e2e0-e063-6394a90a13fb1

Packages#

Package NDC, 11-digit format, Description table
Package NDC11-digit formatDescriptionUnitsMarketing startSampleExclude flagStatus
50991-271-155099102711515 mL in 1 BOTTLE (50991-271-15) 15 ml2026-04-23NoNoHistorical
50991-271-1650991027116473 mL in 1 BOTTLE (50991-271-16) 473 ml2026-04-23NoNoHistorical