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Drug Product Composition: Dextromethorphan polistirex

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$ API Ref.Price (USD/KG) : 157Xls

USFDA APPLICATION NUMBER - 21620 / DOSAGE - TABLET, EXTENDED RELEASE;ORAL - 60MG;1.2GM

Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
DEXTROMETHORPHAN HYDROBROMIDE(UNII: 9D2RTI9KYH)
(DEXTROMETHORPHAN - UNII:7355X3ROTS)
DEXTROMETHORPHAN HYDROBROMIDE30mg
GUAIFENESIN(UNII: 495W7451VQ)
(GUAIFENESIN - UNII:495W7451VQ)
GUAIFENESIN600mg

Inactive Ingredients

Ingredient Name
A-S Medication Solutions
Shopko Stores Operating Co., LLC.
TARGET Corporation
Bayer HealthCare LLC.
CVS Pharmacy
L. Perrigo Company
Preferred Pharmaceuticals Inc.
American Sales Company
Amerisource Bergen
Cardinal Health
Dolgencorp, LLC
DZA Brands LLC
Harris Teeter, LLC
HyVee Inc
Kroger Company
Meijer Distribution Inc
Rite Aid Corporation
Safeway
Sam's West Inc
Shopko Stores Operating Co., LLC
Strategic Sourcing Services LLC
Supervalu Inc
Target Corporation
Topco Associates LLC
Wal-Mart Stores Inc
Walgreen Company
Chain Drug Consortium, LLC
Family Dollar, Inc.
Fred's, Inc.
Genomma Lab USA Inc
Marc Glassman, Inc.
SUPERVALU INC
aluminum oxide(LMI26O6933)                               
CARBOMER 934(Z135WT9208)                              
Carbomer Homopolymer Type B (Allyl Pentaerythritol Crosslinked)(HHT01ZNK31)                           
CARBOMER HOMOPOLYMER TYPE B (ALLYL PENTAERYTHRITOL OR ALLYL SUCROSE CROSSLINKED)(K6MOM3T5YL)                               
CELLULOSE, MICROCRYSTALLINE(OP1R32D61U)           
COPOVIDONE K25-31(D9C330MD8B)           
COPOVIDONE(D9C330MD8B)                               
D&C yellow no. 10(35SW5USQ3G)         
HYPROMELLOSE, UNSPECIFIED(3NXW29V3WO)                   
HYPROMELLOSES(3NXW29V3WO)           
LACTOSE MONOHYDRATE(EWQ57Q8I5X)                              
MAGNESIUM HYDROXIDE(NBZ3QY004S)                             
MAGNESIUM STEARATE(70097M6I30)  
MALTODEXTRIN(7CVR7L4A2D)            
MICROCRYSTALLINE CELLULOSE(OP1R32D61U)                   
POVIDONE K25(K0KQV10C35)                      
POVIDONE K90(RDH86HJV5Z)                      
POVIDONE(FZ989GH94E)                             
POVIDONE, UNSPECIFIED(FZ989GH94E)                               
POVIDONES(FZ989GH94E)              
SILICON DIOXIDE(ETJ7Z6XBU4)   
STARCH, CORN(O8232NY3SJ)                      
STEARIC ACID(4ELV7Z65AP)            
TALC(7SEV7J4R1U)