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COUGH DM

NDC 21130-538 · Safeway

Generic namedextromethorphan polistirex
Dosage formSUSPENSION
RouteORAL
Active ingredient(s)DEXTROMETHORPHAN HYDROBROMIDE
Strength30 mg/5mL
Pharmacologic classSigma-1 Agonist [EPC], Sigma-1 Receptor Agonists [MoA], Uncompetitive N-methyl-D-aspartate Receptor Antagonist [EPC], Uncompetitive NMDA Receptor Antagonists [MoA]
Marketing categoryANDA

Packages

21130-538-21 — 1 BOTTLE in 1 CARTON (21130-538-21) / 89 mL in 1 BOTTLE

Related Codes

Same active ingredient

FDA lists these products with the same active ingredient.

21130-129 — Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl, 21130-162 — Dextromethorphan Hydrobromide, Guaifenesin, and Phenylephrine Hydrochloride, 21130-343 — Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, 21130-378 — Dextromethorphan HBr, Phenylephrine HCl, 21130-385 — Dextromethorphan HBr, Guaifenesin, 21130-436 — acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl, 21130-454 — dextromethorphan hydrobromide, guaifenesin, 21130-499 — Dextromethorphan Hydrobromide, Doxylamine Succinate, 21130-505 — Dextromethorphan HBr, Guaifenesin, 21130-520 — dextromethorphan polistirex, 21130-580 — Acetaminophen Dextromethorphan HBr Phenylephrine HCl, 21130-583 — Dextromethorphan HBr, Guaifenesin, 21130-598 — Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride, 21130-603 — Acetaminophen, Dextromethorphan Hydrobromide, Doxylamine Succinate, 21130-650 — Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride, 21130-689 — chlorpheniramine maleate, dextromethorphan HBr, 21130-707 — Dextromethorphan HBr, Guaifenesin, 21130-738 — Dextromethorphan HBr, Guaifenesin, and Phenylephrine HCl, 21130-849 — ACETAMINOPHEN, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE, 21130-866 — Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride, +1967 more

From the FDA National Drug Code Directory, retrieved August 24, 2026. Product listings are submitted by labelers; FDA does not verify them.

Read from: FDA National Drug Code Directory, product.txt and package.txt (accessdata.fda.gov/cder/ndctext.zip) — Snapshot retrieved 2026-08-24, loaded 2026-08-24; CMS Medicare Part B Drug Average Sales Price (ASP) Pricing Files (cms.gov/medicare/payment/part-b-drugs/asp-pricing-files) -- the NDC-HCPCS crosswalk and Part B payment limit files — 2026 Q3 (July 2026 release). All data sources · How to read the labels