PillOTC · Tablet, Film Coated · Oral
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
Brands: Leader Daytime Severe Cold And Flu Relief · Medi-First Cough Cold · Medi-First Plus Cough Cold · Medique Decorel Forte +13 · Acetaminophen + Dextromethorphan Hydrobromide + Guaifenesin + Phenylephrine Hydrochloride
15 ACTIVE SUPPLIERS — US
openFDA · updated weekly
US20 NDCs
15 active makers
15 active makers
UKComing
soon
soon
CAComing
soon
soon
AUComing
soon
soon
EUComing
soon
soon
US acquisition costNADAC · per unit
Average across 2 priced NDCs. A benchmark of pharmacy acquisition cost — not a retail quote.
$0.143
Latest avg · Jul 22, 2026
+13%
Since Dec 17, 2025
15
Active US suppliers
43%
Top-2 supplier share*
Medicaid dispensing volumeSDUD · per quarter
Prescriptions dispensed under Medicaid (fee-for-service + managed care), summed nationally. The closest free proxy to sales volume — Medicaid only, not all-payer.
22
Rx · 2025 Q4
432
Units dispensed
2
Quarters · since 2025 Q3
Who makes it15 active · 0 exited
US labelers as registered with FDA. Repackagers relabel another company's product; share* is of listed packages, not sales.
| Labeler | Type | Packages | Status |
|---|---|---|---|
| Unifirst First Aid Corporation | unknown | 10 | SUPPLYING |
| Savings Distributors LLC | unknown | 3 | SUPPLYING |
| Jones Healthcare Group - Packaging Services, Inc | unknown | 2 | SUPPLYING |
| Sportpharm LLC | unknown | 2 | SUPPLYING |
| L. Perrigo Company | unknown | 2 | SUPPLYING |
| JC World Bell Wholesale Co., Inc. | unknown | 2 | SUPPLYING |
| Acme United Corporation | unknown | 1 | SUPPLYING |
| Topco Associates LLC | unknown | 1 | SUPPLYING |
| Strategic Sourcing Services LLC | unknown | 1 | SUPPLYING |
| Amazon.com Services LLC | unknown | 1 | SUPPLYING |
| CVS Pharmacy | unknown | 1 | SUPPLYING |
| CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED | unknown | 1 | SUPPLYING |
| Wal-Mart Stores, Inc. | unknown | 1 | SUPPLYING |
| DOLGENCORP, LLC | unknown | 1 | SUPPLYING |
| Cardinal Health 110, LLC. dba Leader | unknown | 1 | SUPPLYING |
Regulatory & supply events
No recalls, shortages, or registration changes on record for this drug concept.