The short version
Only one company currently supplies this market — there is no backup if it stumbles.
The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.
Acteaminophen, Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl · ACETAMINOPHEN 650 mg/20mL; DEXTROMETHORPHAN HYDROBROMIDE 20 mg/20mL; GUAIFENESIN 400 mg/20mL; PHENYLEPHRINE HYDROCHLORIDE 10 mg/20mL · Liquid · Oral · Guardian Drug Company
NDC 53041-0618-58 · 177 mL in 1 CARTON · OTC MONOGRAPH DRUG · View full market →
Only one company currently supplies this market — there is no backup if it stumbles.
The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.
Medicare Part D does not cover over-the-counter drugs — by law it pays only for products requiring a prescription.
How Part D pricing works →No NADAC pricing on file for this NDC — NADAC covers drugs dispensed by retail community pharmacies.
Not scored — fragility is computed for NADAC-priced NDCs.
No FDA shortage reports for this drug or its presentations.
No enforcement reports list this package NDC.
| Labeler | Strength | First seen | Last seen |
|---|---|---|---|
| Guardian Drug Company | ACETAMINOPHEN 325 mg/10mL; DEXTROMETHORPHAN HYDROBROMIDE 10 mg/10mL; PHENYLEPHRINE HYDROCHLORIDE 5 mg/10mL; GUAIFENESIN 200 mg/10mL | Aug 26, 2026 | Sep 2, 2026 |
| Guardian Drug Company | ACETAMINOPHEN 650 mg/20mL; DEXTROMETHORPHAN HYDROBROMIDE 20 mg/20mL; GUAIFENESIN 400 mg/20mL; PHENYLEPHRINE HYDROCHLORIDE 10 mg/20mL | Jul 15, 2026 | Sep 2, 2026 |
| Guardian Drug Company | ACETAMINOPHEN 325 mg/10mL; DEXTROMETHORPHAN HYDROBROMIDE 10 mg/10mL; PHENYLEPHRINE HYDROCHLORIDE 200 mg/10mL; GUAIFENESIN 5 mg/10mL | Jul 22, 2026 | Aug 19, 2026 |
| Guardian Drug Company | ACETAMINOPHEN 325 mg/10mL; DEXTROMETHORPHAN HYDROBROMIDE 10 mg/10mL; GUAIFENESIN 200 mg/10mL; PHENYLEPHRINE HYDROCHLORIDE 5 mg/10mL | Jul 15, 2026 | Jul 15, 2026 |
Roster from daily NDC Directory diffs — first/last seen dates start July 2026.
DrugDashboards, "Tussnex FM Cold, Flu and Sore Throat — NDC 53041-0618-58," retrieved September 3, 2026, https://drugdashboards.com/drug/53041061858.
Free to cite with attribution — see how the data is put together.