| NDC Code | 28595-250-16 | 
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			| Package Description | 473 mL in 1 BOTTLE (28595-250-16) | 
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			| Product NDC | 28595-250 | 
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			| Product Type Name | HUMAN OTC DRUG | 
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			| Proprietary Name | Histex Ac | 
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			| Non-Proprietary Name | Codeine Phosphate, Phenylephrine Hydrochloride, And Triprolidine Hydrochloride | 
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			| Dosage Form | SYRUP | 
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			| Usage | ORAL | 
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			| Start Marketing Date | 20150812 | 
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			| Marketing Category Name | OTC MONOGRAPH FINAL | 
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			| Application Number | part341 | 
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			| Manufacturer | Allegis Pharmaceuticals, LLC | 
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			| Substance Name | CODEINE PHOSPHATE; PHENYLEPHRINE HYDROCHLORIDE; TRIPROLIDINE HYDROCHLORIDE | 
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			| Strength | 10; 10; 2.5 | 
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			| Strength Unit | mg/5mL; mg/5mL; mg/5mL | 
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			| Pharmacy Classes | Adrenergic alpha1-Agonists [MoA], Full Opioid Agonists [MoA], Opioid Agonist [EPC], alpha-1 Adrenergic Agonist [EPC] | 
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			| DEA Schedule | CV | 
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