TUSNEL-DM PED 2.5-25-1.25 MG/ML

What it is

TUSNEL-DM PED 2.5-25-1.25 MG/ML is how the CMS NADAC file names this product. The FDA NDC Directory lists it as dextromethorphan hbr, guaifenesin, phenylephrine hcl, under the trade name “Tusnel-DM Pediatric”.

FDA gives its dosage form as solution/ drops and its route as oral.

The labeler, the company named on the label, is LLORENS PHARMACEUTICALS INTERNATIONAL DIVISION.

FDA lists it under 4 Established Pharmacologic Classes: alpha-1 Adrenergic Agonist, Expectorant, Sigma-1 Agonist and Uncompetitive N-methyl-D-aspartate Receptor Antagonist.

The NADAC file of 2026-10-14 prices it under one NDC (National Drug Code), 54859-0606-01.

NADAC classes it as a generic drug (rate-setting class G), and marks it as sold over the counter.

What pharmacies pay

Pharmacies pay $8.25 for 30 mL (30 × $0.27516 per ML, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-09-23. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 1, calculated from the most recently completed pharmacy survey; 5, calculated based on package size.

What NADAC measures · NADAC explanation codes

The NDC

• 54859-0606-01 · LLORENS PHARMACEUTICALS INTERNATIONAL DIVISION · $0.27516 per ML · eff. 2026-09-23 filed

Other strengths, forms and brands

1 other product in the NADAC file shares the FDA nonproprietary name dextromethorphan hbr, guaifenesin, phenylephrine hcl with TUSNEL-DM PED 2.5-25-1.25 MG/ML.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Compared with its class

Its NADAC price is $0.27516 per ML filed.

Of the 30 other products in FDA’s alpha-1 Adrenergic Agonist class priced per ML, 2 have a higher middle NADAC price and 28 a lower one. The one in the middle is RYNEX DM LIQUID, at $0.05121 per ML filed (eff. 2026-09-23).

Of the 38 other products in FDA’s Expectorant class priced per ML, 0 have a higher middle NADAC price and 38 a lower one. The one in the middle is ROBAFEN DM 200-20 MG/20 ML LIQ, at $0.02069 per ML filed (eff. 2026-09-23).

Of the 63 other products in FDA’s Sigma-1 Agonist class priced per ML, 0 have a higher middle NADAC price and 63 a lower one. The one in the middle is GNP TUSSIN LONG-ACTING LIQUID, at $0.02263 per ML filed (eff. 2026-09-23).

Of the 63 other products in FDA’s Uncompetitive N-methyl-D-aspartate Receptor Antagonist class priced per ML, 0 have a higher middle NADAC price and 63 a lower one. The one in the middle is GNP TUSSIN LONG-ACTING LIQUID, at $0.02263 per ML filed (eff. 2026-09-23).

Prices are compared per unit, whatever the strength or dose, and a class is not a list of substitutes.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

How the class comparison works

What Medicare paid

We don’t know yet; the card above says why.

Which Medicare figure OpenBill compares · How Part D is matched · How Part B is matched

What to ask at the counter

None of these figures is your price: what you pay depends on your pharmacy, your insurance, coupons and discounts.

• What is your cash price for 30 mL? Is it lower than what I would pay through my insurance?
• It is sold over the counter, so shelf prices vary from store to store: what does it cost per unit here?
• How much is in the package I am getting? This page uses 30 mL; your package may hold a different amount.
• These are questions about price, not medical advice. Do not change or stop a medicine without talking to your prescriber or pharmacist.