Why does this page start at 118 mL?

NADAC prices this product per ML. The FDA NDC Directory’s package description gives 118 mL in one package for this product’s NDC (“1 BOTTLE in 1 CARTON (70000-0739-1) / 118 mL in 1 BOTTLE”), so the card starts at one package: 118 ML. Change it to match your prescription.

TUSSIN CF SEVERE MULTI-SYMPTOM

FDA nonproprietary name: acetaminophen, dextromethorphan hydrobromide, guaifenesin

For 118 mL

Pharmacies pay

$3.01 filed

118 × $0.02548 per ML

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

Medicare

We don’t know yet

No Medicare reference price. Part D: OpenBill did not match this NDC to a usable Medicare Part D spending row. Either Part D has none for it, or the rows that share its name could not safely be tied to it (for example, they mix units, routes or release forms, or the drug is sold over the counter, which Part D does not cover). Part B: This NDC is not in the current quarter’s Medicare Part B NDC-HCPCS crosswalk, so it has no Part B payment limit.

The spread

We don’t know yet

There is no Medicare figure to compare with, so there is no spread.

Cost-plus estimate

$8.46 estimated

$3.01 + $0.45 (15%) + $5.00 fee per fill = $8.46

This is a model, not a price any pharmacy quoted. Shipping is not included. For a pack this cheap, the $5.00 fee is most of the estimate. How it is worked out

OpenBill calculation · nadac-national-average-drug-acquisition-cost-20261014.csv · NADAC eff. 2026-09-23 (file of 2026-10-14, retrieved 2026-10-17)

Open the interactive card Change the quantity, type what you were charged, and see every record in full.

What it is

TUSSIN CF SEVERE MULTI-SYMPTOM is how the CMS NADAC file names this product. The FDA NDC Directory lists it as acetaminophen, dextromethorphan hydrobromide, guaifenesin, under the trade name “LEADER TUSSIN CF”.

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

The labeler, the company named on the label, is Cardinal Health 110, LLC. dba Leader.

FDA lists it under 3 Established Pharmacologic Classes: 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), 70000-0739-01.

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

What pharmacies pay

Pharmacies pay $3.01 for 118 mL (118 × $0.02548 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

70000-0739-01 · Cardinal Health 110, LLC. dba Leader · $0.02548 per ML · eff. 2026-09-23 filed

Compared with its class

Its NADAC price is $0.02548 per ML filed.

Of the 38 other products in FDA’s Expectorant class priced per ML, 7 have a higher middle NADAC price and 31 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, 26 have a higher middle NADAC price and 37 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, 26 have a higher middle NADAC price and 37 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 118 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 118 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.

Questions

Why does this page start at 118 mL?: NADAC prices this product per ML. The FDA NDC Directory’s package description gives 118 mL in one package for this product’s NDC (“1 BOTTLE in 1 CARTON (70000-0739-1) / 118 mL in 1 BOTTLE”), so the card starts at one package: 118 ML. Change it to match your prescription.

Its pharmacologic classes

Expectorant 108 products
Sigma-1 Agonist 111 products
Uncompetitive N-methyl-D-aspartate Receptor Antagonist 111 products