VANACOF DM 18-200-10 MG/15 ML

What it is

VANACOF DM 18-200-10 MG/15 ML is how the CMS NADAC file names this product. The FDA NDC Directory lists it as dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride, under the trade name “VANACOF DM”.

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

The labeler, the company named on the label, is GM Pharmaceuticals, INC.

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), 58809-0555-08.

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

What pharmacies pay

Pharmacies pay $23.40 for 240 mL (240 × $0.09749 per ML, rounded to the cent), by the CMS NADAC file of 2026-10-14; that price took effect on 2026-01-21. That is what pharmacies pay their suppliers, not what they charge you.

NADAC’s explanation codes for it: 4, carried forward from the previous file; 5, calculated based on package size; 6, the CMS Covered Outpatient Drug Product File S/I/N drug category was not applied when grouping drugs for the calculation.

This NDC’s NADAC was carried forward from an earlier file (NADAC explanation code 2 or 4), not newly surveyed: it took effect on 2026-01-21. The file is new; the price is not.

NADAC also lists, on the row of one brand NDC, what pharmacies pay for the generic equivalent, a different product: $0.072 per ML filed.

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

What NADAC measures · NADAC explanation codes · Carried-forward prices

The NDC

• 58809-0555-08 · GM Pharmaceuticals, INC · $0.09749 per ML · eff. 2026-01-21 filed carried forward

Other strengths, forms and brands

1 other product in the NADAC file shares the FDA nonproprietary name dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride with VANACOF DM 18-200-10 MG/15 ML.

CMS NADAC · nadac-national-average-drug-acquisition-cost-20261014.csv · eff. 2026-01-21, 2026-09-23 · as of 2026-10-14 · retrieved 2026-10-17

Compared with its class

Its NADAC price is $0.09749 per ML filed.

Of the 30 other products in FDA’s alpha-1 Adrenergic Agonist class priced per ML, 3 have a higher middle NADAC price and 27 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, 1 has a higher middle NADAC price and 37 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, 1 has a higher middle NADAC price and 62 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, 1 has a higher middle NADAC price and 62 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. 2026-01-21, 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 240 mL? Is it lower than what I would pay through my insurance?
• Is a generic version available, and would it suit me? NADAC lists a generic with the same ingredient, strength and dosage form by FDA: DM-GUAIF-PE 18-200-10 MG/15 ML. Ask your pharmacist or prescriber; do not switch on your own.
• 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 240 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.