Independent register of U.S. FDA drug recalls · updated Oct 10, 2026
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Class III · Low risk Terminated Initiated Jan 7, 2025 (2 years ago)

Guaifenesin and Codeine Phosphate Oral Solution USP

Class III — Low risk. Unlikely to cause harm, but violates FDA regulations.

Why it was recalled

Superpotent; sodium benzoate preservative

Cause type: Wrong potency / content

Sub- or super-potent product, or a failed content-uniformity / assay test. You may receive too little or too much active ingredient - a direct dosing risk. All wrong potency / content recalls.

What was recalled

Guaifenesin and Codeine Phosphate Oral Solution USP, 100mg/10 mg per 5 mL, 16 fl oz (473 ml) bottles, PAI Pharmaceutical Associates, Inc., Greenville, SC 29605, NDC 0121-0775-16

Affected NDC 0121-0775-16

Compare with the code on your package — it is the most precise check available.

Drug: Guaifenesin

Product details

From the FDA NDC directory, for the product code this recall names. Compare with the label on your package.

ProductStrengthForm & routeLabelerType
Guaifenesin and Codeine Phosphate
NDC 00121-0775
GUAIFENESIN 100 mg/5mL; CODEINE PHOSPHATE 10 mg/5mL Solution
Oral
PAI Holdings, LLC OTC · CV
Recalling firm
PAI Holdings, LLC. dba Pharmaceutical Associates Inc
NDC code
0121-0775-16
Origin
SC, United States
Initiated by
Voluntary: Firm initiated
FDA recall number
D-0222-2025 · FDA notice

Low risk, still worth a check. Class III means the product is unlikely to cause harm but breaks an FDA rule (often labeling). If your lot matches, your pharmacy will normally swap it; there is no need for alarm. This recall is now terminated, which means the firm has finished removing the affected product; anything on pharmacy shelves today should be unaffected.

Other Guaifenesin recalls

See all
Class III · Low risk

Kids' Cough and Chest Congestion

Crystallization: Lack of uniformity - a change in texture, chunky, grainy, and small crystal substances inside the bottles.

Ongoing Failed specification Denison Pharmaceuticals, LLC D-0034-2025
Class III · Low risk

Adult Cough and Chest Congestion

Crystallization: Lack of uniformity - a change in texture, chunky, grainy, and small crystal substances inside the bottles.

Ongoing Failed specification Denison Pharmaceuticals, LLC D-0033-2025

Other recalls by PAI Holdings, LLC. dba Pharmaceutical Associates Inc

All 2025 recalls
Class II · Moderate risk

VistaPharm

Does Not Meet USP or OTC Monograph: Product did not meet the Over-the-Counter (OTC) Monograph M023

Ongoing Unapproved drug PAI Holdings LLC NDC 66689-203-08 D-0592-2026
Class II · Moderate risk

VistaPharm

Does Not Meet USP or OTC Monograph: Product did not meet the Over-the-Counter (OTC) Monograph M023

Ongoing Unapproved drug PAI Holdings LLC NDC 66689-203-04 D-0591-2026
Class II · Moderate risk

VistaPharm

Does Not Meet USP or OTC Monograph: Product did not meet the Over-the-Counter (OTC) Monograph M023

Ongoing Unapproved drug PAI Holdings LLC NDC 66689-202-08 D-0590-2026
Class II · Moderate risk

VistaPharm

Does Not Meet USP or OTC Monograph: Product did not meet the Over-the-Counter (OTC) Monograph M023

Ongoing Unapproved drug PAI Holdings LLC NDC 66689-202-04 D-0589-2026