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Prescription medicine

Benzonatate First approved as Tessalon

Benzonatate (Tessalon) is a prescription medicine with an FDA approval on record since 1958. FDA's NDC Directory lists it from 45 generic labelers, and pharmacies paid $0.0656 per benzonatate 100 mg capsule in the October 7, 2026 NADAC survey.

  • Generic listed

Check it at the source: the benzonatate FDA label on DailyMed (effective August 3, 2026, Epic Pharma LLC); the NDA 11210 record on Drugs@FDA; every benzonatate label on DailyMed.

Highlights of the record

FDA label of August 3, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026; NADAC October 7, 2026

Used for

From the label: indications and usage

Benzonatate capsules, USP are indicated for the symptomatic relief of cough.

Forms and strengths

  • 100 mg
  • 150 mg
  • 200 mg

Capsule; liquid-filled capsule.

On the market

Earliest approval on file
February 10, 1958 Tessalon, Pfizer; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
16 first January 29, 1993; 11 with a marketed status in Drugs@FDA
Labelers listed (NDC)
45 of which 45 under generic applications, 0 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
$0.0656 per capsule Benzonatate 100 mg capsule
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
7 since 2014 1 Class I among all firms' recalls; latest December 26, 2023
FAERS reports
16,446 through July 30, 2026

What is benzonatate used for?

From the label: indications and usage

Benzonatate capsules, USP are indicated for the symptomatic relief of cough.

Conditions named in the indications of benzonatate's FDA labels, with every medicine labeled for each:

From other benzonatate labels

Cough and cold: INDICATIONS AND USAGE Benzonatate capsules, USP are indicated for the symptomatic relief of cough.

FDA pharmacologic class: Non-narcotic Antitussive.

Source: FDA drug label (Benzonatate), Epic Pharma LLC, effective August 3, 2026 (SPL set 9b35e9d5-7d72-4f51-a245-ad2467ab40e9), via openFDA; the full label on DailyMed

Is there a generic for benzonatate (Tessalon)?

The FDA approved the first generic benzonatate on January 29, 1993. 16 generic applications are approved; 11 of them carry a current (not discontinued) marketing status in Drugs@FDA; that status is not evidence that the generic is on sale.

FDA's NDC Directory lists benzonatate from 45 labelers under a generic (ANDA) application. A listing means the company has registered the product for sale; it does not show that every pharmacy stocks it.

  • 1958 earliest approval on file
  • 1993 first generic approved
  • red ticks recalls

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What do pharmacies pay for benzonatate (Tessalon)?

In CMS's NADAC survey of October 7, 2026, pharmacies paid $0.0656 per Benzonatate 100 mg capsule, down 8% from $0.0713 on October 8, 2025. The chart's scale runs from the lowest to the highest price shown, not from zero. NADAC is what retail pharmacies paid their wholesalers, per unit, in CMS's monthly survey; what a patient pays depends on insurance and the pharmacy.

  • Benzonatate 100 mg capsule (generic)
$0.0934
$0.0522
January 2024October 2026
NADAC per unit, October 7, 2026
Strength and formBrand or genericPharmacy cost30 tablets, or one pen or vial12-month change
Benzonatate 100 mg capsuleGeneric$0.0656 per capsule$1.97-8%
Benzonatate 200 mg capsuleGeneric$0.101 per capsule$3.04-5%

Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price

Has benzonatate been recalled?

The FDA's Enforcement Report lists 7 recalls naming benzonatate since 2014: 1 Class I (the most serious), 3 Class II, 3 Class III; 1 still ongoing. A recall names products and lots, not every product of the medicine.

StartedClassCompanyReason
December 26, 2023Class IIIAmerisource Health Services LLCSuperpotent drug: Assay results were slightly above specification at the time zero point.
January 15, 2021Class ICalvin Scott & Company, Inc.Labeling: Label Mix-up: Bottle labeled as Benzonatate 100 mg capsules contained Benzphetamine 50 mg tablets and a bottle labeled as Benzphetamine 50 mg tablets …
May 9, 2017Class IIIStrides Pharma INCFailed Stability Specifications: Out of Specification results obtained for preservative Methylparaben content.
January 6, 2015Class IIAmerican Health PackagingFailed Tablet/Capsule Specifications; recall initiated by manufacturer due to reports of wet capsules
December 23, 2014Class IIZydus Pharmaceuticals USA IncFailed Tablet/Capsule Specifications: Recall due to wet and/or leaking capsules.
November 26, 2014Class IIZydus Pharmaceuticals USA IncFailed Tablet/Capsule Specifications: Recall due to wet and/or leaking capsules.
September 24, 2014Class IIIZydus Pharmaceuticals USA IncPresence of Foreign Capsules/Tablets: Benzonatate 100 mg co-mingled with benzonatate 200 mg capsules.

Source: FDA Enforcement Report (drug recalls) via openFDA, through October 8, 2026

What do FAERS reports show for benzonatate?

The FDA Adverse Event Reporting System holds 16,446 reports that list benzonatate among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 1,952 are coded as a death and 5,621 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

Reports received each year

The most reported reactions

  • Fatigue1,263
  • Cough (a use or a product term, not a reaction)1,237
  • Chronic Kidney Disease1,234
  • Dyspnoea1,180
  • Diarrhoea1,126
  • Pneumonia1,120
  • Nausea (named in the label)1,100
  • Pain940

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What else is labeled for the same conditions as benzonatate?

18 other medicines are given the same way (oral) and in the same FDA class as benzonatate or labeled mainly for the same use (cough and cold), the same class first. Cough and cold lists all 31 medicines labeled for it, by any route. The first 8 are below. They are listed as records, not as substitutes: whether one can replace another is a prescriber's decision.

MedicineShared indicationGeneric labelers (oral)Pharmacy costShortage
DiphenhydramineCough and cold4 labelers$0.0185 per mL 12.5 mg/5 mLNo current entry
Dextromethorphan and guaifenesinCough and cold61 labelers$0.0207 per mL 200-20 mg/20 mLNo current entry
GuaifenesinCough and cold102 labelers$0.284 per tablet 600 mg tabletNo current entry
DextromethorphanCough and cold28 labelers$0.122 per unit 15 mg softgelNo current entry
PseudoephedrineCough and cold34 labelers$0.281 per tablet 120 mg tabletNo current entry
Guaifenesin and pseudoephedrineCough and cold30 labelers$0.384 per unit 600-60 mgNo current entry
PhenylephrineCough and coldnone listed$0.0496 per tablet 10 mg tabletNo current entry
Loratadine and pseudoephedrineCough and cold31 labelers$0.553 per tablet Allergy relief-nasal decong tabletNo current entry

Source: FDA drug labels (indications), NDC Directory, NADAC of October 7, 2026, FDA shortages (October 8, 2026)

How does benzonatate compare with medicines for the same use?

3 side-by-side pages set benzonatate beside a medicine whose label shares a use: approvals, generics, pharmacy cost, warnings and supply.

What next?

Benzonatate side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other