Can You Buy Cough Syrup With Codeine Over The Counter May 2026

In the U.S., codeine is classified as an opioid and an antitussive (cough suppressant).

Many countries that previously allowed over-the-counter (OTC) sales have recently moved to prescription-only models: What Medications Are Kept Behind the Pharmacy Counter? can you buy cough syrup with codeine over the counter

: Federal law allows some low-dose codeine products to be sold without a prescription as Schedule V controlled substances . However, most states have stricter laws that override this, requiring a prescription for all codeine products. In the U

: A small number of states—including Florida, Oklahoma, Iowa, and North Carolina —may allow pharmacists to dispense small quantities of codeine cough syrup without a doctor's visit. However, most states have stricter laws that override

: The FDA strongly recommends against using codeine for cough or pain in children under 18 due to serious breathing risks. International Status