Over-the-counter drug · ANDA
good sense cough dm (Dextromethorphan polistirex) NDC 0113-0384
Dextromethorphan hydrobromide 30 mg/5mL · Suspension · Oral · L. Perrigo Company
NDC codes
FDA NDC DirectoryProduct NDC (as listed)0113-0384Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00113-0384Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0113-0384-28 | 00113038428 | 1 BOTTLE in 1 CARTON (0113-0384-28) / 148 mL in 1 BOTTLEMarketed from Jul 25, 2013 |
How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules
Product information
- Brand name (proprietary)
- good sense cough dm
- Generic name (nonproprietary)
- dextromethorphan polistirex
- Active ingredients
- Dextromethorphan hydrobromide — 30 mg/5mL
- Dosage form
- Suspension
- Route
- Oral
- Labeler
- L. Perrigo CompanyNDC labeler code 0113
- Product type
- Over-the-counter drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 091135
- Marketing start
- Listing expires
- Other FDA classes
- Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
- Identifiers
- Product ID 0113-0384_5b3da5de-abd3-4bb7-8649-3d6e7d020308SPL ID 5b3da5de-abd3-4bb7-8649-3d6e7d020308SPL set ID 1b11b25b-2716-45f9-830f-ddf622366e60RxCUI 1373045UNII 9D2RTI9KYH
- Pharmacologic class
- Sigma-1 Agonist; Uncompetitive N-methyl-D-aspartate Receptor Antagonist
Billing references
What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.
- HCPCS codeNo match
No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.
- NDC on a medical claim
N400113038428followed by a unit qualifier and the quantityPackage 00113-0384-28. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier
Product label
Label details couldn’t be retrieved right now. Open the label on DailyMed.
About NDC 0113-0384
- What is NDC 0113-0384?
- 0113-0384 is the product NDC for good sense cough dm (dextromethorphan polistirex), Dextromethorphan hydrobromide 30 mg/5mL suspension, listed with the FDA by L. Perrigo Company. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- good sense cough dm (Dextromethorphan polistirex).
- What is the active ingredient?
- Dextromethorphan hydrobromide.
- Who is the labeler?
- L. Perrigo Company, NDC labeler code 0113. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for good sense cough dm?
- 1 other product NDC are listed under this name. See all good sense cough dm NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other good sense cough dm products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Good Sense Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | L. Perrigo Company | 0113-0958 | 00113-0958-2100113-0958-28 |
Other NDCs under ANDA 091135
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| 12 Hr Relief Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED | 51316-263 |
| 12 hr relief cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | Suspension, Extended releaseOral | CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED | 51316-943 |
| basic care childrens cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Amazon.com Services LLC | 72288-899 |
| basic care childrens cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Amazon.com Services LLC | 72288-958 |
| basic care cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Amazon.com Services LLC | 72288-384 |
| basic care cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | Suspension, Extended releaseOral | Amazon.com Services LLC | 72288-494 |
| CareOne Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | American Sales Company | 41520-384 |
| CareOne Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | American Sales Company | 41520-958 |
| Childrens 12 Hr Cough Reliefdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED | 51316-429 |
| childrens cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Walgreen Company | 0363-0899 |
| Childrens Robitussin 12 Hour Cough Reliefdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | Suspension, Extended releaseOral | Haleon US Holdings LLC | 0031-8725 |
| Childrens Robitussin 12 Hour Cough Reliefdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | Suspension, Extended releaseOral | Haleon US Holdings LLC | 0031-8726 |
| Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Walgreen Company | 0363-0384 |
| Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | Suspension, Extended releaseOral | Walgreen Company | 0363-0494 |
| cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Major Pharmaceuticals | 0904-6312 |
| cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | ATLANTIC BIOLOGICALS CORP. | 17856-6312 |
| Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Safeway | 21130-538 |
| Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Kroger Company | 30142-384 |
| cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | Suspension, Extended releaseOral | Kroger Company | 30142-494 |
| Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | H E B | 37808-384 |
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