NDC codes

FDA NDC Directory
Product NDC (as listed)0363-0758Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-0758Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0363-0758-0400363075804003630758041 BOTTLE in 1 CARTON (0363-0758-04) / 118 mL in 1 BOTTLEMarketed from Sep 8, 2017

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

Generic name (nonproprietary)
dextromethorphan hbr, doxylamine succinate
Active ingredients
Dextromethorphan hydrobromide — 30 mg/20mLDoxylamine succinate — 12.5 mg/20mL
Dosage form
Solution
Route
Oral
Labeler
WALGREEN CO.NDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
OTC monograph (final)Application part341
Marketing start
Listing expires
Other FDA classes
Histamine Receptor Antagonists (Mechanism)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 0363-0758_385a1e0b-09c5-4f2d-8404-086020e5c891SPL ID 385a1e0b-09c5-4f2d-8404-086020e5c891SPL set ID 385a1e0b-09c5-4f2d-8404-086020e5c891RxCUI 1115329UNII 9D2RTI9KYH, V9BI9B5YI2
Pharmacologic class
Antihistamine; 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

N400363075804 followed by a unit qualifier and the quantity

Package 00363-0758-04. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Uses • temporarily relieves cough due to minor throat and bronchial irritation as may occur with a cold. • temporarily relieves these symptoms due to hay fever or other upper respiratory allergies: • runny nose • sneezing • itchy, watery eyes • itching of the nose or throat • controls the impulse to cough to help you sleep

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-0758

What is NDC 0363-0758?
0363-0758 is the product NDC for Walgreens Adult Nighttime Wal Tussin DM Max Maximum Strength, Dextromethorphan hydrobromide 30 mg/20mL; Doxylamine succinate 12.5 mg/20mL solution, listed with the FDA by WALGREEN CO.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Walgreens Adult Nighttime Wal Tussin DM Max Maximum Strength (Dextromethorphan HBr, Doxylamine succinate).
What is the active ingredient?
Dextromethorphan hydrobromide, Doxylamine succinate.
Who is the labeler?
WALGREEN CO., NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Walgreens Adult Nighttime Wal Tussin DM Max Maximum Strength?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under part341

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under part341
ProductStrengthForm · routeLabelerProduct NDC
Pseudo Time PEphenylephrine hchloridePhenylephrine hydrochloride 10 mg/1Tablet, Film coatedOralTIME CAP LABORATORIES, INC.49483-234
Allergy Timechlorpheniramine maleateChlorpheniramine maleate 4 mg/1TabletOralTime Cap Labs Inc49483-242
Diphenhydramine HydrochlorideDiphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralTime-Cap Labs, Inc49483-329
CVS Health Sinus Reliefoxymetazoline hydrochlorideOxymetazoline hydrochloride .0005 g/mLSprayNasalCVS Pharmacy,Inc.59779-787
Severe Cold Head Congestionacetaminophen, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsTablet, CoatedOralMarc Glassman, Inc.68998-175
CVS Health Childrens Allergy Reliefdiphenhydramine hydrochlorideDiphenhydramine hydrochloride 12.5 mg/5mLLiquidOralCVS Pharmacy,Inc.59779-793
CVS Health Four Actions Nasal Decongestantphenylephrine hydrochloridePhenylephrine hydrochloride 10 mg/mLSprayNasalCVS Pharmacy,Inc.59779-838
Tussin CFdextromethorphan hbr guaifenesin phenylephrine hclDextromethorphan hydrobromide 20 mg/10mL + 2 more ingredientsSolutionOralStrategic Sourcing Services70677-1187
TussinguaifenesinGuaifenesin 200 mg/10mLSolutionOralStrategic Sourcing Services70677-1186
Discount Drug Mart Value Vapor Steamcamphor (synthetic)Camphor (Synthetic) .623 g/10mLLiquidRespiratory (Inhalation)Drug Mart53943-256
Pressure Pain Mucus PEacetaminophen, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsTablet, CoatedOralChain Drug Marketing Association63868-747
NightTime Cold and Fluacetaminophen,dextromethorphan,doxylamineAcetaminophen 325 mg/1 + 2 more ingredientsCapsule, Liquid filledOralVelocity Pharma76168-056
Allergydiphenhydramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1TabletOralVelocity Pharma LLC76168-121
Nightime Sleep AiddiphenhydramineDiphenhydramine hydrochloride 50 mg/1Capsule, Liquid filledOralVelocity Pharma76168-065
Diphenhydramine HydrochlorideDiphenhydramine hydrochloride 25 mg/1CapsuleOralEpic Pharma, LLC42806-648
Diphenhydramine HydrochlorideDiphenhydramine hydrochloride 50 mg/1CapsuleOralEpic Pharma, LLC42806-649
Pi Yuan Chinnaphazoline hydrochlorideNaphazoline hydrochloride 1 mg/1Solution/ dropsNasalInternational Nature Nutraceuticals51367-035
Sugar Free Cherry Cough DropsmentholMenthol 5.8 1/1LozengeOralArmy & Air Force Exchange Service55301-038
Best Choice Effervescent Cold Reliefaspirin, chlorpheniramine maleate, phenylephrine bitartrateAspirin 325 mg/1 + 2 more ingredientsTablet, EffervescentOralValu Merchandiser Company63941-873
CVS Health Nighttime Sleep Aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 50 mg/30mLLiquidOralCVS Pharmacy,Inc.69842-753

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