Over-the-counter drug · ANDA
childrens cough dm (Dextromethorphan polistirex) NDC 0363-0899
Dextromethorphan hydrobromide 30 mg/5mL · Suspension · Oral · Walgreen Company
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0363-0899-21 | 00363089921 | 1 BOTTLE in 1 CARTON (0363-0899-21) / 89 mL in 1 BOTTLEMarketed from Jun 12, 2015 |
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)
- childrens cough dm
- Generic name (nonproprietary)
- dextromethorphan polistirex
- Active ingredients
- Dextromethorphan hydrobromide — 30 mg/5mL
- Dosage form
- Suspension
- Route
- Oral
- Labeler
- Walgreen CompanyNDC labeler code 0363
- 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 0363-0899_1ac3e561-8ddc-4922-81eb-0e7c8c7f2100SPL ID 1ac3e561-8ddc-4922-81eb-0e7c8c7f2100SPL set ID 317ab8e0-c329-4d4e-9fd0-4bff4e1504cdRxCUI 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
N400363089921followed by a unit qualifier and the quantityPackage 00363-0899-21. 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 the common cold or inhaled irritants • the impulse to cough to help you get to sleep
Excerpt only. Read the full label for complete information.
About NDC 0363-0899
- What is NDC 0363-0899?
- 0363-0899 is the product NDC for childrens cough dm (dextromethorphan polistirex), Dextromethorphan hydrobromide 30 mg/5mL suspension, listed with the FDA by Walgreen Company. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- childrens cough dm (Dextromethorphan polistirex).
- What is the active ingredient?
- Dextromethorphan hydrobromide.
- Who is the labeler?
- Walgreen Company, 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 childrens cough dm?
- 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 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 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 |
| Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Meijer Distribution Inc | 41250-384 |
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