Guaifenesin D NDC 0363-9930

NDC codes

FDA NDC Directory

Product NDC (as listed)0363-9930Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00363-9930Add 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 NDC	11-digit (billing)	Package	Copy
0363-9930-18	00363993018	1 BLISTER PACK in 1 CARTON (0363-9930-18) / 18 TABLET, EXTENDED RELEASE in 1 BLISTER PACKMarketed from May 6, 2021
0363-9930-36	00363993036	2 BLISTER PACK in 1 CARTON (0363-9930-36) / 18 TABLET, EXTENDED RELEASE in 1 BLISTER PACKMarketed from May 6, 2021

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): Guaifenesin D
Generic name (nonproprietary): guaifenesin and pseudoephedrine hydrochloride
Active ingredients: Guaifenesin — 600 mg/1Pseudoephedrine hydrochloride — 60 mg/1
Dosage form: Tablet, Extended release
Route: Oral
Labeler: Walgreen Company
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 212542
Marketing start: May 6, 2021
Listing expires: Dec 31, 2026
Other FDA classes: Adrenergic alpha-Agonists (Mechanism)Decreased Respiratory Secretion Viscosity (Physiologic effect)Increased Respiratory Secretions (Physiologic effect)
Identifiers: Product ID 0363-9930_a170c33d-402e-447f-ad46-402c60045461SPL ID a170c33d-402e-447f-ad46-402c60045461SPL set ID abecb791-b635-482f-bb99-3ee4b7093e78RxCUI 1305603UNII 495W7451VQ, 6V9V2RYJ8N
Pharmacologic class: Expectorant; alpha-Adrenergic Agonist

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

N400363993018 followed by a unit qualifier and the quantity

Package 00363-9930-18. 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.