NDC codes

FDA NDC Directory
Product NDC (as listed)0485-0240Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00485-0240Add 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
0485-0240-0100485024001100 TABLET, COATED in 1 BOTTLE, PLASTIC (0485-0240-01)Marketed from Oct 27, 2014

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)
Ed-A-Hist DM
Generic name (nonproprietary)
chlorpheniramine maleate, dextromethorphan hydrobromide, and phenylephrine hydrochloride
Active ingredients
Chlorpheniramine maleate — 4 mg/1Dextromethorphan hydrobromide — 10 mg/1Phenylephrine hydrochloride — 10 mg/1
Dosage form
Tablet, Coated
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha1-Agonists (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 0485-0240_4c365b98-4b80-48a7-e063-6394a90ace20SPL ID 4c365b98-4b80-48a7-e063-6394a90ace20SPL set ID 07cd07a1-d84c-4a91-8fa6-5eb58dd23991RxCUI 1593105UNII V1Q0O9OJ9Z, 9D2RTI9KYH, 04JA59TNSJUPC 0304850240013
Pharmacologic class
Histamine-1 Receptor Antagonist; Sigma-1 Agonist; Uncompetitive N-methyl-D-aspartate Receptor Antagonist; alpha-1 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

N400485024001 followed by a unit qualifier and the quantity

Package 00485-0240-01. 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 these symptoms due to the common cold, hay fever (allergic rhinitis) or other respiratory allergies: runny nose sneezing itching of the nose or throat itchy, watery eyes cough due to minor throat and bronchial irritation nasal congestion reduces swelling of nasal passages

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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