NDC codes

FDA NDC Directory
Product NDC (as listed)0536-1213Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00536-1213Add 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
0536-1213-880053612138814 BLISTER PACK in 1 CARTON (0536-1213-88) / 1 TABLET, EXTENDED RELEASE in 1 BLISTER PACKMarketed from Nov 5, 2018

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)
Maximum Strength Guaifenesin DM
Generic name (nonproprietary)
guaifenesin, dextromethorphan hbr
Active ingredients
Dextromethorphan hydrobromide — 60 mg/1Guaifenesin — 1200 mg/1
Dosage form
Tablet, Extended release
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209692
Marketing start
Marketing end
Other FDA classes
Decreased Respiratory Secretion Viscosity (Physiologic effect)Increased Respiratory Secretions (Physiologic effect)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 0536-1213_74767680-e4e7-4ba6-8d45-a01cd0471317SPL ID 74767680-e4e7-4ba6-8d45-a01cd0471317SPL set ID 2c9515f8-3120-4dbb-a7fc-d89fc5727148RxCUI 1099074UNII 9D2RTI9KYH, 495W7451VQUPC 0305361213886
Pharmacologic class
Expectorant; 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

N400536121388 followed by a unit qualifier and the quantity

Package 00536-1213-88. 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 helps loosen phlegm (mucus) and thin bronchial secretions to rid the bronchial passageways of bothersome mucus and make coughs more productive temporarily relieves cough due to minor throat and bronchial irritation as may occur with the common cold or inhaled irritants the intensity of coughing the impulse to cough to help you get to sleep

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 209692

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

FDA NDC Directory listings under ANDA 209692
ProductStrengthForm · routeLabelerProduct NDC
Mucus Relief DM Extended Release Capletsguaifenesin, dextromethorphan hbrDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1TabletOralCardinal Health (Leader) 7000070000-0464
Mucus Relief DMguaifenesin, dextromethorphan hbrDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1Tablet, Extended releaseOralStrategic Sourcing Services LLC70677-1049
Mucus Relief DMguaifenesin, dextromethorphan hbrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralStrategic Sourcing Services LLC70677-1050
Mucus Relief DM Extended Release Caplets Maximum Strengthguaifenesin, dextromethorphan hbrDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1TabletOralWalgreens0363-0437
Mucus Relief DM Extended Release Capletsguaifenesin, dextromethorphan hbrDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1TabletOralA-S Medication Solutions50090-6020
Mucus Relief DM Extended Release Capletsguaifenesin, dextromethorphan hbrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralRugby Laboratories0536-1161
Mucus Relief DMguaifenesin, dextromethorphan hbrDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1TabletOralCare One (Retail Business Services, LLC.)72476-734
Mucus Relief DMguaifenesin, dextromethorphan hbrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1TabletOralCare One (Retail Business Services, LLC.)72476-733
Mucus Relief DM Maximum Strengthguaifenesin, dextromethorphan hbrDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1TabletOralChain Drug Consortium, LLC68016-674
Mucus Relief DMguaifenesin, dextromethorphan hbrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1TabletOralWinCo Foods, LLC67091-344
Mucus Relief DM Maximum Strengthguaifenesin, dextromethorphan hbrDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1TabletOralWinCo Foods, LLC67091-345
Mucus Relief DMguaifenesin, dextromethorphan hbrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1TabletOralRite Aid Corporation11822-0733
Mucus Relief DM Extended Release Capletsguaifenesin, dextromethorphan hbrDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1TabletOralEQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC)49035-824
Mucus Relief DMguaifenesin, dextromethorphan hbrDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1Tablet, Extended releaseOralFSA Store Inc. (Caring Mills)81522-734
Mucus Relief DM Maximum Strengthguaifenesin, dextromethorphan hbrDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1TabletOralRite Aid Corporation11822-7340
Guaifenesin and Dextromethorphan HBrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralAmneal Pharmaceuticals LLC65162-038
Guaifenesin and Dextromethorphan HBrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralAmneal Pharmaceuticals LLC65162-039
Mucus Relief DM Extended Release Capletsguaifenesin, dextromethorphan hbrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1TabletOralWalgreens0363-0733
Mucus Relief DMguaifenesin, dextromethorphan hbrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1TabletOralDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-733
Mucus Relief DMguaifenesin, dextromethorphan hbrDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1Tablet, Extended releaseOralH E B37808-730

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