NDC codes

FDA NDC Directory
Product NDC (as listed)11673-542Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11673-0542Add 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
11673-542-12116730542121 KIT in 1 CARTON (11673-542-12) * 6 POWDER, FOR SOLUTION in 1 CARTON (11673-540-06) * 6 POWDER, FOR SOLUTION in 1 CARTON (11673-541-06)Marketed from Jul 31, 2017

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
daytime severe cold and cough and nighttime severe cold and cough
Generic name (nonproprietary)
acetaminophen, dextromethorphan hbr, diphenhydramine hcl, phenylephrine hcl
Dosage form
Kit
Product type
Over-the-counter drug
Marketing category
OTC monograph (final)Application part341
Marketing start
Listing expires
Identifiers
Product ID 11673-542_62eec235-431f-4429-b173-d4a9b45a4e36SPL ID 62eec235-431f-4429-b173-d4a9b45a4e36SPL set ID 62eec235-431f-4429-b173-d4a9b45a4e36RxCUI 1428880, 1659960, 1659967

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N411673054212 followed by a unit qualifier and the quantity

Package 11673-0542-12. 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 - Daytime Severe Cold and Cough • temporarily relieves these symptoms due to a cold: • minor aches and pains • minor sore throat pain • headache • nasal and sinus congestion • cough due to minor throat and bronchial irritation • temporarily reduces fever

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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
Walgreens Adult Nighttime Wal Tussin DM Max Maximum Strengthdextromethorphan hbr, doxylamine succinateDextromethorphan hydrobromide 30 mg/20mL; Doxylamine succinate 12.5 mg/20mLSolutionOralWALGREEN CO.0363-0758
Broncochem Maximum Coughdextromethorphan hbr-gyaifenesinDextromethorphan hydrobromide 30 mg/10mL; Guaifenesin 200 mg/10mLSyrupOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-091
Best Choice Effervescent Cold Reliefaspirin, chlorpheniramine maleate, phenylephrine bitartrateAspirin 325 mg/1 + 2 more ingredientsTablet, EffervescentOralValu Merchandiser Company63941-873
Broncochem Kids Cold And Fluacetaminophen-phenylephrine hcl-guaifenesinAcetaminophen 325 mg/10mL + 2 more ingredientsSyrupOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-054
CVS Health Nighttime Sleep Aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 50 mg/30mLLiquidOralCVS Pharmacy,Inc.69842-753
Broncochem Allergy Controlcholpheniramine maleate-phenylephrine hclChlorpheniramine maleate 4 mg/10mL; Phenylephrine hydrochloride 10 mg/10mLSyrupOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-098
Effervescent Cold Reliefaspirin, chlorpheniramine maleate, phenylephrine bitartrateAspirin 325 mg/1 + 2 more ingredientsTablet, EffervescentOralDiscount Drug Mart53943-873
Childrens Multi-symptom Cold Daytimedextromethorphan hbr, guaifenesin, phenylephrine hclDextromethorphan hydrobromide 5 mg/5mL + 2 more ingredientsLiquidOralWal-Mart Stores, Inc.79903-270
Broncochem Kids Allergy Controlchlorpheniramine maleate-dextromethrophan hbrChlorpheniramine maleate 2 mg/10mL; Dextromethorphan hydrobromide 10 mg/10mLSyrupOralLABORATORIO MAGANCEHM INTERNATIONAL SRL65131-418
Childrens Mucus and Cough Reliefdextromethorphan hbr, guaifenesinDextromethorphan hydrobromide 5 mg/5mL; Guaifenesin 100 mg/5mLLiquidOralFamily Dollar Services, Inc.55319-924
Anti Allergychlorpheniramine maleateChlorpheniramine maleate 4 mg/1TabletOralRichmond Pharmaceuticals, Inc.54738-103
Mucus Reliefguaifenesin 200 mgGuaifenesin 200 mg/1TabletOralAphena Pharma Solutions - Tennessee, LLC71610-098
Diphenhydramine HydrochlorideDiphenhydramine hydrochloride 50 mg/1CapsuleOralEpic Pharma, LLC42806-649
Diphenhydramine HydrochlorideDiphenhydramine hydrochloride 50 mg/1CapsuleOralRichmond Pharmaceuticals, Inc.54738-116
Diphenhydramine HydrochlorideDiphenhydramine hydrochloride 25 mg/1CapsuleOralEpic Pharma, LLC42806-648
Quality Choice Dye Free Cherry Childrens Allergy Reliefdiphenhydramine hclDiphenhydramine hydrochloride 12.5 mg/5mLLiquidOralChain Drug Marketing Association Inc.83324-016
Mucus Reliefguaifenesin 200 mgGuaifenesin 200 mg/1TabletOralRichmond Pharmaceuticals, Inc.54738-980
QCH Adult Tussin DM 542dextromethorphan hbr, guaifenesinDextromethorphan hydrobromide 20 mg/20mL; Guaifenesin 200 mg/20mLLiquidOralChain Drug Marketing Association Inc.83324-023
Mucus Reliefguaifenesin 400 mgGuaifenesin 400 mg/1TabletOralRichmond Pharmaceuticals, Inc.54738-981
QCH Adult Tussin 541guaifenesinGuaifenesin 200 mg/10mLLiquidOralChain Drug Marketing Association Inc.83324-024

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