NDC codes

FDA NDC Directory
Product NDC (as listed)11822-5694Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-5694Add 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
11822-5694-9118225694091 KIT in 1 CARTON (11822-5694-9) * 12 TABLET, FILM COATED in 1 BLISTER PACK * 8 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Jun 16, 2017

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Sinus Relief Daytime, NighttimeSuffix: Daytime, Nighttime
Generic name (nonproprietary)
acetaminophen, diphenhydramine hcl, guaifenesin, phenylephrine hcl
Dosage form
Kit
Labeler
Rite Aid CorporationNDC labeler code 11822
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 012
Marketing start
Listing expires
Identifiers
Product ID 11822-5694_1993c5ce-d3e4-4d28-b299-9e7334a81559SPL ID 1993c5ce-d3e4-4d28-b299-9e7334a81559SPL set ID 352b89b5-6995-4873-a103-e8f89074fdc9RxCUI 1233575, 1243679, 2634398UPC 0011822686006

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

N411822569409 followed by a unit qualifier and the quantity

Package 11822-5694-09. 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 common cold symptoms: nasal congestion headache minor aches and pains sinus congestion and pressure cough (Nighttime only) runny nose and sneezing (Nighttime only) temporarily promotes nasal and/or sinus drainage helps loosen phlegm (mucus) and thin bronchial secretions to rid the bronchial passageways of bothersome mucus and make coughs more productive (Daytime only)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 11822-5694

What is NDC 11822-5694?
11822-5694 is the product NDC for Sinus Relief Daytime, Nighttime kit, listed with the FDA by Rite Aid Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sinus Relief Daytime, Nighttime (Acetaminophen, Diphenhydramine HCl, Guaifenesin, Phenylephrine HCl).
Who is the labeler?
Rite Aid Corporation, NDC labeler code 11822. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Sinus Relief Daytime, Nighttime?
1 other product NDC are listed under this name. See all Sinus Relief Daytime, Nighttime NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Sinus Relief Daytime, Nighttime NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Sinus Relief Daytime Nighttimeacetaminophen, diphenhydramine hcl, guaifenesin, phenylephrine hcl—KitKroger Company30142-61630142-0616-09

Other NDCs under M 012

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

FDA NDC Directory listings under M 012
ProductStrengthForm · routeLabelerProduct NDC
Cold and Flu HBPacetaminophen, chlorpheniramine maleateAcetaminophen 325 mg/1; Chlorpheniramine maleate 2 mg/1Tablet, Film coatedOralWALMART INC.79903-120
Equate Daytime Nighttime Vapor Ice Cold and Fluacetaminophen, dextromethorphan hydrobromide, doxylamine succinate—KitWALMART INC.79903-417
Night Time Cold and Flu ReadyInCaseacetaminophen, dextromethorphan hydrobromide, doxylamine succinateAcetaminophen 650 mg/30mL + 2 more ingredientsLiquidOralP & L Development, LLC49580-0343
Sinus Severeacetaminophen, guaifenesin, phenylephrine hclAcetaminophen 325 mg/1 + 2 more ingredientsTablet, Film coatedOralL.N.K. International, Inc.50844-572
SUDAFED PE Head Congestion Plus Flu Severeacetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 3 more ingredientsTablet, Film coatedOralKenvue Brands LLC50580-450
Nighttime severe cold and fluacetaminophen, dextromethorphan hbr, doxylamine succinate, phenylephrine hclDextromethorphan hydrobromide 20 mg/30mL + 3 more ingredientsLiquidOralTARGET CORPORATION11673-828
Freegells Cough Drops Menthol Cherry 30ctmentholLevomenthol 5.8 mg/1LozengeOralRL Albert & Son Inc.83002-040
SanatosmentholMenthol 5.4 mg/1LozengeOralPharmadel LLC55758-518
Pressure and Pain Plus Mucus PEacetaminophen, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsTablet, CoatedOralVALU MERCHANDISERS COMPANY63941-173
Supress Adexbromopheniramine maleate, dextromethorphan hbr, phenylephrine hclDexbrompheniramine maleate 1 mg/mL + 2 more ingredientsSyrupOralDextrum Laboratories, Inc65852-020
Nighttime Cold And Flu Reliefacetaminophen, dextromethorphan hbr and doxylamine succinateAcetaminophen 325 mg/1 + 2 more ingredientsCapsuleOralChain Drug Consortium, LLC68016-878
Head Congestion plus Flu Severe PEacetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 3 more ingredientsTablet, CoatedOralHARRIS TEETER72036-274
Theraflu-D Flu Relief Max Strength plus Nasal Decongestant Nighttimeacetaminophen, chlorpheniramine maleate, dextromethorphan hbr, pseudoephedrine hclAcetaminophen 1000 mg/30mL + 3 more ingredientsSyrupOralHaleon US Holdings LLC0067-0114
Childrens Cough and Congestion, Childrens Cold and Cough Day, Nightdextromethorphan hbr, doxylamine succinate, guaifenesin—KitWALMART INC.79903-414
Meijer Adult MS Severe Multi-Symptom Cough Cold Fluaacetaminophen, dextromethorphan hbr and guaifenesiAcetaminophen 650 mg/20mL + 2 more ingredientsLiquidOralMEIJER DISTRIBUTION INC79481-6308
Menthol Cough DropsmentholMenthol 5.8 mg/1PastilleOralTarget Corporation Inc.82442-001
adult dm max cough and chest congestiondextromethorphan hbr, guaifenesinDextromethorphan hydrobromide 20 mg/20mL; Guaifenesin 400 mg/20mLSolutionOralMeijer Distribution Inc41250-261
Bio-Rytusschlorpheniramine maleate, dextromethorphan hydrobromide, phenylephrine hydrochlorideChlorpheniramine maleate 2 mg/5mL + 2 more ingredientsLiquidOralAdvanced Generic Corporation45737-250
Allergy Reliefdiphenhydramine hclDiphenhydramine hydrochloride 50 mg/1TabletOralAMERISOURCE BERGEN46122-829
Cold Relief Multi-Symptomacetaminophen, chlorpheniramine maleate, dextromethorphan hbr, phenylephrine hcl—KitL.N.K. International, Inc.50844-529

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