Over-the-counter drug · OTC MONOGRAPH DRUG
Daytime Nighttime Cold and Flu NDC 21130-467
acetaminophen dextromethorphan hbr phenylephrine hci doxylaminesucinate · Kit · Safeway, Inc.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)21130-467Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0467Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21130-467-24 | 2113004672421130046724 | 1 KIT in 1 KIT (21130-467-24) * 355 mL in 1 BOTTLE * 355 mL in 1 BOTTLEMarketed from Sep 30, 2018 |
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 Nighttime Cold and Flu
- Generic name (nonproprietary)
- acetaminophen dextromethorphan hbr phenylephrine hci doxylaminesucinate
- Dosage form
- Kit
- Labeler
- Safeway, Inc.NDC labeler code 21130
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 012
- Marketing start
- Listing expires
- Identifiers
- Product ID 21130-467_e2a9148a-e193-4459-89eb-96f219b9ec6aSPL ID e2a9148a-e193-4459-89eb-96f219b9ec6aSPL set ID f762600a-f4b1-4869-a04b-8431c3d8a3e3RxCUI 1043400, 1113705, 2637726UPC 0321130763505
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
N421130046724followed by a unit qualifier and the quantityPackage 21130-0467-24. 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 temporarily relieves common cold and flu symptoms minor aches and pains headache sore throat nasal congestion fever cough due to minor throat and bronchial irritation NIGHTTIME temporarily relieves these common cold/flu symptoms` minor aches and pains headache sore throat runny nose and sneezing fever cough due to minor throat and bronchial irritation
Excerpt only. Read the full label for complete information.
About NDC 21130-467
- What is NDC 21130-467?
- 21130-467 is the product NDC for Daytime Nighttime Cold and Flu kit, listed with the FDA by Safeway, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Daytime Nighttime Cold and Flu (Acetaminophen Dextromethorphan HBr Phenylephrine HCI DoxylamineSucinate).
- Who is the labeler?
- Safeway, Inc., NDC labeler code 21130. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Daytime Nighttime Cold and Flu?
- 13 other product NDCs are listed under this name. See all Daytime Nighttime Cold and Flu NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Daytime Nighttime Cold and Flu products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Daytime Nighttime Cold and Fluacetaminophen, dextromethorphan hydrobromide, doxylamine succinate | — | Kit | Amazon.com Services LLC | 72288-744 | 72288-0744-72 |
| Daytime Nighttime Cold And Fluacetaminophen, dextromethorphan hbr, doxylamine succinate, phenylephrine hcl | — | Kit | Amazon.com Services LLC | 72288-791 | 72288-0791-02 |
| Daytime Nighttime Cold and Fluacetaminophen, dextromethorphan hbr, phenylephrine hci, acetaminophen, dextromethorphan hbr, doxylamine succinate | — | KitOral | Grocery Outlet, Inc. | 85828-695 | 85828-0695-48 |
| Daytime Nighttime Cold and Fluacetaminophen, dextromethorphan hydrobromide, doxylamine succinate, phenylephrine hydrochloride | — | KitOral | Walmart Inc. | 79903-383 | 79903-0383-16 |
| Daytime Nighttime Cold and Fluacetaminophen, dextromethorphan hbr, doxylamine succinate and phenylephrine hcl liquid filled capsules | — | KitOral | Walmart Inc. | 79903-315 | 79903-0315-20 |
| Daytime Nighttime Cold and Fluacetaminophen, dextromethorphan hbr, phenylephrine hcl and acetaminophen, dextromethorphan hbrdoxylamine succinate | — | Kit | Kroger | 41226-790 | 41226-0790-02 |
| Daytime Nighttime Cold and Fluacetaminophen, dextromethorphan hbr, phenylephrine hci, doxylamine succinate 325, 10/15, 5, 6.25 mg softgels | — | KitOral | TIME CAP LABORATORIES INC. | 49483-695 | 49483-0695-48 |
| Daytime Nighttime Cold and Fluacetaminophen, dextromethorphan hbr, phenylephrine hcl and acetaminophen, dextromethorphan hbr, doxylamine succinate | — | Kit | WALGREENS | 0363-0729 | 00363-0729-24 |
| Daytime Nighttime Cold and Fluacetaminophen dextromethorphan hbr phenylephrine hci doxylaminesucinate | — | Kit | Harris Teeter, LLC | 69256-467 | 69256-0467-24 |
| Daytime Nighttime Cold and Fluacetaminophen dextromethorphan hbr phenylephrine hci doxylaminesucinate | — | Kit | WinCo Foods, LLC | 67091-371 | 67091-0371-12 |
Other NDCs under M 012
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Allergy Reliefdiphenhydramine hydrochloride | Diphenhydramine hydrochloride 25 mg/1 | Tablet, Film coatedOral | WALGREENS | 0363-0100 |
| CVS Health No Dripnasal mist | Oxymetazoline hydrochloride .05 g/100mL | SprayNasal | CVS PHARMACY,INC. | 69842-815 |
| Vicks NyQuil VapoCOOL Severe COLD and FLU plus CONGESTIONacetaminophen, phenylephrine hydrochloride, doxylamine succinate, and dextromethorphan hydrobromide | Acetaminophen 325 mg/1 + 3 more ingredients | Tablet, CoatedOral | The Procter & Gamble Manufacturing Company | 69423-986 |
| Cold and Flu Nighttimeacetaminophen, dextromethorphan hbr, doxylamine succinate | Acetaminophen 650 mg/30mL + 2 more ingredients | SolutionOral | Lidl US LLC | 71141-180 |
| basic care tussin dm maxdextromethorphan hbr, guaifenesin | Dextromethorphan hydrobromide 20 mg/20mL; Guaifenesin 400 mg/20mL | SolutionOral | Amazon.com Services LLC | 72288-293 |
| Menthol Cough Drops Honey Vanilla Flavormenthol | Menthol 2.5 mg/1 | LozengeOral | Xiamen Kang Zhongyuan Biotechnology Co., Ltd. | 83698-013 |
| equate daytime nighttime cold and fluacetaminophen, dextromethorphan hydrobromide, doxylamine succinate, guaifenesen, phenylephrine hydrochloride | — | Kit | Sixarp, LLC | 59368-459 |
| Nasal Decongestant Maximum Strengthpseudoephedrine hcl | Pseudoephedrine hydrochloride 30 mg/1 | Tablet, Film coatedOral | Better Living Brands, LLC | 21130-112 |
| Medicated Chest Rubcamphor, menthol, eucalyptus oil | Camphor (Synthetic) 4.8 g/100g + 2 more ingredients | CreamTopical | Jell Pharmaceuticals Pvt Ltd. | 30400-701 |
| equaline nighttime cold and flu reliefacetaminophen, dextromethorphan hbr, doxylamine succinate | Acetaminophen 650 mg/30mL + 2 more ingredients | SolutionOral | United Natural Foods, Inc. dba UNFI | 41163-459 |
| NiteTime Cold and Fluacetaminophen, dextromethorphan hydrobromide, doxylamine succinate | Acetaminophen 650 mg/30mL + 2 more ingredients | LiquidOral | EQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC) | 49035-044 |
| Childrens Dye Free Allergydiphenhydramine hydrochloride | Diphenhydramine hydrochloride 12.5 mg/5mL | LiquidOral | P & L Development, LLC | 49580-0293 |
| Discount Drug Mart Original Nasaloxymetazoline hydrochloride | Oxymetazoline hydrochloride .05 g/100mL | SprayNasal | DISCOUNT DRUG MART | 53943-715 |
| Cold, Flu and Sore Throatacetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl | Acetaminophen 650 mg/20mL + 3 more ingredients | SolutionOral | Family Dollar Services Inc | 55319-705 |
| DG Health Cold and Flu Severeacetaminophen, dextromethorphan hydrobromide, doxylamine succinate, phenylephrine hydrochloride | Acetaminophen 325 mg/15mL + 3 more ingredients | SolutionOral | Dolgencorp Inc | 55910-928 |
| Robitussin Severe Multi-Symptom Cough Cold Fluacetaminophen, dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride | Acetaminophen 650 mg/20mL + 3 more ingredients | LiquidOral | Haleon US Holdings LLC | 0031-8751 |
| Afrin No Drip Pump Mist Bundle Packoxymetazoline hydrochloride | — | KitNasal | Bayer HealthCare LLC. | 11523-0147 |
| Cold Medicine XL3acetaminophen chlorpheniramine maleate phenylepherine hydrochloride | Acetaminophen 325 mg/1 + 2 more ingredients | TabletOral | Selder, S.A. de C.V. | 63654-605 |
| Nasal Spray, 1oz, 24/7 Life by 7-Elevenoxymetazoline hcl nasal solution 0.05% | Oxymetazoline hydrochloride .05 g/100mL | SprayNasal | Lil' Drug Store Products, Inc. | 66715-5526 |
| Vicks childrens Cough Congestionphenylephrine hcl, dextromethorphan hbr, guaifenesin | Dextromethorphan hydrobromide 10 mg/15mL + 2 more ingredients | LiquidOral | The Procter & Gamble Manufacturing Company | 69423-982 |
Showing 20 of 40.