NDC codes

FDA NDC Directory
Product NDC (as listed)29978-587Labeler and product segments. Claims need a package NDC.
Product NDC at billing width29978-0587Add 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
29978-587-0129978058701100 TABLET in 1 BOTTLE (29978-587-01)Marketed from Mar 10, 2015

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)
Aquanaz
Generic name (nonproprietary)
dextromethorphan hydrobromide, guaifenesin and phenylephrine hydrochloride
Active ingredients
Dextromethorphan hydrobromide — 15 mg/1Guaifenesin — 400 mg/1Phenylephrine hydrochloride — 10 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha1-Agonists (Mechanism)Decreased Respiratory Secretion Viscosity (Physiologic effect)Increased Respiratory Secretions (Physiologic effect)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 29978-587_4485648d-222a-31b7-e063-6394a90a84e8SPL ID 4485648d-222a-31b7-e063-6394a90a84e8SPL set ID 5e9e4dfd-4def-4756-9bba-d25068640101RxCUI 1552200UNII 9D2RTI9KYH, 495W7451VQ, 04JA59TNSJUPC 0729978587015
Pharmacologic class
Expectorant; 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

N429978058701 followed by a unit qualifier and the quantity

Package 29978-0587-01. 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: Temporally relieves these symptoms accruing with a cold nasal decongestion cough due to minor throat and bronchial irritation—helps loosen phlegm (mucus) and thins bronchial secretions to drain bronchial tubes.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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