Kroger Anti Nausea Cherry Flavor NDC 30142-708

NDC codes

FDA NDC Directory

Product NDC (as listed)30142-708Labeler and product segments. Claims need a package NDC.

Product NDC at billing width30142-0708Add 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 NDC	11-digit (billing)	Package	Copy
30142-708-04	30142070804	1 BOTTLE in 1 CARTON (30142-708-04) / 118 mL in 1 BOTTLEMarketed from Mar 31, 2020

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): Kroger Anti Nausea Cherry FlavorSuffix: Cherry Flavor
Generic name (nonproprietary): dextrose(glucose),levulose(fructose),phosphoric acid
Active ingredients: Dextrose, Unspecified form — 1.87 g/5mLFructose — 1.87 g/5mLPhosphoric acid — 21.5 mg/5mL
Dosage form: Liquid
Route: Oral
Labeler: KROGER COMPANY
Product type: Over-the-counter drug
Marketing category: Unapproved drug (other)
Marketing start: Mar 31, 2020
Listing expires: Dec 31, 2027
Identifiers: Product ID 30142-708_cb9adbbf-85c7-4aee-8955-ecaefb77f3bfSPL ID cb9adbbf-85c7-4aee-8955-ecaefb77f3bfSPL set ID fb7326db-3512-45ee-9a9b-48f3ebd8d0c5RxCUI 318146UNII IY9XDZ35W2, 6YSS42VSEV, E4GA8884NN

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

N430142070804 followed by a unit qualifier and the quantity

Package 30142-0708-04. 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

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