NDC codes

FDA NDC Directory
Product NDC (as listed)30142-722Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0722Add 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
30142-722-123014207221230142072212354 mL in 1 BOTTLE, PLASTIC (30142-722-12)Marketed from Jan 28, 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)
Daytime Cold and Flu Relief
Generic name (nonproprietary)
acetaminohpen, dextromethorphan hbr, guaifenesin phenylephrine hcl
Active ingredients
Acetaminophen — 650 mg/30mLDextromethorphan hydrobromide — 20 mg/30mLGuaifenesin — 400 mg/30mLPhenylephrine hydrochloride — 10 mg/30mL
Dosage form
Liquid
Route
Oral
Labeler
The Kroger Co.NDC labeler code 30142
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 012
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 30142-722_fd0593c3-b756-4107-9fd4-e97bbcfb8827SPL ID fd0593c3-b756-4107-9fd4-e97bbcfb8827SPL set ID 494e69ef-dc9f-4e14-b856-5eaf0f541a03RxCUI 1369842UNII 362O9ITL9D, 9D2RTI9KYH, 495W7451VQ, 04JA59TNSJUPC 0041260009655
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

N430142072212 followed by a unit qualifier and the quantity

Package 30142-0722-12. 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 • temporarily relieves common cold/flu symptoms: • nasal congestion • sinus congestion & pressure • cough due to minor throat and bronchial irritation • minor aches and pains • headache • fever • sore throat • reduce swelling of nasal passages • temporarily restores freer breathing through the nose • promotes nasal and/or sinus drainage • help loosen phlegm (mucus) and thin bronchial secretions to rid the bronchial passageways of bothersome mucus and make cough more productive

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 30142-722

What is NDC 30142-722?
30142-722 is the product NDC for Daytime Cold and Flu Relief, Acetaminophen 650 mg/30mL + 3 more ingredients liquid, listed with the FDA by The Kroger Co.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Daytime Cold and Flu Relief (ACETAMINOHPEN, DEXTROMETHORPHAN HBr, GUAIFENESIN PHENYLEPHRINE HCL).
What is the active ingredient?
Acetaminophen, Dextromethorphan hydrobromide, Guaifenesin, Phenylephrine hydrochloride.
Who is the labeler?
The Kroger Co., NDC labeler code 30142. 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 Cold and Flu Relief?
8 other product NDCs are listed under this name. See all Daytime Cold and Flu Relief 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 Daytime Cold and Flu Relief NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Daytime Cold And Flu Reliefacetaminophen, dextromethorphan hydrobromide, phenylephrine hydrochlorideAcetaminophen 325 mg/15mL + 2 more ingredientsSolutionOralSafeway21130-63821130-0638-40
Daytime Cold and Flu Reliefacetaminophen, dextromethorphan hbr, phenylephrine hclAcetaminophen 325 mg/1 + 2 more ingredientsCapsule, Liquid filledOralSALADO SALES INC.57243-60457243-0604-03
Daytime Cold and Flu Reliefacetaminophen dextromethorphan hbrAcetaminophen 325 mg/15mL; Dextromethorphan hydrobromide 10 mg/15mLLiquidOralFamily Dollar (FAMILY WELLNESS)55319-95455319-0954-12
Daytime Cold And Flu Reliefacetaminophen, dextromethorphan hydrobromide, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsCapsule, Liquid filledOralAdvanced Rx LLC80513-30380513-0303-50
Daytime Cold and Flu ReliefAcetaminophen 325 mg/1 + 2 more ingredientsCapsule, Liquid filledOralTopCo Associates, LLC76162-06576162-0065-16
Daytime Cold and Flu Reliefacetaminophen, dextromethorphan hbr, phenylephrine hclAcetaminophen 325 mg/1 + 2 more ingredientsCapsuleOralBETTER LIVING BRANDS LLC.21130-90021130-0900-24
Daytime Cold and Flu Reliefacetaminohpen, dextromethorphan hbr, phenylephrine hclAcetaminophen 325 mg/15mL + 2 more ingredientsLiquidOralCVS PHARMACY51316-61751316-0617-12
Daytime Cold and Flu Reliefacetaminohpen, dextromethorphan hbr, guaifenesin phenylephrine hclAcetaminophen 650 mg/30mL + 3 more ingredientsLiquidOralWALGREENS CO.0363-727000363-7270-12

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 Fluacetaminophen, dextromethorphan hydrobromide, doxylamine succinate—KitHyVee Inc42507-598
Allergy Reliefdiphenhydramine hclDiphenhydramine hydrochloride 25 mg/1Tablet, Film coatedOralH E B37808-932
Medi First Plus Cherry Cough DropsmentholMenthol 7.6 mg/1LozengeOralUnifirst First Aid Corporation47682-915
Supress Adexbromopheniramine maleate, dextromethorphan hbr, phenylephrine hclDexbrompheniramine maleate 1 mg/mL + 2 more ingredientsSyrupOralKramer Novis52083-057
SAFETUSSIN Non Drowsy Cough plus chest congestiondextromethorphan hydrobromide, and guaifenesinDextromethorphan hydrobromide 10 mg/1; Guaifenesin 200 mg/1TabletOralKRAMER LABORATORIES55505-231
Tusnel-DM Pediatricdextromethorphan hbr, guaifenesin, phenylephrine hclDextromethorphan hydrobromide 2.5 mg/mL + 2 more ingredientsSolution/ dropsOralLLORENS PHARMACEUTICALS INTERNATIONAL DIVISION54859-606
Dg Health Cold Flu Reliefacetaminophen, dextromethorphan hydrobromide, doxylamine succinateAcetaminophen 325 mg/15mL + 2 more ingredientsSolutionOralDolgencorp Inc55910-753
Acetaminophen and Diphenhydramine citrateAcetaminophen 500 mg/1; Diphenhydramine citrate 38 mg/1TabletOralInvaTech Pharma Solutions LLC57631-010
MUCINEX SINUS-MAX SEVERE CONGESTION RELIEF SINUS and ALLERGYoxymetazoline hydrochlorideOxymetazoline hydrochloride .05 g/100mLSolutionNasalReckitt Benckiser LLC63824-120
Vicks Sinex SEVERE CONGESTIONoxymetazoline hydrochlorideOxymetazoline hydrochloride .0005 g/mLSprayNasalProcter & Gamble Manufacturing GmbH64336-002
Walgreens Honey Lemon Cough DropsmentholMenthol 7.5 mg/1LozengeOralWalgreens0363-9959
Tesalon Jarabe Adultoacetaminophen, dextromethorphan hbr, guaifenesin usp, phenylephrine hclAcetaminophen 500 mg/20mL + 3 more ingredientsSyrupOralOPMX LLC69729-787
GuaifenesinGuaifenesin 400 mg/1TabletOralBryant Ranch Prepack71335-9616
Cold Head Congestion Severeacetaminophen, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsTablet, CoatedOralHarris Teeter72036-175
DG Health Cough Drops Cherry FlavormentholMenthol 5.8 mg/1LozengeTopicalDollar General Corporation75712-005
Nuvicare NightTime Cold and Flu Softgelacetaminophen, dextromethorphan hydrobromide, doxylamine succinateAcetaminophen 325 mg/1 + 2 more ingredientsCapsule, Liquid filledOralNUVICARE LLC84324-019
Quality Choice Mucus ReliefguaifenesinGuaifenesin 400 mg/1TabletOralChain Drug Marketing Association83324-194
Diphenhydramine HClDiphenhydramine hydrochloride 12.5 mg/5mLSolutionOralMajor Pharmaceuticals0904-6985
severe cold and flu reliefacetaminophen, dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochlorideAcetaminophen 325 mg/15mL + 3 more ingredientsSolutionOralRite Aid Corporation11822-3120
Supress Dx Pediatric Dropsdextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochlorideDextromethorphan hydrobromide 5 mg/mL + 2 more ingredientsSyrupOralKramer Novis52083-051

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