NDC codes

FDA NDC Directory
Product NDC (as listed)41415-999Labeler and product segments. Claims need a package NDC.
Product NDC at billing width41415-0999Add 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
41415-999-14414150999141 BLISTER PACK in 1 CARTON (41415-999-14) / 14 TABLET, EXTENDED RELEASE in 1 BLISTER PACKMarketed from Jul 1, 2021

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)
Guaifenesin and Dextromethorphan HBr
Generic name (nonproprietary)
guaifenesin and dextromethorphan hbr
Active ingredients
Guaifenesin — 1200 mg/1Dextromethorphan hydrobromide — 60 mg/1
Dosage form
Tablet, Extended release
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 214781
Marketing start
Listing expires
Other FDA classes
Decreased Respiratory Secretion Viscosity (Physiologic effect)Increased Respiratory Secretions (Physiologic effect)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 41415-999_1f339b80-92ff-41e0-a8e9-99e44c9609d7SPL ID 1f339b80-92ff-41e0-a8e9-99e44c9609d7SPL set ID 9870b7ee-2bfb-42f5-9762-77d2dd13434aRxCUI 1099074UNII 495W7451VQ, 9D2RTI9KYH
Pharmacologic class
Expectorant; Sigma-1 Agonist; Uncompetitive N-methyl-D-aspartate Receptor Antagonist

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

N441415099914 followed by a unit qualifier and the quantity

Package 41415-0999-14. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 214781

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

FDA NDC Directory listings under ANDA 214781
ProductStrengthForm · routeLabelerProduct NDC
Guaifenesin and Dextromethorphan HBrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralPUBLIX SUPER MARKETS, INC41415-998
Mucus Relief - DM Maximum Strengthguaifenesin, dextromethorphan hbrDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1Tablet, Extended releaseOralYYBA CORP73581-405
Guaifenesin and Dextromethorphan HBrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralOHM LABORATORIES INC51660-110
Guaifenesin and Dextromethorphan HBrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralOHM LABORATORIES INC51660-301
Guaifenesin and Dextromethorphan HBrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralSUN PHARMACEUTICAL INDUSTRIES, INC.63304-106
Guaifenesin and Dextromethorphan HBrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralSUN PHARMACEUTICAL INDUSTRIES, INC.63304-110
Guaifenesin And Dextromethorphan HBrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralKroger Company30142-948
Guaifenesin And Dextromethorphan HBrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralKroger Company30142-963
Guaifenesin and Dextromethorphan Hydrobromide HBRguaifenesin and dextromethorphan hydrobromideGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralRITE-AID11822-9996
Guaifenesin and Dextromethorphan HydrobromideGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralCVS PHARMACY, INC51316-600

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