NDC codes

FDA NDC Directory
Product NDC (as listed)53942-506Labeler and product segments. Claims need a package NDC.
Product NDC at billing width53942-0506Add 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
53942-506-285394205062853942050628354 mL in 1 BOTTLE (53942-506-28)Marketed from Sep 12, 2012

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)
DAY-TIME Cold and FluSuffix: Cold and Flu
Generic name (nonproprietary)
acetaminophen, dextromethorphan hydrobromide, phenylephrine hydrochloride
Active ingredients
Acetaminophen — 325 mg/15mLDextromethorphan hydrobromide — 10 mg/15mLPhenylephrine hydrochloride — 5 mg/15mL
Dosage form
Liquid
Route
Oral
Labeler
DeMoulas Market BasketNDC labeler code 53942
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 013
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha1-Agonists (Mechanism)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 53942-506_ed7f1c85-7869-46c8-9f8f-3ba637f81b6eSPL ID ed7f1c85-7869-46c8-9f8f-3ba637f81b6eSPL set ID ce900e42-d0c8-408d-a1c3-3a9bef1c97eeRxCUI 1113705UNII 362O9ITL9D, 9D2RTI9KYH, 04JA59TNSJ
Pharmacologic class
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

N453942050628 followed by a unit qualifier and the quantity

Package 53942-0506-28. 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 Uses temporarily relieves these common cold/flu symptoms: minor aches and pains headache sore throat fever nasal congestion cough due to minor throat and bronchial irritation

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 53942-506

What is NDC 53942-506?
53942-506 is the product NDC for DAY-TIME Cold and Flu, Acetaminophen 325 mg/15mL + 2 more ingredients liquid, listed with the FDA by DeMoulas Market Basket. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
DAY-TIME Cold and Flu (Acetaminophen, Dextromethorphan hydrobromide, Phenylephrine hydrochloride).
What is the active ingredient?
Acetaminophen, Dextromethorphan hydrobromide, Phenylephrine hydrochloride.
Who is the labeler?
DeMoulas Market Basket, NDC labeler code 53942. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for DAY-TIME Cold and Flu?
1 other product NDC are listed under this name. See all DAY-TIME Cold and Flu 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 DAY-TIME Cold and Flu NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Day Time Cold and Fluacetaminophen dextromethorphan hbr phenylephrine hclAcetaminophen 325 mg/15mL + 2 more ingredientsLiquidOralSafeway, Inc.21130-58021130-0580-0821130-0580-12

Other NDCs under M 013

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

FDA NDC Directory listings under M 013
ProductStrengthForm · routeLabelerProduct NDC
AcetaminophenAcetaminophen 500 mg/1Tablet, CoatedOralCOSTCO WHOLESALE CORPORATION63981-019
Extra Strength Pain ReleifacetaminophenAcetaminophen 500 mg/1Tablet, Film coatedOralStrategic Sourcing Services, LLC70677-1242
Aspirin 81 mgaspirinAspirin 81 mg/1Tablet, Delayed releaseOralH E B37808-600
TYLENOL Extra StrengthacetaminophenAcetaminophen 500 mg/1Tablet, Film coatedOralMorning Star OTC53209-1001
Extra Strength Pain Relieveracetaminophen tablets 500 mgAcetaminophen 500 mg/1TabletOralWALGREENS0363-0669
Pain Relieveracetaminophen capsules 500mg (minis-red opaque)Acetaminophen 500 mg/1Capsule, Liquid filledOralWalgreens0363-6684
Mommys Bliss Childrens Pain and FeveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralMom Enterprises, LLC.71444-793
Childrens Pain and FeveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralCVS Pharmacy59779-126
Good Neighbor Pharmacy childrens pain and feveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralAmerisource Bergen46122-211
AcetaminophenAcetaminophen 160 mg/5mLLiquidOralA-S Medication Solutions50090-6059
Members Mark AcetaminophenacetaminophenAcetaminophen 500 mg/1TabletOralSam's West Inc68196-606
Mommys Bliss Infants Pain and FeveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralMom Enterprises, LLC.71444-893
Thompson Extra Strength Non-AspirinacetaminophenAcetaminophen 500 mg/1TabletOralThompson73408-174
Aspirin 81 mg Low DoseaspirinAspirin 81 mg/1Tablet, Delayed releaseOralCHAIN DRUG MARKETING ASSOCIATION, INC.83324-089
AcetaminophenAcetaminophen 500 mg/1TabletOralASCLEMED USA INC.87063-222
Pain Relief Aspirin Low DoseaspirinAspirin 81 mg/1Tablet, Delayed releaseOralRite Aid Corporation11822-0600
equate pain and fever childrensacetaminophenAcetaminophen 160 mg/5mLSuspensionOralWal-Mart Stores Inc49035-042
Pain and Fever ChildrensacetaminophenAcetaminophen 160 mg/5mLSuspensionOralP & L Development, LLC49580-0282
Dye Free Pain and Fever ChildrensacetaminophenAcetaminophen 160 mg/5mLSuspensionOralWalgreens0363-0285
Pain Reliever Extra StrengthacetaminophenAcetaminophen 500 mg/1Tablet, CoatedOralWalgreen Company0363-0519

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