NDC codes

FDA NDC Directory
Product NDC (as listed)55758-415Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55758-0415Add 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
55758-415-0655758041506177 mL in 1 BOTTLE, PLASTIC (55758-415-06)Marketed from Dec 1, 2023

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)
Sanatos Multi Symptom DaytimeSuffix: Multi Symptom Daytime
Generic name (nonproprietary)
acetaminophen, dextromethorphan hbr
Active ingredients
Dextromethorphan hydrobromide — 20 mg/30mLAcetaminophen — 650 mg/30mL
Dosage form
Liquid
Route
Oral
Labeler
Pharmadel LLCNDC labeler code 55758
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 013
Marketing start
Listing expires
Other FDA classes
Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 55758-415_0a5fc0ef-ba33-bb0b-e063-6394a90af7d9SPL ID 0a5fc0ef-ba33-bb0b-e063-6394a90af7d9SPL set ID 0a5fc0ef-ba34-bb0b-e063-6394a90af7d9RxCUI 2604561UNII 9D2RTI9KYH, 362O9ITL9D
Pharmacologic class
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

N455758041506 followed by a unit qualifier and the quantity

Package 55758-0415-06. 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 associted with minor aches & pains headache sore throat fever 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 55758-415

What is NDC 55758-415?
55758-415 is the product NDC for Sanatos Multi Symptom Daytime, Dextromethorphan hydrobromide 20 mg/30mL; Acetaminophen 650 mg/30mL liquid, listed with the FDA by Pharmadel LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sanatos Multi Symptom Daytime (Acetaminophen, Dextromethorphan HBr).
What is the active ingredient?
Dextromethorphan hydrobromide, Acetaminophen.
Who is the labeler?
Pharmadel LLC, NDC labeler code 55758. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Sanatos Multi Symptom Daytime?
1 other product NDC are listed under this name. See all Sanatos Multi Symptom Daytime 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 Sanatos Multi Symptom Daytime NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Sanatos Multi Symptom Daytimeacetaminophen, dextromethorphan hbr, phenylephrine hciDextromethorphan hydrobromide 10 mg/15mL + 2 more ingredientsLiquidOralPharmadel LLC55758-05555758-0055-25

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
Calmour Childrens Acetaminophen Strips Chewableacetaminophen oral chewable 80 mgAcetaminophen 80 mg/1StripOralCalmour82918-006
Acetaminophen and Diphenhydramine HCLDiphenhydramine 25 mg/1; Acetaminophen 500 mg/1TabletOralPUBLIX SUPERMARKETS, INC41415-661
Clear Choice Regular Strength Pain RelieveracetaminophenAcetaminophen 325 mg/1TabletOralAthlete's Needs, Inc.53185-005
Acetaminophen (Red)acetaminophenAcetaminophen 325 mg/1Capsule, Liquid filledOralHumanwell PuraCap Pharmaceutical (Wuhan), Ltd.53345-010
Pain Relief PMacetaminophen, aspirin, diphenhydramine citrateAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralCVS Pharmacy59779-894
Childrens Pain and FeveracetaminophenAcetaminophen 160 mg/5mLLiquidOralMarc Glassman, Inc.68998-525
Children Acetaminophen Oral SolutionacetaminophenAcetaminophen 160 mg/5mLLiquidOralMAJOR PHARMACEUTICALS0904-7014
signature care childrens pain reliefacetaminophenAcetaminophen 160 mg/5mLSuspensionOralSafeway21130-243
Aspirin 81mg Adult Low DoseaspirinAspirin 81 mg/1Tablet, Delayed releaseOralTopCare36800-880
Green Guard Maximum Strength Non-AspirinacetaminophenAcetaminophen 500 mg/1Tablet, Film coatedOralUnifirst First Aid Corporation47682-619
AspirinAspirin 325 mg/1Tablet, Delayed releaseOralAmerisource Bergen46122-596
Aspirin Low DoseaspirinAspirin 81 mg/1Tablet, Delayed releaseOralA-S Medication Solutions50090-6928
equate childrens pain and feveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralWal-Mart Stores Inc49035-959
Pain ReliefacetaminophenAcetaminophen 500 mg/1Tablet, CoatedOralDISCOUNT DRUG MART53943-298
Pain Reliever PM Extra Strengthacetaminophen, diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralWalgreen Company0363-0556
Cafizetamol Forteacetaminophen, caffeineAcetaminophen 500 mg/1; Caffeine 65 mg/1Tablet, Film coatedOralOPMX LLC69729-147
AcetaminophenAcetaminophen 500 mg/1TabletOralPUBLIX SUPERMARKETS, INC41415-538
Low Dose AspirinaspirinAspirin 81 mg/1Tablet, CoatedOralHy-Vee42507-006
Aspirin 81aspirinAspirin 81 mg/1Tablet, Delayed releaseOralAmerisource Bergen46122-598
Aspirin Low DoseaspirinAspirin 81 mg/1Tablet, Delayed releaseOralA-S Medication Solutions50090-6929

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