NDC codes

FDA NDC Directory
Product NDC (as listed)58407-625Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58407-0625Add 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
58407-625-01584070625011 TABLET in 1 BLISTER PACK (58407-625-01)Marketed from Sep 1, 2019
58407-625-06584070625066 BLISTER PACK in 1 BOX (58407-625-06) / 1 TABLET in 1 BLISTER PACK (58407-625-01)Marketed from Dec 20, 2011
58407-625-30584070625301 BOTTLE in 1 BOX (58407-625-30) / 30 TABLET in 1 BOTTLEMarketed from Dec 20, 2011

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)
Stahist Ad
Generic name (nonproprietary)
chlorcyclizine hydrochloride and pseudoephedrine hydrochloride
Active ingredients
Chlorcyclizine hydrochloride — 25 mg/1Pseudoephedrine hydrochloride — 60 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 012
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)
Identifiers
Product ID 58407-625_4041d3f9-d1cb-0931-e063-6394a90a82deSPL ID 4041d3f9-d1cb-0931-e063-6394a90a82deSPL set ID ccedbc38-2479-4c35-9f86-a9f29bcfab3fRxCUI 1235861, 1236716UNII NPB7A7874U, 6V9V2RYJ8N
Pharmacologic class
alpha-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

N458407062501 followed by a unit qualifier and the quantity

Package 58407-0625-01. 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 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
Day and Night Multi Symptom Cold and Flu Relief—KitIntrivo Diagnostics Inc.83558-020
SudoGest Nasal Decongestantpseudoephedrine hclPseudoephedrine hydrochloride 30 mg/1Tablet, Film coatedOralMajor Pharmaceuticals0904-6337
Guaiasorb DMdextromethorphan hbr, guaifenesinDextromethorphan hydrobromide 20 mg/10mL; Guaifenesin 200 mg/10mLLiquidOralGeri-Care Pharmaceuticals, Corp57896-739
Vicks VapoRubcamphor (synthetic), eucalyptus oil, and mentholCamphor (Synthetic) .048 g/g + 2 more ingredientsOintmentTopicalProcter & Gamble Manufactura S de RL de CV58933-544
Extra Strength Nite-Time Pain Relief430r walgreens acetaminophen 500 mg,diphenhydramine hcl 25 mg tabletAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1TabletOralWALGREENS0363-0715
Acetaminophen, Dextromethorphan Hydrobromide and Phenylephrine HydrochloridePhenylephrine hydrochloride 5 mg/1 + 2 more ingredientsCapsule, Liquid filledOralSOFTGEL HEALTHCARE PRIVATE LIMITED35916-0917
Head Congestion plus Flu Severe PEacetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 3 more ingredientsTablet, CoatedOralTOPCO ASSOCIATES LLC36800-474
nighttime severeacetaminophen, dextromethorphan hydrobromide, doxylamine succinate, phenylephrine hydrochlorideAcetaminophen 325 mg/15mL + 3 more ingredientsSolutionOralCVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED51316-179
CVS Maximum Strengthdextromethorphan hbr, guaifenesinDextromethorphan hydrobromide 20 mg/20mL; Guaifenesin 400 mg/20mLSolutionOralCVS PHARMACY51316-740
dg health allergy childrensdiphenhydramine hydrochlorideDiphenhydramine hydrochloride 12.5 mg/5mLSolutionOralDolgencorp, LLC55910-379
Mucinex Childrens Fever Sore Throat and Coughacetaminophen, dextromethorphan hydrobromideAcetaminophen 325 mg/10mL; Dextromethorphan hydrobromide 10 mg/10mLSolutionOralReckitt Benckiser LLC72854-064
Daytime and Nighttime Kids Multi-Symptom Cold and Flu combo packacetaminophen, dextromethorphan hbr, diphenhydramine hcl—KitGenexa Inc.69676-0092
basic care daytime severe cold and flu nighttime severe cold and fluacetaminophen, dextromethorphan hbr, doxylamine succinate, guaifenesin, phenylephrine hcl—KitAmazon.com Services LLC72288-597
TOPCARE Childrens Allergy Chewsdiphenhydramine hclDiphenhydramine hydrochloride 12.5 mg/1Tablet, ChewableOralTopco Associates, LLC76162-201
Mucus ReliefguaifenesinGuaifenesin 400 mg/1TabletOralGeri-Care Pharmaceuticals, Corp57896-714
Phenagilphenylephrine hcl and chlorpheniramine maleatePhenylephrine hydrochloride 10 mg/1; Chlorpheniramine maleate 3.5 mg/1TabletOralGil Pharmaceutical Corp58552-351
Nasal Decongestant Non-Drowsypseudoephedrine hclPseudoephedrine hydrochloride 30 mg/1Tablet, Film coatedOralCVS Pharmacy59779-112
Nasal Spray, Circle Koxymetazoline hydrochloride 0.05% solutionOxymetazoline hydrochloride .05 g/100mLSprayNasalLil' Drug Store Products, Inc.66715-5460
Night Time Cold and Flu Relief Multi Symptomacetaminophen, dextromethorphan hbr, doxylamine succinateAcetaminophen 325 mg/1 + 2 more ingredientsCapsule, Liquid filledOralRite Aid Corporation11822-3335
Medicated Chest Rubcamphor, eucalyptus oil, mentholMenthol 26 mg/g + 2 more ingredientsOintmentTopicalKroger41226-800

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