NDC codes

FDA NDC Directory
Product NDC (as listed)58602-833Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58602-0833Add 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
58602-833-12586020833121 BLISTER PACK in 1 CARTON (58602-833-12) / 18 TABLET, EXTENDED RELEASE in 1 BLISTER PACKMarketed from Mar 25, 2020
58602-833-17586020833172 BLISTER PACK in 1 CARTON (58602-833-17) / 18 TABLET, EXTENDED RELEASE in 1 BLISTER PACKMarketed from Mar 25, 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)
Guaifenesin and Pseudoephedrine HCl
Generic name (nonproprietary)
guaifenesin and pseudoephedrine hcl
Active ingredients
Guaifenesin — 600 mg/1Pseudoephedrine hydrochloride — 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 213203
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)Decreased Respiratory Secretion Viscosity (Physiologic effect)Increased Respiratory Secretions (Physiologic effect)
Identifiers
Product ID 58602-833_436b7cb6-bc72-4b51-986e-22ad631ce0a2SPL ID 436b7cb6-bc72-4b51-986e-22ad631ce0a2SPL set ID 644dae51-7865-408c-a603-5eddffb90e53RxCUI 1305603UNII 495W7451VQ, 6V9V2RYJ8NUPC 0358602833121
Pharmacologic class
Expectorant; 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

N458602083312 followed by a unit qualifier and the quantity

Package 58602-0833-12. 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 helps loosen phlegm (mucus) and thin bronchial secretions to rid the bronchial passageways of bothersome mucus and make coughs more productive temporarily relieves nasal congestion due to common cold hay fever upper respiratory allergies temporarily restores freer breathing through the nose promotes nasal and/or sinus drainage temporarily relieves sinus congestion and pressure

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 213203

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

FDA NDC Directory listings under ANDA 213203
ProductStrengthForm · routeLabelerProduct NDC
Guaifenesin and Pseudoephedrine HClGuaifenesin 1200 mg/1; Pseudoephedrine hydrochloride 120 mg/1Tablet, Extended releaseOralWALGREEN CO.0363-0134
Guaifenesin and Pseudoephedrine HClGuaifenesin 600 mg/1; Pseudoephedrine hydrochloride 60 mg/1Tablet, Extended releaseOralMeijer79481-1002
Guaifenesin and Pseudoephedrine HClGuaifenesin 600 mg/1; Pseudoephedrine hydrochloride 60 mg/1Tablet, Extended releaseOralKROGER COMPANY30142-137
Guaifenesin and Pseudoephedrine HClGuaifenesin 600 mg/1; Pseudoephedrine hydrochloride 60 mg/1Tablet, Extended releaseOralAmerisource Bergen46122-801
Guaifenesin and Pseudoephedrine HClGuaifenesin 600 mg/1; Pseudoephedrine hydrochloride 60 mg/1Tablet, Extended releaseOralWALGREEN CO.0363-9946
Guaifenesin and Pseudoephedrine HClGuaifenesin 1200 mg/1; Pseudoephedrine hydrochloride 120 mg/1Tablet, Extended releaseOralAurohealth LLC58602-834

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