NDC codes

FDA NDC Directory
Product NDC (as listed)63824-175Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63824-0175Add 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
63824-175-22638240175222 CARTON in 1 CELLO PACK (63824-175-22) / 1 BOTTLE in 1 CARTON / 148 mL in 1 BOTTLEMarketed from May 4, 2010
63824-175-63638240175631 BOTTLE in 1 CARTON (63824-175-63) / 89 mL in 1 BOTTLEMarketed from May 4, 2010
63824-175-65638240175651 BOTTLE in 1 CARTON (63824-175-65) / 148 mL in 1 BOTTLEMarketed from May 4, 2010

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)
Delsym
Generic name (nonproprietary)
dextromethorphan
Active ingredients
Dextromethorphan — 30 mg/5mL
Dosage form
Suspension, Extended release
Route
Oral
Labeler
Reckitt Benckiser LLCNDC labeler code 63824
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018658
Marketing start
Listing expires
Other FDA classes
Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 63824-175_5b143305-ab62-63e0-e063-6294a90aed7dSPL ID 5b143305-ab62-63e0-e063-6294a90aed7dSPL set ID e3e1d126-76c2-4776-8ce0-449625b7e6baRxCUI 1373045, 1373128UNII 7355X3ROTS
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

N463824017522 followed by a unit qualifier and the quantity

Package 63824-0175-22. 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 cough due to minor throat and bronchial irritation as may occur with the common cold or inhaled irritants the impulse to cough to help you get to sleep

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63824-175

What is NDC 63824-175?
63824-175 is the product NDC for Delsym (dextromethorphan), Dextromethorphan 30 mg/5mL suspension, extended release, listed with the FDA by Reckitt Benckiser LLC. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Delsym (Dextromethorphan).
What is the active ingredient?
Dextromethorphan.
Who is the labeler?
Reckitt Benckiser LLC, NDC labeler code 63824. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Delsym?
2 other product NDCs are listed under this name. See all Delsym 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 Delsym NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
DelsymdextromethorphanDextromethorphan 30 mg/5mLSuspension, Extended releaseOralA-S Medication Solutions50090-022450090-0224-00
DelsymdextromethorphanDextromethorphan 30 mg/5mLSuspension, Extended releaseOralReckitt Benckiser LLC63824-17163824-0171-2263824-0171-6363824-0171-65+1 more

Other NDCs under NDA 018658

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

FDA NDC Directory listings under NDA 018658
ProductStrengthForm · routeLabelerProduct NDC
DelsymdextromethorphanDextromethorphan 30 mg/5mLSuspension, Extended releaseOralA-S Medication Solutions50090-0224
DelsymdextromethorphanDextromethorphan 30 mg/5mLSuspension, Extended releaseOralReckitt Benckiser LLC63824-171
Delsym (Dextromethorphan)dextromethorphanDextromethorphan 30 mg/5mLSuspension, Extended releaseOralReckitt Benckiser LLC63824-173
Delsym (Dextromethorphan)dextromethorphanDextromethorphan 30 mg/5mLSuspension, Extended releaseOralReckitt Benckiser LLC63824-177

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