NDC codes

FDA NDC Directory
Product NDC (as listed)67751-149Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67751-0149Add 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
67751-149-01677510149011 POUCH in 1 CARTON (67751-149-01) / 1 TABLET, COATED in 1 POUCHMarketed from Sep 16, 2016
67751-149-02677510149022 POUCH in 1 CARTON (67751-149-02) / 1 TABLET, COATED in 1 POUCHMarketed from Sep 16, 2016

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)
Advil Allergy and Congestion Relief
Generic name (nonproprietary)
chlorpheniramine maleate, ibuprofen, phenylephrine hydrochloride
Active ingredients
Chlorpheniramine maleate — 4 mg/1Ibuprofen — 200 mg/1Phenylephrine hydrochloride — 10 mg/1
Dosage form
Tablet, Coated
Route
Oral
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022113
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha1-Agonists (Mechanism)Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 67751-149_f6f71bb0-5bac-59f7-e053-6394a90abf8eSPL ID f6f71bb0-5bac-59f7-e053-6394a90abf8eSPL set ID d40bf078-ee6f-4c64-9c74-e4e770c150bfRxCUI 1310503UNII V1Q0O9OJ9Z, WK2XYI10QM, 04JA59TNSJ
Pharmacologic class
Histamine-1 Receptor Antagonist; Nonsteroidal Anti-inflammatory Drug; 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

N467751014901 followed by a unit qualifier and the quantity

Package 67751-0149-01. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Uses • temporarily relieves these symptoms associated with hay fever or other upper respiratory allergies, and the common cold: • runny nose • itchy, watery eyes • itching of the nose or throat • sneezing • nasal congestion • sinus pressure • headache • fever • minor body aches and pains • reduces swelling of the nasal passages • temporarily restores freer breathing through the nose

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 022113

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

FDA NDC Directory listings under NDA 022113
ProductStrengthForm · routeLabelerProduct NDC
Advil Allergy and Congestion Reliefchlorpheniramine maleate, ibuprofen, and phenylephrine hydrochlorideChlorpheniramine maleate 4 mg/1 + 2 more ingredientsTablet, CoatedOralHaleon US Holdings LLC0573-2161
Advil Multi-Symptom Cold and Fluchlorpheniramine maleate, ibuprofen, phenylephrine hclChlorpheniramine maleate 4 mg/1 + 2 more ingredientsTablet, CoatedOralHaleon US Holdings LLC0573-0190
Advil Allergy and Congestion Reliefchlorpheniramine maleate, ibuprofen, and phenylephrine hydrochlorideChlorpheniramine maleate 4 mg/1 + 2 more ingredientsTablet, CoatedOralHaleon US Holdings LLC0573-0196

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