NDC codes

FDA NDC Directory
Product NDC (as listed)69452-478Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69452-0478Add 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
69452-478-5569452047855118 mL in 1 BOTTLE (69452-478-55)Marketed from Oct 1, 2025
69452-478-8869452047888473 mL in 1 BOTTLE (69452-478-88)Marketed from Oct 1, 2025

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)
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, and Dextromethorphan Hydrobromide
Generic name (nonproprietary)
brompheniramine maleate, pseudoephedrine hydrochloride, and dextromethorphan hydrobromide
Active ingredients
Dextromethorphan hydrobromide — 10 mg/5mLPseudoephedrine hydrochloride — 30 mg/5mLBrompheniramine maleate — 2 mg/5mL
Dosage form
Syrup
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203997
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 69452-478_3ff18027-44fc-50a1-e063-6394a90a2390SPL ID 3ff18027-44fc-50a1-e063-6394a90a2390SPL set ID 3ff18027-44fb-50a1-e063-6394a90a2390RxCUI 1357010UNII 9D2RTI9KYH, 6V9V2RYJ8N, IXA7C9ZN03UPC 0369452478882
Pharmacologic class
Sigma-1 Agonist; Uncompetitive N-methyl-D-aspartate Receptor Antagonist; 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

N469452047855 followed by a unit qualifier and the quantity

Package 69452-0478-55. 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)

INDICATIONS AND USAGE For relief of coughs and upper respiratory symptoms, including nasal congestion, associated with allergy or the common cold.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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