NDC codes

FDA NDC Directory
Product NDC (as listed)69842-513Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0513Add 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
69842-513-26698420513261 BOTTLE in 1 CARTON (69842-513-26) / 118 mL in 1 BOTTLEMarketed from Jul 12, 2022
69842-513-34698420513341 BOTTLE in 1 CARTON (69842-513-34) / 237 mL in 1 BOTTLEMarketed from Jul 19, 2022

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)
adult tussin dm
Generic name (nonproprietary)
dextromethorphan hydrobromide, guaifenesin
Active ingredients
Dextromethorphan hydrobromide — 20 mg/20mLGuaifenesin — 200 mg/20mL
Dosage form
Solution
Route
Oral
Labeler
CVS PharmacyNDC labeler code 69842
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 012
Marketing start
Listing expires
Other FDA classes
Decreased Respiratory Secretion Viscosity (Physiologic effect)Increased Respiratory Secretions (Physiologic effect)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 69842-513_d736f5ac-144d-4073-a714-87afd3a864e3SPL ID d736f5ac-144d-4073-a714-87afd3a864e3SPL set ID 2f1dc8f8-79c5-4724-99aa-a55330ed9d5fRxCUI 1790650UNII 9D2RTI9KYH, 495W7451VQ
Pharmacologic class
Expectorant; 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

N469842051326 followed by a unit qualifier and the quantity

Package 69842-0513-26. 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 a cold • helps loosen phlegm (mucus) and thin bronchial secretions to drain bronchial tubes

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69842-513

What is NDC 69842-513?
69842-513 is the product NDC for adult tussin dm, Dextromethorphan hydrobromide 20 mg/20mL; Guaifenesin 200 mg/20mL solution, listed with the FDA by CVS Pharmacy. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
adult tussin dm (Dextromethorphan hydrobromide, guaifenesin).
What is the active ingredient?
Dextromethorphan hydrobromide, Guaifenesin.
Who is the labeler?
CVS Pharmacy, NDC labeler code 69842. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for adult tussin dm?
2 other product NDCs are listed under this name. See all adult tussin dm 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 adult tussin dm NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
adult tussin dmdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 20 mg/20mL; Guaifenesin 200 mg/20mLSolutionOralPublix Super Markets Inc56062-60756062-0607-2656062-0607-34
adult tussin dmdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 20 mg/20mL; Guaifenesin 200 mg/20mLSolutionOralWalgreen Company0363-160300363-1603-2600363-1603-34

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
Cold and Flu HBPacetaminophen, chlorpheniramine maleateAcetaminophen 325 mg/1; Chlorpheniramine maleate 2 mg/1Tablet, Film coatedOralWALMART INC.79903-120
Equate Daytime Nighttime Vapor Ice Cold and Fluacetaminophen, dextromethorphan hydrobromide, doxylamine succinate—KitWALMART INC.79903-417
Night Time Cold and Flu ReadyInCaseacetaminophen, dextromethorphan hydrobromide, doxylamine succinateAcetaminophen 650 mg/30mL + 2 more ingredientsLiquidOralP & L Development, LLC49580-0343
Sinus Severeacetaminophen, guaifenesin, phenylephrine hclAcetaminophen 325 mg/1 + 2 more ingredientsTablet, Film coatedOralL.N.K. International, Inc.50844-572
SUDAFED PE Head Congestion Plus Flu Severeacetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 3 more ingredientsTablet, Film coatedOralKenvue Brands LLC50580-450
Nighttime severe cold and fluacetaminophen, dextromethorphan hbr, doxylamine succinate, phenylephrine hclDextromethorphan hydrobromide 20 mg/30mL + 3 more ingredientsLiquidOralTARGET CORPORATION11673-828
Freegells Cough Drops Menthol Cherry 30ctmentholLevomenthol 5.8 mg/1LozengeOralRL Albert & Son Inc.83002-040
SanatosmentholMenthol 5.4 mg/1LozengeOralPharmadel LLC55758-518
Pressure and Pain Plus Mucus PEacetaminophen, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsTablet, CoatedOralVALU MERCHANDISERS COMPANY63941-173
Supress Adexbromopheniramine maleate, dextromethorphan hbr, phenylephrine hclDexbrompheniramine maleate 1 mg/mL + 2 more ingredientsSyrupOralDextrum Laboratories, Inc65852-020
Nighttime Cold And Flu Reliefacetaminophen, dextromethorphan hbr and doxylamine succinateAcetaminophen 325 mg/1 + 2 more ingredientsCapsuleOralChain Drug Consortium, LLC68016-878
Head Congestion plus Flu Severe PEacetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 3 more ingredientsTablet, CoatedOralHARRIS TEETER72036-274
Theraflu-D Flu Relief Max Strength plus Nasal Decongestant Nighttimeacetaminophen, chlorpheniramine maleate, dextromethorphan hbr, pseudoephedrine hclAcetaminophen 1000 mg/30mL + 3 more ingredientsSyrupOralHaleon US Holdings LLC0067-0114
Childrens Cough and Congestion, Childrens Cold and Cough Day, Nightdextromethorphan hbr, doxylamine succinate, guaifenesin—KitWALMART INC.79903-414
Meijer Adult MS Severe Multi-Symptom Cough Cold Fluaacetaminophen, dextromethorphan hbr and guaifenesiAcetaminophen 650 mg/20mL + 2 more ingredientsLiquidOralMEIJER DISTRIBUTION INC79481-6308
Menthol Cough DropsmentholMenthol 5.8 mg/1PastilleOralTarget Corporation Inc.82442-001
adult dm max cough and chest congestiondextromethorphan hbr, guaifenesinDextromethorphan hydrobromide 20 mg/20mL; Guaifenesin 400 mg/20mLSolutionOralMeijer Distribution Inc41250-261
Bio-Rytusschlorpheniramine maleate, dextromethorphan hydrobromide, phenylephrine hydrochlorideChlorpheniramine maleate 2 mg/5mL + 2 more ingredientsLiquidOralAdvanced Generic Corporation45737-250
Allergy Reliefdiphenhydramine hclDiphenhydramine hydrochloride 50 mg/1TabletOralAMERISOURCE BERGEN46122-829
Cold Relief Multi-Symptomacetaminophen, chlorpheniramine maleate, dextromethorphan hbr, phenylephrine hcl—KitL.N.K. International, Inc.50844-529

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