NDC codes

FDA NDC Directory
Product NDC (as listed)69842-708Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0708Add 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
69842-708-04698420708041 BOTTLE in 1 CARTON (69842-708-04) / 118 mL in 1 BOTTLEMarketed from Mar 31, 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)
CVS Anti Nausea Cherry FlavorSuffix: Cherry Flavor
Generic name (nonproprietary)
dextrose(glucose),levulose(fructose),phosphoric acid
Active ingredients
Dextrose, Unspecified form — 1.87 g/5mLFructose — 1.87 g/5mLPhosphoric acid — 21.5 mg/5mL
Dosage form
Liquid
Route
Oral
Labeler
CVS PHARMACYNDC labeler code 69842
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 69842-708_a5199fa1-6d25-4cfb-8de0-04d0bc294a10SPL ID a5199fa1-6d25-4cfb-8de0-04d0bc294a10SPL set ID f6f7568b-3887-434d-9403-a3ecdc591bbcRxCUI 318146UNII IY9XDZ35W2, 6YSS42VSEV, E4GA8884NN

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

N469842070804 followed by a unit qualifier and the quantity

Package 69842-0708-04. 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 ▪ for relief of upset stomach associated with nausea

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69842-708

What is NDC 69842-708?
69842-708 is the product NDC for CVS Anti Nausea Cherry Flavor, Dextrose, Unspecified form 1.87 g/5mL + 2 more ingredients liquid, listed with the FDA by CVS PHARMACY. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
CVS Anti Nausea Cherry Flavor (Dextrose(glucose),Levulose(fructose),Phosphoric acid).
What is the active ingredient?
Dextrose, Unspecified form, Fructose, Phosphoric acid.
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 CVS Anti Nausea Cherry Flavor?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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