Novominsyrup NDC 72988-0034

NDC codes

FDA NDC Directory

Product NDC (as listed)72988-0034Labeler and product segments. Claims need a package NDC.

Product NDC at billing width72988-0034Add 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 NDC	11-digit (billing)	Package	Copy
72988-0034-1	72988003401	6 mL in 1 POUCH (72988-0034-1)Marketed from Jan 23, 2023

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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): Novominsyrup
Generic name (nonproprietary): caffeine anhydrous, meclizine hydrochloride hydrate, pyridoxine hydrochloride
Active ingredients: Caffeine — 20 mg/6mLMeclizine hydrochloride — 25 mg/6mLPyridoxine hydrochloride — 5 mg/6mL
Dosage form: Liquid
Route: Oral
Labeler: Lydia Co., Ltd.
Product type: Over-the-counter drug
Marketing category: Unapproved drug (other)
Marketing start: Jan 23, 2023
Listing expires: Dec 31, 2026
Other FDA classes: Analogs/Derivatives (Chemical/Ingredient)Central Nervous System Stimulation (Physiologic effect)Emesis Suppression (Physiologic effect)Vitamin B 6 (Chemical/Ingredient)Xanthines (Chemical structure)
Identifiers: Product ID 72988-0034_f2e9f62e-22fb-9555-e053-2995a90ae44bSPL ID f2e9f62e-22fb-9555-e053-2995a90ae44bSPL set ID f2e9fbc8-501f-c386-e053-2995a90a6a14UNII 3G6A5W338E, HDP7W44CIO, 68Y4CF58BV
Pharmacologic class: Antiemetic; Central Nervous System Stimulant; Methylxanthine; Vitamin B6 Analog

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

N472988003401 followed by a unit qualifier and the quantity

Package 72988-0034-01. 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 Jan 23, 2023.

Indications (excerpt from the label)

■ adult and children 15 years of age and older: 1 pack 30 minutes before boarding. ■ children under 15 years of age: ask a doctor

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)