NDC codes

FDA NDC Directory
Product NDC (as listed)85766-250Labeler and product segments. Claims need a package NDC.
Product NDC at billing width85766-0250Add 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
85766-250-0485766025004118 mL in 1 BOTTLE, PLASTIC (85766-250-04)Marketed from Jul 24, 2026
85766-250-1685766025016473 mL in 1 BOTTLE, PLASTIC (85766-250-16)Marketed from Jul 24, 2026

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, Dextromethorphan Hydrobromide
Generic name (nonproprietary)
brompheniramine maleate, pseudoephedrine hydrochloride, and dextromethorphan hydrobromide
Active ingredients
Brompheniramine maleate — 2 mg/5mLPseudoephedrine hydrochloride — 30 mg/5mLDextromethorphan hydrobromide — 10 mg/5mL
Dosage form
Syrup
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203375
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 85766-250_575430f0-08c6-a7eb-e063-6394a90ac220SPL ID 575430f0-08c6-a7eb-e063-6394a90ac220SPL set ID f3afca82-ba8f-4741-8332-b7939aa0ee5eRxCUI 1357010UNII IXA7C9ZN03, 6V9V2RYJ8N, 9D2RTI9KYH
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

N485766025004 followed by a unit qualifier and the quantity

Package 85766-0250-04. 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)

INDICATIONS AND USAGE Brompheniramine Maleate, Pseudoephedrine Hydrochloride, and Dextromethorphan Hydrobromide Syrup is indicated 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)

Other NDCs under ANDA 203375

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

FDA NDC Directory listings under ANDA 203375
ProductStrengthForm · routeLabelerProduct NDC
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromidebrompheniramine maleate, pseudoephedrine hydrochloride, and dextromethorphan hydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralProficient Rx LP63187-930
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromidebrompheniramine maleate, pseudoephedrine hydrochloride, and dextromethorphan hydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralAcella Pharmaceuticals, LLC42192-607
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromidebrompheniramine maleate, pseudoephedrine hydrochloride, and dextromethorphan hydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralAcella Pharmaceuticals, LLC42192-630

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