NDC codes

FDA NDC Directory
Product NDC (as listed)0573-2161Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00573-2161Add 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
0573-2161-03005732161032 BLISTER PACK in 1 CARTON (0573-2161-03) / 10 TABLET, COATED in 1 BLISTER PACKMarketed from Oct 1, 2019

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
Advil Allergy and Congestion Relief
Generic name (nonproprietary)
chlorpheniramine maleate, ibuprofen, and phenylephrine hydrochloride
Active ingredients
Chlorpheniramine maleate — 4 mg/1Ibuprofen — 200 mg/1Phenylephrine hydrochloride — 10 mg/1
Dosage form
Tablet, Coated
Route
Oral
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 022113
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha1-Agonists (Mechanism)Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 0573-2161_ac233de1-41cf-4ef0-a7b4-30f395c88c1aSPL ID ac233de1-41cf-4ef0-a7b4-30f395c88c1aSPL set ID a6cc97d8-252a-4527-a470-6d9e356342fdRxCUI 1310503UNII V1Q0O9OJ9Z, WK2XYI10QM, 04JA59TNSJ
Pharmacologic class
Histamine-1 Receptor Antagonist; Nonsteroidal Anti-inflammatory Drug; alpha-1 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

N400573216103 followed by a unit qualifier and the quantity

Package 00573-2161-03. 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 these symptoms associated with hay fever or other upper respiratory allergies, and the common cold: • runny nose • itchy, watery eyes • itching of the nose or throat • sneezing • nasal congestion • sinus pressure • headache • minor body aches and pains • fever • reduces swelling of the nasal passages • temporarily restores freer breathing through the nose

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 022113

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

FDA NDC Directory listings under NDA 022113
ProductStrengthForm · routeLabelerProduct NDC
Advil Allergy and Congestion Reliefchlorpheniramine maleate, ibuprofen, phenylephrine hydrochlorideChlorpheniramine maleate 4 mg/1 + 2 more ingredientsTablet, CoatedOralNavajo Manufacturing Company Inc.67751-149
Advil Multi-Symptom Cold and Fluchlorpheniramine maleate, ibuprofen, phenylephrine hclChlorpheniramine maleate 4 mg/1 + 2 more ingredientsTablet, CoatedOralHaleon US Holdings LLC0573-0190
Advil Allergy and Congestion Reliefchlorpheniramine maleate, ibuprofen, and phenylephrine hydrochlorideChlorpheniramine maleate 4 mg/1 + 2 more ingredientsTablet, CoatedOralHaleon US Holdings LLC0573-0196

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