NDC codes

FDA NDC Directory
Product NDC (as listed)0574-1104Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00574-1104Add 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
0574-1104-040057411040400574110404118 mL in 1 BOTTLE, PLASTIC (0574-1104-04)Marketed from Feb 6, 2015
0574-1104-160057411041600574110416473 mL in 1 BOTTLE, PLASTIC (0574-1104-16)Marketed from Feb 6, 2015

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

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
Labeler
Padagis US LLCNDC labeler code 0574
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 205292
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 0574-1104_5d748bbb-1e18-4bc7-ac6f-9c37e6e88768SPL ID 5d748bbb-1e18-4bc7-ac6f-9c37e6e88768SPL set ID 06db369d-09fe-4ca2-b98c-705356b7c403RxCUI 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

N400574110404 followed by a unit qualifier and the quantity

Package 00574-1104-04. 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 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)

About NDC 0574-1104

What is NDC 0574-1104?
0574-1104 is the product NDC for Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan Hydrobromide, Brompheniramine maleate 2 mg/5mL + 2 more ingredients syrup, listed with the FDA by Padagis US LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan Hydrobromide.
What is the active ingredient?
Brompheniramine maleate, Pseudoephedrine hydrochloride, Dextromethorphan hydrobromide.
Who is the labeler?
Padagis US LLC, NDC labeler code 0574. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan Hydrobromide?
11 other product NDCs are listed under this name. See all Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan Hydrobromide 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 Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan Hydrobromide NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan HydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralREMEDYREPACK INC.70518-452670518-4526-0070518-4526-0270518-4526-04
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, and Dextromethorphan HydrobromideDextromethorphan hydrobromide 10 mg/5mL + 2 more ingredientsSyrupOralBIONPHARMA INC.69452-47869452-0478-5569452-0478-88
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, and Dextromethorphan HydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralDr. Reddy's Labratories Inc.75907-20775907-0207-0475907-0207-16
Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan Hydrobromidebrompheniramine maleate, pseudoephedrine hydrochloride, and dextromethorphan hydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSolutionOralPAI Holdings, LLC dba PAI Pharma0121-093300121-0933-0400121-0933-16
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, and Dextromethorphan HydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralChartwell RX, LLC62135-30262135-0302-2462135-0302-4762135-0302-48
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, and Dextromethorphan HydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralChartwell Governmental & Specialty RX, LLC68999-30268999-0302-24
Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan HydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralA-S Medication Solutions50090-562550090-5625-00
Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan HydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralProficient Rx LP63187-66463187-0664-04
Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan HydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralBryant Ranch Prepack63629-861563629-8615-01
Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan HydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralBryant Ranch Prepack63629-861663629-8616-01

All 12 Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan Hydrobromide NDCs

Other NDCs under ANDA 205292

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

FDA NDC Directory listings under ANDA 205292
ProductStrengthForm · routeLabelerProduct NDC
Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan HydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralA-S Medication Solutions50090-5625
Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan HydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralProficient Rx LP63187-664
Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan HydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralBryant Ranch Prepack63629-8615
Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan HydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralBryant Ranch Prepack63629-8616
Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan HydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralREMEDYREPACK INC.70518-4526
Brompheniramine Maleate, Pseudoephedrine Hydrochloride and Dextromethorphan HydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralBryant Ranch Prepack72162-1123

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