Chlorphen-12 (chlorpheniramine maleate) NDC 10702-017

NDC codes

FDA NDC Directory

Product NDC (as listed)10702-017Labeler and product segments. Claims need a package NDC.

Product NDC at billing width10702-0017Add 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
10702-017-01	10702001701	100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (10702-017-01)Marketed from Jun 15, 2010
10702-017-06	10702001706	60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (10702-017-06)Marketed from Jun 15, 2010
10702-017-24	10702001724	24 TABLET, FILM COATED, EXTENDED RELEASE in 1 CARTON (10702-017-24)Marketed from Jun 15, 2010
10702-017-54	10702001754	50 PACKAGE in 1 CARTON (10702-017-54) / 4 TABLET, FILM COATED, EXTENDED RELEASE in 1 PACKAGE (10702-017-04)Marketed from Nov 29, 2018

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): Chlorphen-12
Generic name (nonproprietary): chlorpheniramine maleate
Active ingredients: Chlorpheniramine maleate — 12 mg/1
Dosage form: Tablet, Film coated, Extended release
Route: Oral
Labeler: KVK-Tech, Inc.
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 040829
Marketing start: Jun 15, 2010
Listing expires: Dec 31, 2026
Other FDA classes: Histamine H1 Receptor Antagonists (Mechanism)
Identifiers: Product ID 10702-017_7d67f785-a25f-1819-e053-2991aa0a11d3SPL ID 7d67f785-a25f-1819-e053-2991aa0a11d3SPL set ID 84409269-fe9b-469e-9a66-27b1475231a3RxCUI 1363288UNII V1Q0O9OJ9ZUPC 0310702017061
Pharmacologic class: Histamine-1 Receptor Antagonist

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

N410702001701 followed by a unit qualifier and the quantity

Package 10702-0017-01. 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 Dec 19, 2018.

Indications (excerpt from the label)

USES temporarily relieves the following symptoms due to hay fever or other upper respiratory allergies: sneezing runny nose itchy, watery eyes itching of the nose or throat

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 040829

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

FDA NDC Directory listings under ANDA 040829
Product	Strength	Form · route	Labeler	Product NDC
Allergy Reliefchlorpheniramine maleate	Chlorpheniramine maleate 12 mg/1	Tablet, Film coated, Extended releaseOral	CVS Pharmacy	69842-017