What is NDC 11822-0763?

11822-0763 is the product NDC for severe cold and flu relief, Acetaminophen 650 mg/30mL + 3 more ingredients solution, listed with the FDA by Rite Aid Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

severe cold and flu relief (Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl).

What is the active ingredient?

Acetaminophen, Dextromethorphan hydrobromide, Doxylamine succinate, Phenylephrine hydrochloride.

Rite Aid Corporation, NDC labeler code 11822. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for severe cold and flu relief?

3 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

severe cold and flu relief NDC 11822-0763

NDC codes

FDA NDC Directory

Product NDC (as listed)11822-0763Labeler and product segments. Claims need a package NDC.

Product NDC at billing width11822-0763Add 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
11822-0763-1	1182207630111822076301	355 mL in 1 BOTTLE (11822-0763-1)Marketed from Jun 27, 2014

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): severe cold and flu relief
Generic name (nonproprietary): acetaminophen, dextromethorphan hbr, doxylamine succinate, phenylephrine hcl
Active ingredients: Acetaminophen — 650 mg/30mLDextromethorphan hydrobromide — 20 mg/30mLDoxylamine succinate — 12.5 mg/30mLPhenylephrine hydrochloride — 10 mg/30mL
Dosage form: Solution
Route: Oral
Labeler: Rite Aid CorporationNDC labeler code 11822
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 012
Marketing start: Jun 27, 2014
Listing expires: Dec 31, 2026
Other FDA classes: Adrenergic alpha1-Agonists (Mechanism)Histamine Receptor Antagonists (Mechanism)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers: Product ID 11822-0763_3f409115-0626-4fe8-b7c5-c920b82b778aSPL ID 3f409115-0626-4fe8-b7c5-c920b82b778aSPL set ID 9a71e8eb-4195-4694-bf3e-44f691ff2cefRxCUI 1431245UNII 362O9ITL9D, 9D2RTI9KYH, V9BI9B5YI2, 04JA59TNSJ
Pharmacologic class: Antihistamine; Sigma-1 Agonist; Uncompetitive N-methyl-D-aspartate Receptor Antagonist; 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

N411822076301 followed by a unit qualifier and the quantity

Package 11822-0763-01. 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 Oct 30, 2024.

Indications (excerpt from the label)

Uses temporarily relieves common cold/flu symptoms: • nasal congestion • sinus congestion and pressure • minor aches and pains • headache • fever • sore throat • runny nose and sneezing • cough due to minor throat and bronchial irritation • cough to help you sleep • reduces swelling of nasal passages • promotes nasal and/or sinus drainage • 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)

About NDC 11822-0763

What is NDC 11822-0763?: 11822-0763 is the product NDC for severe cold and flu relief, Acetaminophen 650 mg/30mL + 3 more ingredients solution, listed with the FDA by Rite Aid Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: severe cold and flu relief (Acetaminophen, Dextromethorphan HBr, Doxylamine Succinate, Phenylephrine HCl).
What is the active ingredient?: Acetaminophen, Dextromethorphan hydrobromide, Doxylamine succinate, Phenylephrine hydrochloride.
Who is the labeler?: Rite Aid Corporation, NDC labeler code 11822. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for severe cold and flu relief?: 3 other product NDCs are listed under this name. See all severe cold and flu relief 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 severe cold and flu relief NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
severe cold and flu reliefacetaminophen, dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride	Acetaminophen 325 mg/15mL + 3 more ingredients	SolutionOral	Rite Aid Corporation	11822-3120	11822-3120-00
severe cold and flu reliefacetaminophen, dextromethorphan hydrobromide, doxylamine succinate, phenylephrine hydrochloride	Acetaminophen 325 mg/15mL + 3 more ingredients	SolutionOral	Rite Aid Corporation	11822-4099	11822-4099-00
Severe Cold and Flu Reliefacetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl	Acetaminophen 325 mg/1 + 3 more ingredients	Tablet, Film coatedOral	CVS PHARMACY	69842-503	69842-0503-08

Other NDCs under M 012

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

FDA NDC Directory listings under M 012
Product	Strength	Form · route	Labeler	Product NDC
Daytime Cold and Flu Reliefacetaminohpen, dextromethorphan hbr, guaifenesin phenylephrine hcl	Acetaminophen 650 mg/30mL + 3 more ingredients	LiquidOral	The Kroger Co.	30142-722
Cold Fluacetaminophen, dextromethorphan hydrobromide, doxylamine succinate	—	Kit	HyVee Inc	42507-598
Allergy Reliefdiphenhydramine hcl	Diphenhydramine hydrochloride 25 mg/1	Tablet, Film coatedOral	H E B	37808-932
Medi First Plus Cherry Cough Dropsmenthol	Menthol 7.6 mg/1	LozengeOral	Unifirst First Aid Corporation	47682-915
Supress Adexbromopheniramine maleate, dextromethorphan hbr, phenylephrine hcl	Dexbrompheniramine maleate 1 mg/mL + 2 more ingredients	SyrupOral	Kramer Novis	52083-057
SAFETUSSIN Non Drowsy Cough plus chest congestiondextromethorphan hydrobromide, and guaifenesin	Dextromethorphan hydrobromide 10 mg/1; Guaifenesin 200 mg/1	TabletOral	KRAMER LABORATORIES	55505-231
Tusnel-DM Pediatricdextromethorphan hbr, guaifenesin, phenylephrine hcl	Dextromethorphan hydrobromide 2.5 mg/mL + 2 more ingredients	Solution/ dropsOral	LLORENS PHARMACEUTICALS INTERNATIONAL DIVISION	54859-606
Dg Health Cold Flu Reliefacetaminophen, dextromethorphan hydrobromide, doxylamine succinate	Acetaminophen 325 mg/15mL + 2 more ingredients	SolutionOral	Dolgencorp Inc	55910-753
Acetaminophen and Diphenhydramine citrate	Acetaminophen 500 mg/1; Diphenhydramine citrate 38 mg/1	TabletOral	InvaTech Pharma Solutions LLC	57631-010
MUCINEX SINUS-MAX SEVERE CONGESTION RELIEF SINUS and ALLERGYoxymetazoline hydrochloride	Oxymetazoline hydrochloride .05 g/100mL	SolutionNasal	Reckitt Benckiser LLC	63824-120
Vicks Sinex SEVERE CONGESTIONoxymetazoline hydrochloride	Oxymetazoline hydrochloride .0005 g/mL	SprayNasal	Procter & Gamble Manufacturing GmbH	64336-002
Walgreens Honey Lemon Cough Dropsmenthol	Menthol 7.5 mg/1	LozengeOral	Walgreens	0363-9959
Tesalon Jarabe Adultoacetaminophen, dextromethorphan hbr, guaifenesin usp, phenylephrine hcl	Acetaminophen 500 mg/20mL + 3 more ingredients	SyrupOral	OPMX LLC	69729-787
Guaifenesin	Guaifenesin 400 mg/1	TabletOral	Bryant Ranch Prepack	71335-9616
Cold Head Congestion Severeacetaminophen, guaifenesin, and phenylephrine hydrochloride	Acetaminophen 325 mg/1 + 2 more ingredients	Tablet, CoatedOral	Harris Teeter	72036-175
DG Health Cough Drops Cherry Flavormenthol	Menthol 5.8 mg/1	LozengeTopical	Dollar General Corporation	75712-005
Nuvicare NightTime Cold and Flu Softgelacetaminophen, dextromethorphan hydrobromide, doxylamine succinate	Acetaminophen 325 mg/1 + 2 more ingredients	Capsule, Liquid filledOral	NUVICARE LLC	84324-019
Quality Choice Mucus Reliefguaifenesin	Guaifenesin 400 mg/1	TabletOral	Chain Drug Marketing Association	83324-194
Diphenhydramine HCl	Diphenhydramine hydrochloride 12.5 mg/5mL	SolutionOral	Major Pharmaceuticals	0904-6985
severe cold and flu reliefacetaminophen, dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride	Acetaminophen 325 mg/15mL + 3 more ingredients	SolutionOral	Rite Aid Corporation	11822-3120

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