Over-the-counter drug · OTC MONOGRAPH DRUG
Sore Throat (Phenol) NDC 21130-376
Phenol 1.4 g/100mL · Spray · Oral · Safeway, Inc.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)21130-376Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0376Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21130-376-06 | 2113003760621130037606 | 177 mL in 1 BOTTLE, SPRAY (21130-376-06)Marketed from Nov 30, 2014 |
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)
- Sore Throat
- Generic name (nonproprietary)
- phenol
- Active ingredients
- Phenol — 1.4 g/100mL
- Dosage form
- Spray
- Route
- Oral
- Labeler
- Safeway, Inc.NDC labeler code 21130
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 022
- Marketing start
- Listing expires
- Identifiers
- Product ID 21130-376_624a1da9-c592-47cc-af35-e4f2b43a10c8SPL ID 624a1da9-c592-47cc-af35-e4f2b43a10c8SPL set ID f1dbbb8d-045f-4063-a7b3-d5b9c4b3dd7dRxCUI 198776UNII 339NCG44TV
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
N421130037606followed by a unit qualifier and the quantityPackage 21130-0376-06. 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 for the temporary relief of occasional minor irritation, pain, sore mouth, and sore throat
Excerpt only. Read the full label for complete information.
About NDC 21130-376
- What is NDC 21130-376?
- 21130-376 is the product NDC for Sore Throat (phenol), Phenol 1.4 g/100mL spray, listed with the FDA by Safeway, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Sore Throat (Phenol).
- What is the active ingredient?
- Phenol.
- Who is the labeler?
- Safeway, Inc., NDC labeler code 21130. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Sore Throat?
- 7 other product NDCs are listed under this name. See all Sore Throat NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Sore Throat products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Sore Throatcapsicum annuum, echinacea (angustifolia), eucalyptus globulus, lycopodium clavatum, mentha piperita, phytolacca decandra, thymus vulgaris, zincum gluconicum | Capsicum 6 [hp_X]/mL + 7 more ingredients | SprayOral | NaturalCare | 70163-0200 | 70163-0200-01 |
| Sore Throatcapsicum annuum, echinacea (angustifolia), eucalyptus globulus, lycopodium clavatum, mentha piperita, phytolacca decandra, thymus vulgaris, zincum gluconicum | Capsicum 6 [hp_X]/mL + 7 more ingredients | SprayOral | NaturalCare | 70163-0014 | 70163-0014-01 |
| Sore Throatphenol glycerin | Phenol 1.5 mg/100mL; Glycerin 33 mg/100mL | SprayOral | CVS PHARMACY, INC | 51316-199 | 51316-0199-04 |
| Sore Throatphenol glycerin | Phenol 1.5 mg/100mL; Glycerin 33 mg/100mL | SprayOral | Walgreens | 0363-8910 | 00363-8910-04 |
| Sore Throatphenol | Phenol 1.4 g/100mL | SprayOral | Raritan Pharmaceuticals Inc | 68163-703 | 68163-0703-06 |
| Sore Throatteucrium scorodonia, veronica officinalis, equisetum hyemale, fumaria officinalis, geranium robertianum, nasturtium aquaticum, natrum sulphuricum, pinus sylvestris, gentiana lutea, sarsaparilla (smilax regelii), scrophularia nodosa, myosotis arvensis, aranea diadema, juglans regia, calcarea phosphorica, ferrum iodatum, lymph node (suis), thyroidinum (suis) | Teucrium scorodonia flowering top 3 [hp_X]/mL + 18 more ingredients | LiquidOral | Deseret Biologicals, Inc. | 43742-1648 | 43742-1648-01 |
| Sore Throatphenol | Phenol 1.4 g/100mL | SprayOral | EQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC) | 49035-376 | 49035-0376-06 |
Other NDCs under M 022
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Hydrogen Peroxide 3 Percent ReadyInCasehydrogen peroxide | Hydrogen peroxide 3 mL/100mL | LiquidTopical | P & L Development, LLC | 49580-0268 |
| Salinenasal | Sodium chloride 6.5 mg/mL | SprayNasal | Bi-Mart | 37835-998 |
| CVS Health Sensitive Enamel Repairsodium fluoride | Sodium fluoride .15 g/100g; Potassium nitrate 5 g/100g | Paste, DentifriceOral | CVS | 51316-169 |
| Ricola Max Nasal Care Cool Mentholmenthol | Menthol 15.3 mg/1 | LozengeOral | Ricola Ag | 54305-206 |
| Orajel Medicated for Toothache and Gum, Liquidbenzocaine and menthol | Benzocaine 200 mg/mL; Menthol, Unspecified form 1 mg/mL | LiquidTopical | Church & Dwight Co., Inc. | 10237-796 |
| Throat Balm Caramel Pectinpectin | Pectin 3.8 mg/1 | LozengeOral | Ricola Ag | 54305-301 |
| Throat Balm Caramel Pectinpectin | Pectin 3.8 mg/1 | LozengeOral | Ricola USA Inc. | 63667-301 |
| Hydrogen Peroxide 3 Percenthydrogen peroxide | Hydrogen peroxide 2.65 mL/100mL | LiquidTopical | Whole Foods Market | 42681-6414 |
| Sore throat cherryphenol | Phenol 1.4 g/100mL | SprayOral | Dolgencorp, Inc. (DOLLAR GENERAL & REXALL) | 55910-376 |
| Crest Pro-Health Gum DetoxifyWinter Mintcetylpyridinium chloride | Cetylpyridinium chloride .07 g/mL | RinseOral | The Procter & Gamble Manufacturing Company | 84126-648 |
| Crest Kids Advanced Color Changingsodium monofluorophosphate | Sodium monofluorophosphate 1.6 mg/g | Paste, DentifriceDental | Procter & Gamble Manufactura, S de R.L. de C.V. | 58933-012 |
| Sootheez Berry Lemonadepectin | Pectin 11.5 mg/3.5g | LozengeOral | BFY LLC | 72427-4014 |
| Sootheez Organic Wild Cherrypectin | Pectin 11.5 mg/3.5g | LozengeOral | BFY LLC | 72427-3714 |
| Quality Choice Oral Pain Reliefbenzocaine 20%, benzalkonium chloride 1% | Benzocaine 200 mg/g; Benzalkonium chloride 10 mg/g | GelTopical | Quality Choice (CHAIN DRUG MARKETING ASSOCIATION) | 83324-035 |
| Rite Aid Professional Strengthbenzocaine | Benzocaine 20 g/100g | LiquidOral | Rite Aid | 11822-5340 |
| SENSODYNE Rapid Reliefstannous fluoride | Stannous fluoride 1.1 mg/g | PasteOral | Haleon US Holdings LLC | 0135-0622 |
| Iodent Oral Analgesicbenzocaine | Benzocaine 200 mg/g | GelTopical | United Exchange Corp. | 65923-094 |
| Sootheez Organic Wild Cherrypectin | Pectin 11.5 mg/3.5g | LozengeOral | BFY LLC | 72427-3714 |
| Topcare Sore Throat Menthol Flavorphenol | Phenol 1.4 g/100mL | SprayOral | TOPCO ASSOCIATES LLC | 36800-606 |
| Sensodyne Pronamel Gentle Whitening Advancedpotassium nitrate and sodium fluoride | Potassium nitrate 50 mg/g; Sodium fluoride 1.15 mg/g | PasteDental | Haleon US Holdings LLC | 0135-0580 |
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