Over-the-counter drug · OTC MONOGRAPH DRUG
Daytime Nighttime Cold and Flu NDC 21130-467
acetaminophen dextromethorphan hbr phenylephrine hci doxylaminesucinate · Kit · Safeway, Inc.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)21130-467Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0467Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21130-467-24 | 2113004672421130046724 | 1 KIT in 1 KIT (21130-467-24) * 355 mL in 1 BOTTLE * 355 mL in 1 BOTTLEMarketed from Sep 30, 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)
- Daytime Nighttime Cold and Flu
- Generic name (nonproprietary)
- acetaminophen dextromethorphan hbr phenylephrine hci doxylaminesucinate
- Dosage form
- Kit
- Labeler
- Safeway, Inc.NDC labeler code 21130
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 012
- Marketing start
- Listing expires
- Identifiers
- Product ID 21130-467_e2a9148a-e193-4459-89eb-96f219b9ec6aSPL ID e2a9148a-e193-4459-89eb-96f219b9ec6aSPL set ID f762600a-f4b1-4869-a04b-8431c3d8a3e3RxCUI 1043400, 1113705, 2637726UPC 0321130763505
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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.
- NDC on a medical claim
N421130046724followed by a unit qualifier and the quantityPackage 21130-0467-24. 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 DAYTIME temporarily relieves common cold and flu symptoms minor aches and pains headache sore throat nasal congestion fever cough due to minor throat and bronchial irritation NIGHTTIME temporarily relieves these common cold/flu symptoms` minor aches and pains headache sore throat runny nose and sneezing fever cough due to minor throat and bronchial irritation
Excerpt only. Read the full label for complete information.
About NDC 21130-467
- What is NDC 21130-467?
- 21130-467 is the product NDC for Daytime Nighttime Cold and Flu kit, 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?
- Daytime Nighttime Cold and Flu (Acetaminophen Dextromethorphan HBr Phenylephrine HCI DoxylamineSucinate).
- 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 Daytime Nighttime Cold and Flu?
- 13 other product NDCs are listed under this name. See all Daytime Nighttime Cold and Flu NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Daytime Nighttime Cold and Flu products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Daytime Nighttime Cold and Fluacetaminophen, dextromethorphan hydrobromide, doxylamine succinate | — | Kit | Amazon.com Services LLC | 72288-744 | 72288-0744-72 |
| Daytime Nighttime Cold And Fluacetaminophen, dextromethorphan hbr, doxylamine succinate, phenylephrine hcl | — | Kit | Amazon.com Services LLC | 72288-791 | 72288-0791-02 |
| Daytime Nighttime Cold and Fluacetaminophen, dextromethorphan hbr, phenylephrine hci, acetaminophen, dextromethorphan hbr, doxylamine succinate | — | KitOral | Grocery Outlet, Inc. | 85828-695 | 85828-0695-48 |
| Daytime Nighttime Cold and Fluacetaminophen, dextromethorphan hydrobromide, doxylamine succinate, phenylephrine hydrochloride | — | KitOral | Walmart Inc. | 79903-383 | 79903-0383-16 |
| Daytime Nighttime Cold and Fluacetaminophen, dextromethorphan hbr, doxylamine succinate and phenylephrine hcl liquid filled capsules | — | KitOral | Walmart Inc. | 79903-315 | 79903-0315-20 |
| Daytime Nighttime Cold and Fluacetaminophen, dextromethorphan hbr, phenylephrine hcl and acetaminophen, dextromethorphan hbrdoxylamine succinate | — | Kit | Kroger | 41226-790 | 41226-0790-02 |
| Daytime Nighttime Cold and Fluacetaminophen, dextromethorphan hbr, phenylephrine hci, doxylamine succinate 325, 10/15, 5, 6.25 mg softgels | — | KitOral | TIME CAP LABORATORIES INC. | 49483-695 | 49483-0695-48 |
| Daytime Nighttime Cold and Fluacetaminophen, dextromethorphan hbr, phenylephrine hcl and acetaminophen, dextromethorphan hbr, doxylamine succinate | — | Kit | WALGREENS | 0363-0729 | 00363-0729-24 |
| Daytime Nighttime Cold and Fluacetaminophen dextromethorphan hbr phenylephrine hci doxylaminesucinate | — | Kit | Harris Teeter, LLC | 69256-467 | 69256-0467-24 |
| Daytime Nighttime Cold and Fluacetaminophen dextromethorphan hbr phenylephrine hci doxylaminesucinate | — | Kit | WinCo Foods, LLC | 67091-371 | 67091-0371-12 |
Other NDCs under M 012
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 |
|---|---|---|---|---|
| MGC Health Cough Drops Honey Herbmenthol | Menthol 4.8 mg/1 | LozengeOral | Medical Group Care LLC | 83173-133 |
| Multi-Symptom Cold And Flu Relief Nighttimeacetaminophen 325 mg dextromethorphan hbr 15 mg doxylamine succinate 6.25 mg | Acetaminophen 325 mg/1 + 2 more ingredients | Capsule, Liquid filledOral | RITE AID | 11822-1987 |
| daytime severe cold and fluacetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl | Acetaminophen 325 mg/15mL + 3 more ingredients | SolutionOral | Kroger Company | 30142-603 |
| TopCare Allergy Reliefdiphenhydramine hydrochloride | Diphenhydramine hydrochloride 25 mg/1 | Capsule, Liquid filledOral | TOPCO ASSOCIATES LLC | 36800-367 |
| Daytime Cold And Fludextromethorphan hydrobromide, acetaminophen, phenylephrine hydrochloride | Dextromethorphan hydrobromide 10 mg/1 + 2 more ingredients | Capsule, Liquid filledOral | Kroger Company | 41226-693 |
| Allergy Reliefdiphenhydramine hydrochloride | Diphenhydramine hydrochloride 25 mg/1 | Tablet, CoatedOral | FOODHOLD U.S.A., LLC | 41520-290 |
| good sense tussin dmdextromethorphan hydrobromide, guaifenesin | Dextromethorphan hydrobromide 20 mg/20mL; Guaifenesin 200 mg/20mL | SolutionOral | A-S Medication Solutions | 50090-7257 |
| Sanatosmenthol | Menthol 5.4 mg/1 | LozengeOral | Pharmadel LLC | 55758-518 |
| Cough Dropsmenthol | Menthol 7.5 mg/1 | PastilleOral | The Kroger CO | 59450-716 |
| Vicks NyQuil VapoCOOL COLD and FLUacetaminophen, doxylamine succinate, dextromethorphan hydrobromide | Acetaminophen 325 mg/1 + 2 more ingredients | Tablet, CoatedOral | Navajo Manufacturing Company Inc. | 67751-244 |
| Childrens Allergy Relief | Diphenhydramine hydrochloride 12.5 mg/5mL | LiquidOral | Allegiant Health | 69168-471 |
| Severe Cold Plus Flu Daytime Nighttimeacetaminophen, dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride, and doxylamine succinate | — | Kit | CVS Pharmacy,Inc. | 69842-546 |
| Sinus Pressure and Pain Maximum Strengthacetaminophen, phenylephrine hcl | Acetaminophen 325 mg/1; Phenylephrine hydrochloride 5 mg/1 | TabletOral | Cardinal Health 110, LLC. DBA Leader | 70000-0161 |
| Mucus Reliefguaifenesin 400 mg | Guaifenesin 400 mg/1 | TabletOral | Pioneer Life Sciences, LLC | 72090-035 |
| Mucinex Childrens Night Time Multi-Symptom Cold and Fluacetaminophen, dextromethorphan hbr, triprolidine hcl | Triprolidine hydrochloride 1.25 mg/10mL + 2 more ingredients | SolutionOral | Reckitt Benckiser LLC | 72854-063 |
| Pharbinex-DMguaifenesin 400mg and dextromethorphan hbr 20mg | Guaifenesin 400 mg/1; Dextromethorphan hydrobromide 20 mg/1 | TabletOral | Ulai Health LLC | 73057-381 |
| MAXIMUM STRENGTH Sinus Relief Day and Night SOFTGELS - 24 ctacetaminophen, dextromethorphan hydrobromide, guaifenesin, doxylamine succinate, phenylephrine hydrochloride | — | Kit | Topco Associates LLC | 76162-679 |
| 24/7 Life Medicated Chest Rubcamphor, eucalyptus oil, menthol ointment | Eucalyptus oil 1.2 g/100g + 2 more ingredients | OintmentTopical | Lil' Drug Store Products, Inc. | 29485-6536 |
| Daytime and Nighttime Cherry Cold and Fludaytime - acetaminophen, dextromethorphan hbr, phenylephrine hcl nighttime - acetaminophen, dextromethorphan hbr, doxylamine succinate | — | KitOral | BETTER LIVING BRANDS, LLC | 21130-967 |
| Daytime Nighttimeacetaminophen, guaifenesin, acetaminophen, dextromethorphan hbr, triprolidine hcl | — | Kit | KROGER COMPANY | 41226-678 |
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