NDC codes

FDA NDC Directory
Product NDC (as listed)27808-057Labeler and product segments. Claims need a package NDC.
Product NDC at billing width27808-0057Add 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
27808-057-0127808005701473 mL in 1 BOTTLE, PLASTIC (27808-057-01)Marketed from Nov 15, 2021

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)
Promethazine Hydrochloride and Dextromethorphan Hydrobromide
Generic name (nonproprietary)
promethazine hydrochloride and dextromethorphan hydrobromide
Active ingredients
Promethazine hydrochloride — 6.25 mg/5mLDextromethorphan hydrobromide — 15 mg/5mL
Dosage form
Solution
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 091687
Marketing start
Marketing end
Other FDA classes
Phenothiazines (Chemical structure)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 27808-057_c48beb7d-69be-4ace-82b1-d1a1210b7f32SPL ID c48beb7d-69be-4ace-82b1-d1a1210b7f32SPL set ID a8b57027-a4b8-4149-93e8-aa3e7a6d6dc3RxCUI 991528UNII R61ZEH7I1I, 9D2RTI9KYHUPC 0327808057013
Pharmacologic class
Phenothiazine; Sigma-1 Agonist; Uncompetitive N-methyl-D-aspartate 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

N427808005701 followed by a unit qualifier and the quantity

Package 27808-0057-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Promethazine Hydrochloride and Dextromethorphan Hydrobromide Oral Solution is indicated for the temporary relief of coughs and upper respiratory symptoms 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)

Other NDCs under ANDA 091687

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

FDA NDC Directory listings under ANDA 091687
ProductStrengthForm · routeLabelerProduct NDC
Promethazine Hydrochloride and Dextromethorphan HydrobromidePromethazine hydrochloride 6.25 mg/5mL; Dextromethorphan hydrobromide 15 mg/5mLSolutionOralA-S Medication Solutions50090-6755
Promethazine Hydrochloride and Dextromethorphan HydrobromidePromethazine hydrochloride 6.25 mg/5mL; Dextromethorphan hydrobromide 15 mg/5mLSolutionOralCosette Pharmaceuticals, Inc.0713-0780
Promethazine Hydrochloride and Dextromethorphan HydrobromidePromethazine hydrochloride 6.25 mg/5mL; Dextromethorphan hydrobromide 15 mg/5mLSolutionOralBryant Ranch Prepack72162-2039

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