NDC codes

FDA NDC Directory
Product NDC (as listed)30142-233Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0233Add 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
30142-233-74301420233741 KIT in 1 KIT (30142-233-74) * 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK * 4 CAPSULE, LIQUID FILLED in 1 BLISTER PACKMarketed from Aug 31, 2022

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)
Kroger Daytime and Nighttime Cold and Flu Softgel
Generic name (nonproprietary)
acetaminophen, dextromethorphan hydrobromide, phenylephrine hydrochloride, doxylamine succinate
Dosage form
Kit
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 30142-233_a8088fc6-982c-4f4c-a908-78c221948328SPL ID a8088fc6-982c-4f4c-a908-78c221948328SPL set ID 518fbac2-9dd2-4d93-8bd6-9d057469f684RxCUI 1086997, 1094549, 2634564

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

N430142023374 followed by a unit qualifier and the quantity

Package 30142-0233-74. 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: temporarily relieves common cold/flu symptoms: • nasal congestion • cough due to minor throat & bronchial irritation • sore throat • headache • minor aches & pains • fever

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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