NDC codes

FDA NDC Directory
Product NDC (as listed)41250-812Labeler and product segments. Claims need a package NDC.
Product NDC at billing width41250-0812Add 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
41250-812-5541250081255412500812551 BOTTLE in 1 CARTON (41250-812-55) / 42 TABLET, EXTENDED RELEASE in 1 BOTTLEMarketed from Aug 8, 2018
41250-812-6641250081266412500812661 BOTTLE in 1 CARTON (41250-812-66) / 14 TABLET, EXTENDED RELEASE in 1 BOTTLEMarketed from Aug 8, 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)
mucus dm
Generic name (nonproprietary)
dextromethorphan hbr, guaifenesin
Active ingredients
Guaifenesin — 1200 mg/1Dextromethorphan hydrobromide — 60 mg/1
Dosage form
Tablet, Extended release
Route
Oral
Labeler
Meijer Distribution IncNDC labeler code 41250
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207602
Marketing start
Listing expires
Other FDA classes
Decreased Respiratory Secretion Viscosity (Physiologic effect)Increased Respiratory Secretions (Physiologic effect)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 41250-812_48024235-db0a-4ac7-a87c-733e7d53bb91SPL ID 48024235-db0a-4ac7-a87c-733e7d53bb91
Pharmacologic class
Expectorant; 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

N441250081255 followed by a unit qualifier and the quantity

Package 41250-0812-55. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 41250-812

What is NDC 41250-812?
41250-812 is the product NDC for mucus dm, Guaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1 tablet, extended release, listed with the FDA by Meijer Distribution Inc. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
mucus dm (Dextromethorphan HBr, guaifenesin).
What is the active ingredient?
Guaifenesin, Dextromethorphan hydrobromide.
Who is the labeler?
Meijer Distribution Inc, NDC labeler code 41250. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for mucus dm?
4 other product NDCs are listed under this name. See all mucus dm 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 mucus dm NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
mucus dmdextromethorphan hbr, guaifenesinDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1Tablet, Extended releaseOralHyVee Inc42507-81242507-0812-66
Mucus DMdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralHyVee Inc42507-22242507-0222-20
Mucus DMdextromethorphan hbr, guaifenesinDextromethorphan hydrobromide 20 mg/1; Guaifenesin 400 mg/1Tablet, Film coatedOralMeijer Distribution, Inc.79481-533079481-5330-01
Mucus DMguaifenesin and dextromethorphan hbrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralAmerisource Bergen46122-42046122-0420-0346122-0420-74

Other NDCs under ANDA 207602

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

FDA NDC Directory listings under ANDA 207602
ProductStrengthForm · routeLabelerProduct NDC
basic care mucus dmdextromethorphan hbr, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralAmazon.com Services LLC72288-812
Berkley and Jensen Mucus Relief DMdextromethorphan hbr, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralBJWC68391-812
DG health mucus dmdextromethorphan hbr, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralDolgencorp, LLC55910-575
DG health mucus dmdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralDolgencorp Inc55910-746
equaline mucus dmdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralUnited Natural Foods, Inc. dba UNFI41163-599
Equaline Mucus DMdextromethorphan hbr, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralUnited Natural Foods, Inc. dba UNFI41163-781
equate mucus relief dmdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralWALMART INC.79903-065
Exchange Select Mucus DMdextromethorphan hbr, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralArmy & Air Force Exchange Service55301-812
good neighbor pharmacy mucus dmdextromethorphan hbr, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralAmerisource Bergen46122-637
Good Neighbor Pharmacy Mucus DMdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralAmerisource Bergen46122-817
good sense mucus dmdextromethorphan hbr, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralL Perrigo Company0113-0812
Good Sense Mucus DMdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralL. Perrigo Company0113-2219
Good Sense Mucus DMdextromethorphan hbr, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralA-S Medication Solutions50090-7258
Good Sense Mucus DMdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralSportpharm LLC85766-172
kirkland signature mucus dmdextromethorphan hbr, guaifenesinDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1Tablet, Extended releaseOralCostco Wholesale Company63981-812
Leader Mucus Relief DMdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralCardinal Health 110, LLC. dba Leader70000-0722
members mark mucus relief dmdextromethorphan hbr, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralSam's West Inc68196-812
Mucus DMdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralHyVee Inc42507-222
mucus dmdextromethorphan hbr, guaifenesinDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1Tablet, Extended releaseOralHyVee Inc42507-812
mucus dm extended releaseguaifenesin, dextromethorphan hbrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralCVS Pharmacy69842-812

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