NDC codes

FDA NDC Directory
Product NDC (as listed)48201-001Labeler and product segments. Claims need a package NDC.
Product NDC at billing width48201-0001Add 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
48201-001-12482010001124820100011212 CAPSULE, GELATIN COATED in 1 BOX (48201-001-12)Marketed from Apr 30, 2015

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)
Sanaflu Xtra
Generic name (nonproprietary)
acetaminophen, chlorpheniramine maleate, dextromethorphan hydrobromide, phenylephrine hydrochloride
Active ingredients
Dextromethorphan hydrobromide — 10 mg/1Phenylephrine hydrochloride — 5 mg/1Acetaminophen — 250 mg/1Chlorpheniramine maleate — 2 mg/1
Dosage form
Capsule, Gelatin coated
Route
Oral
Labeler
GRANDALL DISTRIBUTING, LLCNDC labeler code 48201
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 013
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha1-Agonists (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 48201-001_42404180-fa1a-fcf6-e063-6394a90a281fSPL ID 42404180-fa1a-fcf6-e063-6394a90a281fSPL set ID 4af8a566-5251-4d46-8692-87a3a0748334RxCUI 1193292UNII 9D2RTI9KYH, 04JA59TNSJ, 362O9ITL9D, V1Q0O9OJ9ZUPC 0348201018142
Pharmacologic class
Histamine-1 Receptor Antagonist; Sigma-1 Agonist; Uncompetitive N-methyl-D-aspartate Receptor Antagonist; alpha-1 Adrenergic Agonist

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

N448201000112 followed by a unit qualifier and the quantity

Package 48201-0001-12. 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 relives minor aches and pains headache runny nose sneezing nasal congestion itchy, watery eyes due to hay fever or other upper respiratory allergies itching of the nose or throat cough due to minor throat and bronchial irritation as may occur with the common cold ro inhaled irritants Temperarily reduces fever

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 48201-001

What is NDC 48201-001?
48201-001 is the product NDC for Sanaflu Xtra, Dextromethorphan hydrobromide 10 mg/1 + 3 more ingredients capsule, gelatin coated, listed with the FDA by GRANDALL DISTRIBUTING, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sanaflu Xtra (Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Phenylephrine hydrochloride).
What is the active ingredient?
Dextromethorphan hydrobromide, Phenylephrine hydrochloride, Acetaminophen, Chlorpheniramine maleate.
Who is the labeler?
GRANDALL DISTRIBUTING, LLC, NDC labeler code 48201. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Sanaflu Xtra?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under M 013

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

FDA NDC Directory listings under M 013
ProductStrengthForm · routeLabelerProduct NDC
Headache Relief Extra Strengthacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralTARGET Corporation11673-686
Aspirin Low Dose ChewableaspirinAspirin 81 mg/1Tablet, ChewableOralBetter Living Brands, LLC21130-397
TYLENOL Extra StrengthacetaminophenAcetaminophen 500 mg/1Tablet, CoatedOralKenvue Brands LLC50580-490
MedlineacetaminophenAcetaminophen 325 mg/1TabletOralMedline Industries, LP53329-194
Acetaminophen Regular StrengthacetaminophenAcetaminophen 325 mg/1TabletOralAurohealth LLC58602-748
AspirinAspirin 325 mg/1Tablet, CoatedOralMarc Glassman, Inc.68998-018
MejoralitoacetaminophenAcetaminophen 160 mg/5mLSuspensionOralOPMX Chula Vista69729-068
Ed ApapacetaminophenAcetaminophen 160 mg/5mLLiquidOralEDWARDS PHARMACEUTICALS, INC.0485-0057
Childrens AcetaminophenacetaminophenAcetaminophen 160 mg/5mLSuspensionOralAdvagen Pharma Limited72888-459
pain and feveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralKroger Company30142-590
equate pain relieveracetaminophenAcetaminophen 500 mg/1TabletOralWal-Mart Stores Inc49035-308
Tylenol Extra StrengthacetaminophenAcetaminophen 500 mg/1Tablet, Film coatedOralKenvue Brands LLC50580-472
Pain ReliefacetaminophenAcetaminophen 500 mg/1Tablet, CoatedOralDISCOUNT DRUG MART53943-092
aspirinAspirin 81 mg/1Tablet, ChewableOralPublix Super Markets Inc56062-274
Acetaminophen Extra StrengthacetaminophenAcetaminophen 500 mg/1TabletOralAurohealth LLC58602-745
AcetaminophenAcetaminophen 500 mg/1TabletOralNuCare Pharmaceuticals, Inc.68071-3959
Acetaminophen, Aspirin, CaffeineCaffeine 65 mg/1 + 2 more ingredientsTablet, Film coatedOralCVS Pharmacy, Inc.69842-541
AspirinAspirin 325 mg/1Tablet, CoatedOralFSA Store Inc.81522-018
AspirinAspirin 325 mg/1Tablet, Film coatedOralProficient Rx LP82804-167
Extra Strenght Headache Reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralLil' Drug Store Products, Inc.29485-6538

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