Delsym (dextromethorphan) NDC 50090-0224

NDC codes

FDA NDC Directory

Product NDC (as listed)50090-0224Labeler and product segments. Claims need a package NDC.

Product NDC at billing width50090-0224Add 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 NDC	11-digit (billing)	Package	Copy
50090-0224-0	50090022400	1 BOTTLE in 1 CARTON (50090-0224-0) / 89 mL in 1 BOTTLEMarketed from Nov 28, 2014

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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): Delsym
Generic name (nonproprietary): dextromethorphan
Active ingredients: Dextromethorphan — 30 mg/5mL
Dosage form: Suspension, Extended release
Route: Oral
Labeler: A-S Medication Solutions
Product type: Over-the-counter drug
Marketing category: NDA — New Drug ApplicationApplication NDA 018658
Marketing start: May 4, 2010
Listing expires: Dec 31, 2026
Other FDA classes: Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers: Product ID 50090-0224_018b0d50-2f6c-447a-a3bc-f43f639834b1SPL ID 018b0d50-2f6c-447a-a3bc-f43f639834b1SPL set ID 2ac3cac7-5980-4ff5-9939-d494c3daa9d2RxCUI 1373045, 1373128UNII 7355X3ROTS
Pharmacologic class: 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

N450090022400 followed by a unit qualifier and the quantity

Package 50090-0224-00. 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 Feb 28, 2025.

Indications (excerpt from the label)

Uses temporarily relieves cough due to minor throat and bronchial irritation as may occur with the common cold or inhaled irritants the impulse to cough to help you get to sleep

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 018658

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

FDA NDC Directory listings under NDA 018658
Product	Strength	Form · route	Labeler	Product NDC
Delsymdextromethorphan	Dextromethorphan 30 mg/5mL	Suspension, Extended releaseOral	Reckitt Benckiser LLC	63824-171
Delsym (Dextromethorphan)dextromethorphan	Dextromethorphan 30 mg/5mL	Suspension, Extended releaseOral	Reckitt Benckiser LLC	63824-173
Delsymdextromethorphan	Dextromethorphan 30 mg/5mL	Suspension, Extended releaseOral	Reckitt Benckiser LLC	63824-175
Delsym (Dextromethorphan)dextromethorphan	Dextromethorphan 30 mg/5mL	Suspension, Extended releaseOral	Reckitt Benckiser LLC	63824-177