Robafen DM NDC 50090-6747

NDC codes

FDA NDC Directory

Product NDC (as listed)50090-6747Labeler and product segments. Claims need a package NDC.

Product NDC at billing width50090-6747Add 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
50090-6747-0	50090674700	1 BOTTLE in 1 CARTON (50090-6747-0) / 118 mL in 1 BOTTLEMarketed from Oct 16, 2023

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): Robafen DM
Generic name (nonproprietary): dextromethorphan hydrobromide, guaifenesin
Active ingredients: Dextromethorphan hydrobromide — 20 mg/20mLGuaifenesin — 200 mg/20mL
Dosage form: Solution
Route: Oral
Labeler: A-S Medication Solutions
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 102
Marketing start: Jan 7, 2022
Listing expires: Dec 31, 2026
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 50090-6747_e13e894c-350c-4165-91e8-28a721aedce1SPL ID e13e894c-350c-4165-91e8-28a721aedce1SPL set ID d5965f49-2b89-425c-9909-c75c87f930fcRxCUI 1790650UNII 9D2RTI9KYH, 495W7451VQ
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

N450090674700 followed by a unit qualifier and the quantity

Package 50090-6747-00. 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 Oct 22, 2023.

Indications (excerpt from the label)

Uses • temporarily relieves cough due to minor throat and bronchial irritation as may occur with a cold • helps loosen phlegm (mucus) and thin bronchial secretions to drain bronchial tubes

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)