NDC codes

FDA NDC Directory
Product NDC (as listed)50804-128Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50804-0128Add 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
50804-128-02508040128022 BLISTER PACK in 1 CARTON (50804-128-02) / 12 TABLET, COATED in 1 BLISTER PACKMarketed from Aug 1, 2020

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)
Allergy Multi Symptom
Generic name (nonproprietary)
acetaminophen, chlorpheniramine maleate, and phenylephrine hydrochloride
Active ingredients
Acetaminophen — 325 mg/1Chlorpheniramine maleate — 2 mg/1Phenylephrine hydrochloride — 5 mg/1
Dosage form
Tablet, Coated
Route
Oral
Labeler
GOODSENSENDC labeler code 50804
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 012
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha1-Agonists (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 50804-128_24c29ef0-6a64-54e5-e063-6394a90a9549SPL ID 24c29ef0-6a64-54e5-e063-6394a90a9549SPL set ID a793000b-3ef9-5662-e053-2a95a90ad0daRxCUI 1046781UNII 362O9ITL9D, V1Q0O9OJ9Z, 04JA59TNSJUPC 0846036008289
Pharmacologic class
Histamine-1 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

N450804012802 followed by a unit qualifier and the quantity

Package 50804-0128-02. 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 these symptoms of hay fever or other upper respiratory allergies: headache nasal congestion sinus congestion and pressure minor aches and pains runny nose and sneezing helps clear nasal passages helps decongest sinus openings and passages temporarily relieves these additional symptoms of hay fever: itching of the nose or throat itchy, watery eyes

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50804-128

What is NDC 50804-128?
50804-128 is the product NDC for Allergy Multi Symptom, Acetaminophen 325 mg/1 + 2 more ingredients tablet, coated, listed with the FDA by GOODSENSE. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Allergy Multi Symptom (ACETAMINOPHEN, CHLORPHENIRAMINE MALEATE, and PHENYLEPHRINE HYDROCHLORIDE).
What is the active ingredient?
Acetaminophen, Chlorpheniramine maleate, Phenylephrine hydrochloride.
Who is the labeler?
GOODSENSE, NDC labeler code 50804. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Allergy Multi Symptom?
11 other product NDCs are listed under this name. See all Allergy Multi Symptom 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 Allergy Multi Symptom NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Allergy Multi Symptomacetaminophen, chlorpheniramine maleate, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsTablet, CoatedOralCHAIN DRUG MARKETING ASSOCIATION, INC.83324-08683324-0086-24
Allergy Multi-Symptomacetaminophen, chlorpheniramine maleate, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsTablet, CoatedOralSTRATEGIC SOURCING SERVICES LLC70677-100470677-1004-01
Allergy Multi Symptomacetaminophen, chlorpheniramine maleate, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsTablet, CoatedOralTOPCO ASSOCIATES LLC36800-62836800-0628-02
Allergy Multi Symptomacetaminophen, chlorpheniramine maleate, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsTablet, CoatedOralAMERISOURCE BERGEN46122-66046122-0660-62
Allergy Multi Symptomacetaminophen, chlorpheniramine maleate, and phenylephrine hydrochloridePhenylephrine hydrochloride 5 mg/1 + 2 more ingredientsTablet, CoatedOralAAA PHARMACEUTICAL, INC.57344-92857344-0928-02
Allergy Multi Symptomacetaminophen, chlorpheniramine maleate, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsTablet, CoatedOralHEB37808-62837808-0628-02
Allergy Multi Symptomacetaminophen, chlorpheniramine maleate, and phenylephrine hydrochlorideChlorpheniramine maleate 2 mg/1 + 2 more ingredientsTablet, CoatedOralMARC GLASSMAN, INC.68998-22868998-0228-02
Allergy Multi-Symptomacetaminophen, chlorpheniramine maleate, phenylephrine hclAcetaminophen 325 mg/1 + 2 more ingredientsTablet, Film coatedOralL.N.K. International, Inc.50844-45550844-0455-08
Allergy Multi-Symptomacetaminophen, chlorpheniramine maleate and phenylephrine hclAcetaminophen 325 mg/1 + 2 more ingredientsTablet, Film coatedOralARMY AND AIR FORCE EXCHANGE SERVICE55301-45555301-0455-08
Allergy Multi-Symptomacetaminophen, chlorpheniramine maleate and phenylephrine hclAcetaminophen 325 mg/1 + 2 more ingredientsTablet, Film coatedOralDOLGENCORP, LLC55910-45555910-0455-08

All 12 Allergy Multi Symptom NDCs

Other NDCs under M 012

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

FDA NDC Directory listings under M 012
ProductStrengthForm · routeLabelerProduct NDC
Multi-Symptom Nighttime Cold and Flu Reliefacetaminophen, doxylamine succinate, dextromethorphan hbrAcetaminophen 325 mg/1 + 2 more ingredientsCapsule, Liquid filledOralAdvanced Rx LLC80513-316
MGC Healthcough drops honeyMenthol 7.5 mg/1LozengeOralMedical Group Care LLC83173-114
Nuvicare DayTime and NightTime Cold and Fluacetaminophen, dextromethorphan hydrobromide, phenylephrine hydrochloride, doxylamine succinate—KitNUVICARE LLC84324-025
VICKS DayQuil NyQuil SEVERE HONEY COLD and FLUacetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl and doxylamine succinate—KitOralThe Procter & Gamble Manufacturing Company84126-326
Good Sense Nasaloxymetazoline hydrochlorideOxymetazoline hydrochloride .5 mg/mLSprayNasalSportpharm LLC85766-164
Major Nasal Decongestantoxymetazoline hydrochlorideOxymetazoline hydrochloride .5 mg/mLSprayNasalMajor Pharmaceuticals0904-7435
equaline nasalphenylephrine hydrochloridePhenylephrine hydrochloride 1 g/100mLSprayNasalUnited Natural Foods, Inc. dba UNFI41163-648
Otis Clapp Valihistacetaminophen,chlorpheniramine maleate, phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsTablet, Film coatedOralUnifirst First Aid Corporation47682-543
Daytime Nighttime Severe Cold and Fluacetaminophen, dextromethorphan hbr, guaifenesin, doxylamine succinate, phenylephrine hcl—KitOralCVS HEALTH CORP51316-527
Sorbugendextromethorphan hydrobromide, glycerol guaiacolateDextromethorphan hydrobromide 15 mg/7.5mL; Guaifenesin 150 mg/7.5mLSyrupOralKramer Novis52083-660
allergy relief childrensdiphenhydramine hclDiphenhydramine hydrochloride 12.5 mg/5mLSolutionOralCVS Pharmacy59779-874
Alka-Seltzer Plus Maximum Strength Cold and Cough Power Max Gelsacetaminophen, chlorpheniramine malaeate, dextromethorphan hydrobromide, phenylephrine hydrochlorideChlorpheniramine maleate 2 mg/1 + 3 more ingredientsCapsule, Liquid filledOralBayer HealthCare LLC.0280-0092
Tylenol Sinus Severe, TRAVEL BASIXacetaminophen, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsTablet, CoatedOralLil Drug Store Products, Inc66715-7857
Dimetapp Nighttime Cold and Coughdiphenhydramine hydrochlorideDiphenhydramine hydrochloride 12.5 mg/10mLSolutionOralFoundation Consumer Healthcare69536-345
Rompe Tos X Childrenacetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hclAcetaminophen 250 mg/10mL + 3 more ingredientsSyrupOralOPMX LLC69729-784
Cold and Flu Nighttimeacetaminophen, dextromethorphan hbr, doxylamine succinateAcetaminophen 650 mg/30mL + 2 more ingredientsSolutionOralLidl US LLC71141-180
Basic Care Daytime Cold and Fluacetaminophen, dextromethorphan hbr, phenylephrine hclAcetaminophen 325 mg/1 + 2 more ingredientsCapsule, Liquid filledOralAmazon.com Services LLC72288-994
Daytime Cold And Flu Reliefacetaminophen, dextromethorphan hydrobromide, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsCapsule, Liquid filledOralAdvanced Rx LLC80513-303
MGC Health Cough Drops Honey Lemon FlavormentholMenthol 7.5 mg/1LozengeOralMedical Group Care LLC83173-101
Daytime Cold and Fluacetaminophen dextromethorphan hbr phenylephrine hclAcetaminophen 325 mg/15mL + 2 more ingredientsLiquidOralQUALITY CHOICE (Chain Drug Marketing Association)83324-167

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