Over-the-counter drug · ANDA
DG Health Cough DM (Dextromethorphan polistirex) NDC 55910-958
Dextromethorphan hydrobromide 30 mg/5mL · Suspension · Oral · Dolgencorp, LLC
NDC codes
FDA NDC DirectoryProduct NDC (as listed)55910-958Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55910-0958Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 55910-958-21 | 5591009582155910095821 | 1 BOTTLE in 1 CARTON (55910-958-21) / 89 mL in 1 BOTTLEMarketed from Jul 10, 2013 |
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)
- DG Health Cough DM
- Generic name (nonproprietary)
- dextromethorphan polistirex
- Active ingredients
- Dextromethorphan hydrobromide — 30 mg/5mL
- Dosage form
- Suspension
- Route
- Oral
- Labeler
- Dolgencorp, LLCNDC labeler code 55910
- Product type
- Over-the-counter drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 091135
- Marketing start
- Listing expires
- Other FDA classes
- Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
- Identifiers
- Product ID 55910-958_d2cc2341-6c7f-4bdc-8805-cf3ddcca79feSPL ID d2cc2341-6c7f-4bdc-8805-cf3ddcca79fe
- 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
N455910095821followed by a unit qualifier and the quantityPackage 55910-0958-21. 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 55910-958
- What is NDC 55910-958?
- 55910-958 is the product NDC for DG Health Cough DM (dextromethorphan polistirex), Dextromethorphan hydrobromide 30 mg/5mL suspension, listed with the FDA by Dolgencorp, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- DG Health Cough DM (Dextromethorphan polistirex).
- What is the active ingredient?
- Dextromethorphan hydrobromide.
- Who is the labeler?
- Dolgencorp, LLC, NDC labeler code 55910. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for DG Health Cough DM?
- 1 other product NDC are listed under this name. See all DG Health Cough DM NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other DG Health Cough DM products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| DG Health Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Dolgencorp Inc | 55910-384 | 55910-0384-21 |
Other NDCs under ANDA 091135
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| 12 Hr Relief Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED | 51316-263 |
| 12 hr relief cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | Suspension, Extended releaseOral | CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED | 51316-943 |
| basic care childrens cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Amazon.com Services LLC | 72288-899 |
| basic care childrens cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Amazon.com Services LLC | 72288-958 |
| basic care cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Amazon.com Services LLC | 72288-384 |
| basic care cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | Suspension, Extended releaseOral | Amazon.com Services LLC | 72288-494 |
| CareOne Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | American Sales Company | 41520-384 |
| CareOne Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | American Sales Company | 41520-958 |
| Childrens 12 Hr Cough Reliefdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED | 51316-429 |
| childrens cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Walgreen Company | 0363-0899 |
| Childrens Robitussin 12 Hour Cough Reliefdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | Suspension, Extended releaseOral | Haleon US Holdings LLC | 0031-8725 |
| Childrens Robitussin 12 Hour Cough Reliefdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | Suspension, Extended releaseOral | Haleon US Holdings LLC | 0031-8726 |
| Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Walgreen Company | 0363-0384 |
| Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | Suspension, Extended releaseOral | Walgreen Company | 0363-0494 |
| cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Major Pharmaceuticals | 0904-6312 |
| cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | ATLANTIC BIOLOGICALS CORP. | 17856-6312 |
| Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Safeway | 21130-538 |
| Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | Kroger Company | 30142-384 |
| cough dmdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | Suspension, Extended releaseOral | Kroger Company | 30142-494 |
| Cough DMdextromethorphan polistirex | Dextromethorphan hydrobromide 30 mg/5mL | SuspensionOral | H E B | 37808-384 |
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