Dextromethorphan Polistirex NDC 58602-610

NDC codes

FDA NDC Directory

Product NDC (as listed)58602-610Labeler and product segments. Claims need a package NDC.

Product NDC at billing width58602-0610Add 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
58602-610-05	58602061005	1 BOTTLE in 1 CARTON (58602-610-05) / 89 mL in 1 BOTTLEMarketed from Apr 15, 2026
58602-610-06	58602061006	1 BOTTLE in 1 CARTON (58602-610-06) / 148 mL in 1 BOTTLEMarketed from Apr 15, 2026

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): Dextromethorphan Polistirex
Generic name (nonproprietary): dextromethorphan polistirex
Active ingredients: Dextromethorphan — 30 mg/5mL
Dosage form: Suspension, Extended release
Route: Oral
Labeler: Aurohealth LLC
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 218417
Marketing start: Apr 15, 2026
Listing expires: Dec 31, 2027
Other FDA classes: Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers: Product ID 58602-610_126b5a4d-b915-4fe8-9156-a94d729ac47dSPL ID 126b5a4d-b915-4fe8-9156-a94d729ac47dSPL set ID 4fde00af-3824-44f1-8a5f-d88518e0a8c8RxCUI 1373045UNII 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

N458602061005 followed by a unit qualifier and the quantity

Package 58602-0610-05. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under ANDA 218417

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

FDA NDC Directory listings under ANDA 218417
Product	Strength	Form · route	Labeler	Product NDC
Dextromethorphan Polistirex	Dextromethorphan 30 mg/5mL	Suspension, Extended releaseOral	Aurohealth LLC	58602-611
Dextromethorphan Polistirex	Dextromethorphan 30 mg/5mL	Suspension, Extended releaseOral	Aurohealth LLC	58602-617
Dextromethorphan Polistirex	Dextromethorphan 30 mg/5mL	Suspension, Extended releaseOral	Aurohealth LLC	58602-618