Over-the-counter drug · OTC MONOGRAPH DRUG
ACTINEL DM Pediatric NDC 63102-130
dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride · Dextromethorphan hydrobromide 5 mg/5mL + 2 more ingredients · Liquid · Oral · ACTIPHARMA, LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 63102-130-16 | 63102013016 | 473 mL in 1 BOTTLE, PLASTIC (63102-130-16)Marketed from Feb 12, 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)
- ACTINEL DM Pediatric
- Generic name (nonproprietary)
- dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride
- Active ingredients
- Dextromethorphan hydrobromide — 5 mg/5mLGuaifenesin — 75 mg/5mLPhenylephrine hydrochloride — 2.5 mg/5mL
- Dosage form
- Liquid
- Route
- Oral
- Labeler
- ACTIPHARMA, LLCNDC labeler code 63102
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 012
- Marketing start
- Listing expires
- Other FDA classes
- Adrenergic alpha1-Agonists (Mechanism)Decreased Respiratory Secretion Viscosity (Physiologic effect)Increased Respiratory Secretions (Physiologic effect)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
- Identifiers
- Product ID 63102-130_e0485b3d-5021-4c2e-aa88-b10bcc2511a5SPL ID e0485b3d-5021-4c2e-aa88-b10bcc2511a5SPL set ID f85d8586-423f-48a3-9bb2-bbc5984c7cd3RxCUI 1119541UNII 9D2RTI9KYH, 495W7451VQ, 04JA59TNSJ
- Pharmacologic class
- Expectorant; Sigma-1 Agonist; Uncompetitive N-methyl-D-aspartate 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
N463102013016followed by a unit qualifier and the quantityPackage 63102-0130-16. 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 • helps loosen phlegm (mucus) and thin bronchial secretions to make coughs more productive • temporarily relieves: • nasal congestion due to the common cold • cough due to minor throat and bronchial irritation associated with a cold or inhaled irritants
Excerpt only. Read the full label for complete information.
About NDC 63102-130
- What is NDC 63102-130?
- 63102-130 is the product NDC for ACTINEL DM Pediatric, Dextromethorphan hydrobromide 5 mg/5mL + 2 more ingredients liquid, listed with the FDA by ACTIPHARMA, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- ACTINEL DM Pediatric (Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride).
- What is the active ingredient?
- Dextromethorphan hydrobromide, Guaifenesin, Phenylephrine hydrochloride.
- Who is the labeler?
- ACTIPHARMA, LLC, NDC labeler code 63102. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for ACTINEL DM Pediatric?
- None: this is the only finished product listed under this name.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Other NDCs under M 012
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 |
|---|---|---|---|---|
| Theraflu Flu Relief Max Strength Daytime Nighttime Combo Packacetaminophen, dextromethorphan hbr, and acetaminophen, chlorpheniramine maleate, dextromethorphan hbr | — | Kit | Haleon US Holdings LLC | 0067-7923 |
| QUALITY CHOICE DayTime Severe Cold and Fluacetaminophen, dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride | Acetaminophen 325 mg/1 + 3 more ingredients | Capsule, Liquid filledOral | Chain Drug Marketing Association, Inc. | 83324-037 |
| SudoGestpseudoephedrine hcl | Pseudoephedrine hydrochloride 30 mg/1 | Tablet, Film coatedOral | Major Pharmaceuticals | 0904-5053 |
| Cold and Flu Relief Daytimeacetaminophen, dextromethorphan hydrobromide, phenylephrine hydrochloride | Acetaminophen 325 mg/1 + 2 more ingredients | Capsule, Liquid filledOral | H E B | 37808-848 |
| Maximum Strength Mucus Reliefdextromethorphan hbr, guaifenesin | Dextromethorphan hydrobromide 20 mg/20mL; Guaifenesin 400 mg/20mL | LiquidOral | Hyvee Inc | 42507-630 |
| CVS PHARMACY Childrens Allergy Chewsdiphenhydramine hcl | Diphenhydramine hydrochloride 12.5 mg/1 | Tablet, ChewableOral | CVS PHARMACY, INC. | 51316-154 |
| Natural Honey Lemon with Echinacea Cough Suppressant Throat Dropsmenthol | Menthol 3.5 mg/1 | LozengeOral | Ricola Ag | 54305-467 |
| Cold and Fluacetaminophen, dextromethorphan hbr, doxylamine succinate | Acetaminophen 650 mg/30mL + 2 more ingredients | SolutionOral | ARMY AND AIR FORCE EXCHANGE SERVICE | 55301-310 |
| Giltuss Childrens MultiSymptom Cold and Fluacetaminophen, chlorpheniramine maleate, dextromethorphan hydrobromide, phenylephrine hydrochloride | Chlorpheniramine maleate 2 mg/5mL + 3 more ingredients | SolutionOral | Giltuss Pharmaceutical Corp | 58552-137 |
| Cough Dropsmenthol | Menthol 7.5 mg/1 | PastilleOral | Topco Associates LLC | 76162-027 |
| Mucinex Nightshift Severe Cold and Fluacetaminophen, dextromethorphan hydrobromide, phenylephrine hydrochloride, and triprolidine hydrochloride | Acetaminophen 650 mg/20mL + 3 more ingredients | SolutionOral | Reckitt Benckiser LLC | 63824-504 |
| Childrens Mucus and Cough Reliefguaifenesin and dextromethorphan hydrobromide | Dextromethorphan hydrobromide 5 mg/5mL; Guaifenesin 100 mg/5mL | LiquidOral | Chain Drug Manufacturing Assn | 63868-771 |
| Childrens Cold and Allergybrompheniramine maleate, phenylephrine hcl | Brompheniramine maleate 2 mg/10mL; Phenylephrine hydrochloride 5 mg/10mL | LiquidOral | CVS Pharmacy | 69842-779 |
| Cough and Cold Therapy For Kidscamphor, menthol, eucalyptus oil | Camphor (Natural) 4.7 g/100g + 2 more ingredients | OintmentTopical | Everlaan Organics Inc | 83670-201 |
| QUALITY CHOICE Cough Drops Vanilla Honeymenthol | Menthol, Unspecified form 2.5 mg/1 | LozengeOral | Chain Drug Marketing Association, Inc. | 83324-308 |
| Refenesen Mucus Relief DMdextromethorphan hydrobromide / guaifenesin | Dextromethorphan hydrobromide 20 mg/1; Guaifenesin 400 mg/1 | TabletOral | Reese Pharmaceutical Co | 10956-846 |
| Daytime Severe Cold And Flu Maximum Strengthacetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride | Acetaminophen 325 mg/1 + 3 more ingredients | Tablet, CoatedOral | HEB | 37808-178 |
| Throat Comfort Lemon Mint Ginger Dropsmenthol | Menthol 3.4 mg/1 | LozengeOral | Ricola Ag | 54305-341 |
| dg health night time cold and flu reliefacetaminophen, dextromethorphan hbr, doxylamine succinate | Acetaminophen 650 mg/30mL + 2 more ingredients | SolutionOral | Dolgencorp Inc | 55910-335 |
| Allergy Reliefdiphenhydramine hcl | Diphenhydramine hydrochloride 25 mg/1 | Tablet, Film coatedOral | Strategic Sourcing Services LLC | 70677-1014 |
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