NDC codes

FDA NDC Directory
Product NDC (as listed)63102-130Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63102-0130Add 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
63102-130-1663102013016473 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

N463102013016 followed by a unit qualifier and the quantity

Package 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.

Full label on DailyMed (opens in a new tab)

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.

FDA NDC Directory listings under M 012
ProductStrengthForm · routeLabelerProduct NDC
Theraflu Flu Relief Max Strength Daytime Nighttime Combo Packacetaminophen, dextromethorphan hbr, and acetaminophen, chlorpheniramine maleate, dextromethorphan hbr—KitHaleon US Holdings LLC0067-7923
QUALITY CHOICE DayTime Severe Cold and Fluacetaminophen, dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 3 more ingredientsCapsule, Liquid filledOralChain Drug Marketing Association, Inc.83324-037
SudoGestpseudoephedrine hclPseudoephedrine hydrochloride 30 mg/1Tablet, Film coatedOralMajor Pharmaceuticals0904-5053
Cold and Flu Relief Daytimeacetaminophen, dextromethorphan hydrobromide, phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsCapsule, Liquid filledOralH E B37808-848
Maximum Strength Mucus Reliefdextromethorphan hbr, guaifenesinDextromethorphan hydrobromide 20 mg/20mL; Guaifenesin 400 mg/20mLLiquidOralHyvee Inc42507-630
CVS PHARMACY Childrens Allergy Chewsdiphenhydramine hclDiphenhydramine hydrochloride 12.5 mg/1Tablet, ChewableOralCVS PHARMACY, INC.51316-154
Natural Honey Lemon with Echinacea Cough Suppressant Throat DropsmentholMenthol 3.5 mg/1LozengeOralRicola Ag54305-467
Cold and Fluacetaminophen, dextromethorphan hbr, doxylamine succinateAcetaminophen 650 mg/30mL + 2 more ingredientsSolutionOralARMY AND AIR FORCE EXCHANGE SERVICE55301-310
Giltuss Childrens MultiSymptom Cold and Fluacetaminophen, chlorpheniramine maleate, dextromethorphan hydrobromide, phenylephrine hydrochlorideChlorpheniramine maleate 2 mg/5mL + 3 more ingredientsSolutionOralGiltuss Pharmaceutical Corp58552-137
Cough DropsmentholMenthol 7.5 mg/1PastilleOralTopco Associates LLC76162-027
Mucinex Nightshift Severe Cold and Fluacetaminophen, dextromethorphan hydrobromide, phenylephrine hydrochloride, and triprolidine hydrochlorideAcetaminophen 650 mg/20mL + 3 more ingredientsSolutionOralReckitt Benckiser LLC63824-504
Childrens Mucus and Cough Reliefguaifenesin and dextromethorphan hydrobromideDextromethorphan hydrobromide 5 mg/5mL; Guaifenesin 100 mg/5mLLiquidOralChain Drug Manufacturing Assn63868-771
Childrens Cold and Allergybrompheniramine maleate, phenylephrine hclBrompheniramine maleate 2 mg/10mL; Phenylephrine hydrochloride 5 mg/10mLLiquidOralCVS Pharmacy69842-779
Cough and Cold Therapy For Kidscamphor, menthol, eucalyptus oilCamphor (Natural) 4.7 g/100g + 2 more ingredientsOintmentTopicalEverlaan Organics Inc83670-201
QUALITY CHOICE Cough Drops Vanilla HoneymentholMenthol, Unspecified form 2.5 mg/1LozengeOralChain Drug Marketing Association, Inc.83324-308
Refenesen Mucus Relief DMdextromethorphan hydrobromide / guaifenesinDextromethorphan hydrobromide 20 mg/1; Guaifenesin 400 mg/1TabletOralReese Pharmaceutical Co10956-846
Daytime Severe Cold And Flu Maximum Strengthacetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 3 more ingredientsTablet, CoatedOralHEB37808-178
Throat Comfort Lemon Mint Ginger DropsmentholMenthol 3.4 mg/1LozengeOralRicola Ag54305-341
dg health night time cold and flu reliefacetaminophen, dextromethorphan hbr, doxylamine succinateAcetaminophen 650 mg/30mL + 2 more ingredientsSolutionOralDolgencorp Inc55910-335
Allergy Reliefdiphenhydramine hclDiphenhydramine hydrochloride 25 mg/1Tablet, Film coatedOralStrategic Sourcing Services LLC70677-1014

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