NDC codes

FDA NDC Directory
Product NDC (as listed)63187-930Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63187-0930Add 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
63187-930-046318709300463187093004118 mL in 1 BOTTLE, PLASTIC (63187-930-04)Marketed from Nov 1, 2017
63187-930-166318709301663187093016473 mL in 1 BOTTLE, PLASTIC (63187-930-16)Marketed from Nov 1, 2017

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

Generic name (nonproprietary)
brompheniramine maleate, pseudoephedrine hydrochloride, and dextromethorphan hydrobromide
Active ingredients
Brompheniramine maleate — 2 mg/5mLPseudoephedrine hydrochloride — 30 mg/5mLDextromethorphan hydrobromide — 10 mg/5mL
Dosage form
Syrup
Route
Oral
Labeler
Proficient Rx LPNDC labeler code 63187
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 203375
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 63187-930_57b91c11-72cf-43cb-8e47-eb6345d95653SPL ID 57b91c11-72cf-43cb-8e47-eb6345d95653SPL set ID 1b79a7d8-a8f4-4525-8b94-3e317fc5a717RxCUI 1357010UNII IXA7C9ZN03, 6V9V2RYJ8N, 9D2RTI9KYHUPC 0363187930042
Pharmacologic class
Sigma-1 Agonist; Uncompetitive N-methyl-D-aspartate Receptor Antagonist; alpha-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

N463187093004 followed by a unit qualifier and the quantity

Package 63187-0930-04. 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)

INDICATIONS AND USAGE Brompheniramine Maleate, Pseudoephedrine Hydrochloride, and Dextromethorphan Hydrobromide Syrup is indicated for relief of coughs and upper respiratory symptoms, including nasal congestion, associated with allergy or the common cold.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63187-930

What is NDC 63187-930?
63187-930 is the product NDC for Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromide, Brompheniramine maleate 2 mg/5mL + 2 more ingredients syrup, listed with the FDA by Proficient Rx LP. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromide (Brompheniramine Maleate, Pseudoephedrine Hydrochloride, and Dextromethorphan Hydrobromide).
What is the active ingredient?
Brompheniramine maleate, Pseudoephedrine hydrochloride, Dextromethorphan hydrobromide.
Who is the labeler?
Proficient Rx LP, NDC labeler code 63187. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromide?
3 other product NDCs are listed under this name. See all Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromide 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 Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromide NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromidebrompheniramine maleate, pseudoephedrine hydrochloride, and dextromethorphan hydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralAcella Pharmaceuticals, LLC42192-63042192-0630-0442192-0630-16
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromidebrompheniramine maleate, pseudoephedrine hydrochloride, and dextromethorphan hydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralSportpharm LLC85766-25085766-0250-0485766-0250-16
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromidebrompheniramine maleate, pseudoephedrine hydrochloride, and dextromethorphan hydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralAcella Pharmaceuticals, LLC42192-60742192-0607-0442192-0607-16

Other NDCs under ANDA 203375

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

FDA NDC Directory listings under ANDA 203375
ProductStrengthForm · routeLabelerProduct NDC
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromidebrompheniramine maleate, pseudoephedrine hydrochloride, and dextromethorphan hydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralAcella Pharmaceuticals, LLC42192-607
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromidebrompheniramine maleate, pseudoephedrine hydrochloride, and dextromethorphan hydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralAcella Pharmaceuticals, LLC42192-630
Brompheniramine Maleate, Pseudoephedrine Hydrochloride, Dextromethorphan Hydrobromidebrompheniramine maleate, pseudoephedrine hydrochloride, and dextromethorphan hydrobromideBrompheniramine maleate 2 mg/5mL + 2 more ingredientsSyrupOralSportpharm LLC85766-250

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