NDC codes

FDA NDC Directory
Product NDC (as listed)63824-177Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63824-0177Add 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
63824-177-63638240177631 BOTTLE in 1 CARTON (63824-177-63) / 89 mL in 1 BOTTLEMarketed from Aug 19, 2011

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)
Delsym (Dextromethorphan)
Generic name (nonproprietary)
dextromethorphan
Active ingredients
Dextromethorphan — 30 mg/5mL
Dosage form
Suspension, Extended release
Route
Oral
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018658
Marketing start
Listing expires
Other FDA classes
Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 63824-177_51b62d53-491c-8ba5-e063-6394a90a1821SPL ID 51b62d53-491c-8ba5-e063-6394a90a1821SPL set ID ce4b477c-430e-40a3-b247-b3914ef17793RxCUI 1373045, 1373128UNII 7355X3ROTSUPC 0363824276656
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

N463824017763 followed by a unit qualifier and the quantity

Package 63824-0177-63. 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 temporarily relieves cough due to minor throat and bronchial irritation as may occur with the common cold or inhaled irritants the impulse to cough to help you get to sleep

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 018658

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

FDA NDC Directory listings under NDA 018658
ProductStrengthForm · routeLabelerProduct NDC
DelsymdextromethorphanDextromethorphan 30 mg/5mLSuspension, Extended releaseOralA-S Medication Solutions50090-0224
DelsymdextromethorphanDextromethorphan 30 mg/5mLSuspension, Extended releaseOralReckitt Benckiser LLC63824-171
Delsym (Dextromethorphan)dextromethorphanDextromethorphan 30 mg/5mLSuspension, Extended releaseOralReckitt Benckiser LLC63824-173
DelsymdextromethorphanDextromethorphan 30 mg/5mLSuspension, Extended releaseOralReckitt Benckiser LLC63824-175

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