NDC codes

FDA NDC Directory
Product NDC (as listed)67091-314Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67091-0314Add 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
67091-314-20670910314202 BLISTER PACK in 1 CARTON (67091-314-20) / 10 TABLET, EXTENDED RELEASE in 1 BLISTER PACKMarketed from Mar 17, 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

Brand name (proprietary)
Mucus Relief DM Expectorant and Cough Suppressant
Generic name (nonproprietary)
guaifenesin and dextromethorphan hbr
Active ingredients
Guaifenesin600 mg/1Dextromethorphan hydrobromide30 mg/1
Dosage form
Tablet, Extended release
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 206941
Marketing start
Listing expires
Other FDA classes
Decreased Respiratory Secretion Viscosity (Physiologic effect)Increased Respiratory Secretions (Physiologic effect)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 67091-314_d794e7e6-3681-4329-9ab8-22de9e94debdSPL ID d794e7e6-3681-4329-9ab8-22de9e94debdSPL set ID e7e16bab-a7aa-4911-9a29-0c986b26da67RxCUI 1298324UNII 495W7451VQ, 9D2RTI9KYH
Pharmacologic class
Expectorant; 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

N467091031420 followed by a unit qualifier and the quantity

Package 67091-0314-20. 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 206941

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

FDA NDC Directory listings under ANDA 206941
ProductStrengthForm · routeLabelerProduct NDC
Guaifenesin And Dextromethorphan HBrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralTOPCO ASSOCIATES LLC76162-032
Mucus Relief DMguaifenesin and dextromethorphan hbrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralAhold U.S.A., Inc,60000-057
Mucus Relief DMguaifenesin and dextromethorphan hbrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralAhold U.S.A., Inc,60000-058
Mucus Relief DMguaifenesin and dextromethorphan hbrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralHarris Teeter72036-012
Guaifenesin and Dextromethorphan HBrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralSportpharm LLC85766-046
Mucus Relief DM Expectorant and Cough Suppressant Maximum Strengthguaifenesin and dextromethorphan hbrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralWinco Foods, LLC.67091-315
Amazon Basic Care Mucus DMguaifenesin and dextromethorphan hbrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralAmazon.com Services LLC72288-220
Maximum Strength Mucus Relief DMguaifenesin and dextromethorphan hbrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralWALGREEN CO.0363-0510
Guaifenesin and Dextromethorphan HBrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralAurohealth LLC58602-714
Guaifenesin and Dextromethorphan HBrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralAurohealth LLC58602-715
Guaifenesin and Dextromethorphan HBrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralKROGER COMPANY30142-276
Guaifenesin and Dextromethorphan HBrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralKROGER COMPANY30142-275
Mucus DMguaifenesin and dextromethorphan hbrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralAmerisource Bergen46122-420
Mucus Relief DMguaifenesin and dextromethorphan hbrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralHarris Teeter72036-980
Mucus DM Extended Releaseguaifenesin and dextromethorphan hbrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralCVS Pharmacy, Inc.69842-057
Maximum Strength Mucus DM Extended Releaseguaifenesin and dextromethorphan hbrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralCVS Pharmacy, Inc.69842-059
Guaifenesin and Dextromethorphan HBrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralAurohealth LLC58602-824
Guaifenesin and Dextromethorphan HBrGuaifenesin 600 mg/1; Dextromethorphan hydrobromide 30 mg/1Tablet, Extended releaseOralSportpharm LLC85766-150
Guaifenesin and Dextromethorphan HBrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralAurohealth LLC58602-825
Guaifenesin and Dextromethorphan HBrGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralTarget Corporation11673-267

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