NDC codes

FDA NDC Directory
Product NDC (as listed)67877-558Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67877-0558Add 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
67877-558-1667877055816473 mL in 1 BOTTLE (67877-558-16)Marketed from Jan 5, 2026
67877-558-1767877055817118 mL in 1 BOTTLE (67877-558-17)Marketed from Jan 5, 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)
Brompheniramine, Pseudoephedrine, Dextromethorphan
Generic name (nonproprietary)
brompheniramine, pseudoephedrine, dextromethorphan
Active ingredients
Brompheniramine maleate2 mg/5mLPseudoephedrine hydrochloride30 mg/5mLDextromethorphan hydrobromide10 mg/5mL
Dosage form
Syrup
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 210647
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 67877-558_2d1f9396-9ea9-423e-811a-75f24523010aSPL ID 2d1f9396-9ea9-423e-811a-75f24523010aSPL set ID 036b587a-7bfe-4149-bd05-34a37e3e84b6RxCUI 1357010UNII IXA7C9ZN03, 6V9V2RYJ8N, 9D2RTI9KYHUPC 0367877558172
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

N467877055816 followed by a unit qualifier and the quantity

Package 67877-0558-16. 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)

INDICATIONS & USAGE 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)

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