allergy relief d NDC 69842-415

NDC codes

FDA NDC Directory

Product NDC (as listed)69842-415Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69842-0415Add 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 NDC	11-digit (billing)	Package	Copy
69842-415-53	69842041553	12 BLISTER PACK in 1 CARTON (69842-415-53) / 1 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACKMarketed from Apr 1, 2020
69842-415-62	69842041562	24 BLISTER PACK in 1 CARTON (69842-415-62) / 1 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACKMarketed from Apr 1, 2020

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): allergy relief d
Generic name (nonproprietary): cetirizine hydrochloride, pseudoephedrine hydrochloride
Active ingredients: Cetirizine hydrochloride — 5 mg/1Pseudoephedrine hydrochloride — 120 mg/1
Dosage form: Tablet, Film coated, Extended release
Route: Oral
Labeler: CVS Pharmacy
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 210719
Marketing start: Apr 1, 2020
Listing expires: Dec 31, 2026
Other FDA classes: Adrenergic alpha-Agonists (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)
Identifiers: Product ID 69842-415_c557a68e-255c-4910-a89b-069c2a53dda2SPL ID c557a68e-255c-4910-a89b-069c2a53dda2SPL set ID fe26cba3-5b84-462c-ac2b-e9e09612ad1dRxCUI 1014571UNII 64O047KTOA, 6V9V2RYJ8N
Pharmacologic class: Histamine-1 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

N469842041553 followed by a unit qualifier and the quantity

Package 69842-0415-53. 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 210719

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

FDA NDC Directory listings under ANDA 210719
Product	Strength	Form · route	Labeler	Product NDC
Foster And Thrive All Day Allergy Dcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	Strategic Sourcing Services LLC	70677-1311
12 hour allergy dcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	Meijer Distribution Inc	41250-728
Leader Allergy Relief Dcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	Cardinal Health 110, LLC. dba Leader	70000-0042
signature care allergy relief dcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	Safeway	21130-644
allergy relief dcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	Publix Super Markets Inc	56062-147
topcare all day allergy dcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	Topco Associates LLC	36800-744
Cetirizine hydrochloride and Pseudoephedrine hydrochloridecetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	Padagis Israel Pharmaceuticals Ltd	45802-147
allergy relief D12cetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	Walgreen Company	0363-4923
allergy relief dcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	H E B	37808-651
kirkland signature aller tec dcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	Costco Wholesale Company	63981-147
equate allergy relief d nasal decongestantcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	WALMART INC.	79903-126
all day allergy dcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	Kroger Company	30142-450
Allergy Relief D12cetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED	51316-607
good neighbor pharmacy all day allergy dcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	Amerisource Bergen	46122-626
All Day Allergy Dcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	L. Perrigo Company	0113-2147
Rugby Cetirizine Hydrochloride and Pseudoephedrine Hydrochloridecetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	Rugby Laboratories	0536-1279
good sense all day allergy dcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	L. Perrigo Company	0113-0147
Allergy and Sinus Reliefcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	Kroger Company	30142-633
allergy relief-Dcetirizine hydrochloride, pseudoephedrine hydrochloride	Cetirizine hydrochloride 5 mg/1; Pseudoephedrine hydrochloride 120 mg/1	Tablet, Film coated, Extended releaseOral	Rite Aid Corporation	11822-3009