NDC codes

FDA NDC Directory
Product NDC (as listed)69842-812Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0812Add 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
69842-812-55698420812551 BOTTLE in 1 CARTON (69842-812-55) / 42 TABLET, EXTENDED RELEASE in 1 BOTTLEMarketed from May 3, 2018
69842-812-66698420812661 BOTTLE in 1 CARTON (69842-812-66) / 14 TABLET, EXTENDED RELEASE in 1 BOTTLEMarketed from May 3, 2018

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 dm extended release
Generic name (nonproprietary)
guaifenesin, dextromethorphan hbr
Active ingredients
Guaifenesin1200 mg/1Dextromethorphan hydrobromide60 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 207602
Marketing start
Marketing end
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 69842-812_8293e6c8-35ed-481d-ad0d-396eb942be64SPL ID 8293e6c8-35ed-481d-ad0d-396eb942be64SPL set ID 1bc37ee4-df27-4358-b724-6b55406dbce6RxCUI 1099074UNII 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

N469842081255 followed by a unit qualifier and the quantity

Package 69842-0812-55. 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 • helps loosen phlegm (mucus) and thin bronchial secretions to rid the bronchial passageways of bothersome mucus and make coughs more productive • temporarily relieves: • cough due to minor throat and bronchial irritation as may occur with the common cold or inhaled irritants • the intensity of coughing • 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 ANDA 207602

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

FDA NDC Directory listings under ANDA 207602
ProductStrengthForm · routeLabelerProduct NDC
Rugby Mucus Relief DM ERdextromethorphan hydrobromide, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralA-S Medication Solutions50090-7891
up and up mucus relief dmdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralTarget Corporation11673-716
Robitussin Maximum Strength 12 Hour Cough and Mucus Reliefdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1Tablet, Extended releaseOralHaleon US Holdings LLC0031-8765
mucus dmdextromethorphan hbr, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralMeijer Distribution Inc41250-812
Exchange Select Mucus DMdextromethorphan hbr, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralArmy & Air Force Exchange Service55301-812
mucus dmdextromethorphan hbr, guaifenesinDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1Tablet, Extended releaseOralHyVee Inc42507-812
Mucus Relief DMdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralCVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED51316-858
Topcare Mucus DMdextromethorphan hbr, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralTopco Associates LLC36800-592
DG health mucus dmdextromethorphan hbr, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralDolgencorp, LLC55910-575
Good Neighbor Pharmacy Mucus DMdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralAmerisource Bergen46122-817
kirkland signature mucus dmdextromethorphan hbr, guaifenesinDextromethorphan hydrobromide 60 mg/1; Guaifenesin 1200 mg/1Tablet, Extended releaseOralCostco Wholesale Company63981-812
mucus relief dmdextromethorphan hydrobromide, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralWalgreen Company0363-6812
basic care mucus dmdextromethorphan hbr, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralAmazon.com Services LLC72288-812
equate mucus relief dmdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralWALMART INC.79903-065
basic care mucus dmdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralAmazon.com Services LLC72288-219
mucus dm extended releaseguaifenesin, dextromethorphan hydrobromideDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralCVS Pharmacy69842-963
Rugby Mucus Relief DM ERdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralRugby Laboratories0536-1446
Topcare Mucus DMdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralTopco Associates LLC36800-219
Rugby Mucus Relief DM ERdextromethorphan hydrobromide, guaifenesinGuaifenesin 1200 mg/1; Dextromethorphan hydrobromide 60 mg/1Tablet, Extended releaseOralRugby Laboratories0536-1447
DG health mucus dmdextromethorphan hydrobromide, guaifenesinDextromethorphan hydrobromide 30 mg/1; Guaifenesin 600 mg/1Tablet, Extended releaseOralDolgencorp Inc55910-746

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