NDC codes

FDA NDC Directory
Product NDC (as listed)71930-026Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71930-0026Add 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
71930-026-437193000264371930002643473 mL in 1 BOTTLE (71930-026-43)Marketed from Jun 26, 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

Generic name (nonproprietary)
brompheniramine maleate, pseudoephedrine hydrochloride,
Active ingredients
Brompheniramine maleate — 2 mg/5mLPseudoephedrine hydrochloride — 30 mg/5mLDextromethorphan hydrobromide — 10 mg/5mL
Dosage form
Syrup
Route
Oral
Labeler
Eywa Pharma IncNDC labeler code 71930
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211170
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha-Agonists (Mechanism)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 71930-026_de0181e9-03ff-4ec7-8b92-ec877f2f82c2SPL ID de0181e9-03ff-4ec7-8b92-ec877f2f82c2SPL set ID 8a4b2d13-d1c9-416f-95fd-f7d7b7970bb5RxCUI 1357010UNII IXA7C9ZN03, 6V9V2RYJ8N, 9D2RTI9KYHUPC 0371930026188, 0371930026430
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

N471930002643 followed by a unit qualifier and the quantity

Package 71930-0026-43. 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 AND 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)

About NDC 71930-026

What is NDC 71930-026?
71930-026 is the product NDC for Brompheniramine maleate, pseudoephedrine hydrochloride,, Brompheniramine maleate 2 mg/5mL + 2 more ingredients syrup, listed with the FDA by Eywa Pharma Inc. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Brompheniramine maleate, pseudoephedrine hydrochloride,.
What is the active ingredient?
Brompheniramine maleate, Pseudoephedrine hydrochloride, Dextromethorphan hydrobromide.
Who is the labeler?
Eywa Pharma Inc, NDC labeler code 71930. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Brompheniramine maleate, pseudoephedrine hydrochloride,?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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