NDC Package 0121-0809-04 Guaifenesin Dm

View Billable Units, 11-Digit Format, RxNorm

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
0121-0809-04
Package Description:
118 mL in 1 BOTTLE
Product Code:
Proprietary Name:
Guaifenesin Dm
Usage Information:
Shake well before usingdo not take more than 6 doses in any 24-hour period agedoseadults and children 12 years and over10 mL (2 teaspoonsful) every 4 hourschildren 6 to under 12 years of age5 mL (1 teaspoonful) every 4 hourschildren 2 to under 6 years of age2.5 mL (1/2 teaspoonful) every 4 hourschildren under 2 yearsconsult a doctor
11-Digit NDC Billing Format:
00121080904
NDC to RxNorm Crosswalk:
  • RxCUI: 1046631 - dextromethorphan HBr 20 MG / guaiFENesin 400 MG in 10 mL Oral Solution
  • RxCUI: 1046631 - dextromethorphan hydrobromide 2 MG/ML / guaifenesin 40 MG/ML Oral Solution
  • RxCUI: 1046631 - dextromethorphan HBr 10 MG / guaifenesin 200 MG per 5 ML Oral Solution
  • RxCUI: 1046631 - dextromethorphan HBr 20 MG / guaifenesin 400 MG per 10 ML Oral Solution
  • Labeler Name:
    Pharmaceutical Associates, Inc.
    Sample Package:
    No
    Start Marketing Date:
    05-17-2010
    Listing Expiration Date:
    12-31-2017
    Exclude Flag:
    I
    Code Structure:

    The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

    * Please review the disclaimer below.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    0121-0809-08237 mL in 1 BOTTLE

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 0121-0809-04?

    The NDC Packaged Code 0121-0809-04 is assigned to a package of 118 ml in 1 bottle of Guaifenesin Dm, labeled by Pharmaceutical Associates, Inc.. The product's dosage form is and is administered via form.

    Is NDC 0121-0809 included in the NDC Directory?

    No, Guaifenesin Dm with product code 0121-0809 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Pharmaceutical Associates, Inc. on May 17, 2010 and its listing in the NDC Directory is set to expire on December 31, 2017 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 0121-0809-04?

    The 11-digit format is 00121080904. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    4-4-20121-0809-045-4-200121-0809-04