Childrens Multi Symptom Fever And Cold
NDC Package 0363-0789-04

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

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

Childrens Multi Symptom Fever And Cold is •this product does not contain directions or complete warnings for adult use•do not give more than directed •shake well before use•may be given every 4 hours, while symptoms persist. Marketed by Walgreen Co., this product is identified by NDC 0363-0789 and is authorized under FDA application part341.

Identification & Billing

NDC Package Code
0363-0789-04
Package Description
1 BOTTLE in 1 CARTON / 118 mL in 1 BOTTLE
Product Code
0363-0789
11-Digit Billing Format
00363078904
RxNorm Crosswalk
  • RxCUI: 1113397 - acetaminophen 160 MG / chlorpheniramine maleate 1 MG / dextromethorphan HBr 5 MG / phenylephrine HCl 2.5 MG in 5 mL Oral Suspension
  • RxCUI: 1113397 - acetaminophen 32 MG/ML / chlorpheniramine maleate 0.2 MG/ML / dextromethorphan hydrobromide 1 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Suspension
  • RxCUI: 1113397 - acetaminophen 160 MG / chlorpheniramine maleate 1 MG / dextromethorphan HBr 5 MG / phenylephrine HCl 2.5 MG per 5 ML Oral Suspension
  • RxCUI: 1113397 - APAP 32 MG/ML / Chlorpheniramine Maleate 0.2 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML / Phenylephrine Hydrochloride 0.5 MG/ML Oral Suspension

Clinical Specifications

Proprietary Name
Childrens Multi Symptom Fever And Cold
Dosage Form
-
Usage Information
•this product does not contain directions or complete warnings for adult use•do not give more than directed •shake well before use•may be given every 4 hours, while symptoms persist. Do not give more than 5 doses in 24 hours unless directed by a doctor. •use enclosed dosing cup only. Keep for use with this product. Do not use any other dosing device.•mL = milliliterAge Dosechildren under 4 years do not usechildren 4 to under 6 years of agedo not use unless directed by a doctorchildren 6 to under 12 years of age10 mL

Regulatory & Marketing

Labeler Name
Walgreen Co.
FDA Application #
part341
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
09-01-2017
Listing Expiration
12-31-2022
Exclude Flag
I
Sample Package
No

Hierarchy Structure

Code Lineage

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 full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0363-0789-04 identifies a specific commercial package of 1 bottle in 1 carton / 118 ml in 1 bottle of Childrens Multi Symptom Fever And Cold, labeled by Walgreen Co.. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Walgreen Co. on September 01, 2017. The current certification is valid through December 31, 2022.

How is this Walgreen Co. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363078904. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0363-0789-04
11-Digit CMS (5-4-2)
00363-0789-04

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.