Daytime Nighttime Multi Symptom Cold Kit
NDC Package 0363-4200-08

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

Package Information

Daytime Nighttime Multi Symptom Cold (dextromethorphan hbr, guaifenesin, phenylephrine hcl, acetaminophen, diphenhydramine hcl, phenylephrine hcl) kits is daytimedo not take more than 6 doses in any 24-hour period use only the enclosed dosing cup designed for use with this product. This formulation utilizes a kit delivery system. Marketed by Walgreens, this product is identified by NDC 0363-4200 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
0363-4200-08
Package Description
1 KIT in 1 KIT * 118 mL in 1 BOTTLE, PLASTIC (0363-4070-04) * 118 mL in 1 BOTTLE, PLASTIC (0363-4060-04)
Product Code
0363-4200
11-Digit Billing Format
00363420008
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk
  • RxCUI: 1043543 - dextromethorphan HBr 5 MG / guaiFENesin 100 MG / phenylephrine HCl 2.5 MG in 5 mL Oral Solution
  • RxCUI: 1043543 - dextromethorphan hydrobromide 1 MG/ML / guaifenesin 20 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Solution
  • RxCUI: 1043543 - dextromethorphan HBr 20 MG / guaifenesin 400 MG / phenylephrine HCl 10 MG per 20 ML Oral Solution
  • RxCUI: 1043543 - dextromethorphan HBr 5 MG / guaifenesin 100 MG / phenylephrine HCl 2.5 MG per 5 ML Oral Solution
  • RxCUI: 1375932 - acetaminophen 650 MG / diphenhydrAMINE HCl 25 MG / phenylephrine HCl 10 MG in 20 mL Oral Solution

Clinical Specifications

Proprietary Name
Daytime Nighttime Multi Symptom Cold Childrens
Non-Proprietary Name
Dextromethorphan Hbr, Guaifenesin, Phenylephrine Hcl, Acetaminophen, Diphenhydramine Hcl, Phenylephrine Hcl
Dosage Form
Kit - A packaged collection of related material.
Usage Information
Daytimedo not take more than 6 doses in any 24-hour period use only the enclosed dosing cup designed for use with this product. Do not use any other dosing device.keep dosing cup with productdose as follows or as directed by a doctormL= milliliteragedose children 6 to under 12 years 10 mL every 4 hours children 4 to under 6 years5 mL every 4 hours children under 4 yearsdo not useNighttimethis product does not contain directions or complete warnings for adult usedo not give more than directed (see overdose warning)do not give more than 5 doses in any 24-hour periodif needed, repeat dose every 4 hours while symptoms lastdo not give more than 5 days unless directed by a doctotmeasure only with dosing cup provided. Do not use any other dosing device mL = milliliterdose as follows or as directed by a doctorchildren 6 to under 12 years of age: 10 mL every 4 hourschildren under 6 yearsof age: do not use

Regulatory & Marketing

Labeler Name
Walgreens
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-31-2014
Listing Expiration
12-31-2027
Exclude Flag
N
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 0363-4200-08 identifies a specific commercial package of 1 kit in 1 kit * 118 ml in 1 bottle, plastic (0363-4070-04) * 118 ml in 1 bottle, plastic (0363-4060-04) of Daytime Nighttime Multi Symptom Cold Childrens, a human over the counter drug labeled by Walgreens. This kit is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Walgreens on December 31, 2014. The current certification is valid through December 31, 2027.

How is this Walgreens product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363420008. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. 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)
0363-4200-08
11-Digit CMS (5-4-2)
00363-4200-08

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