Walgreens Day And Night Pack Kit
NDC Package 0363-7570-08

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

Package Information

Walgreens Day And Night Pack (dextromethorphan hbr, guaifenesin, chlorpheniramine maleate) kits is daytime Wal-Tussin® DM •do not take more than 6 doses in any 24-hour period•measure only with dosing cup provided.•keep dosing cup with product •mL= milliliter agedoseChildren under 4 yearsDo not useChildren 4 to under 6 years5 mL every 4 hoursChildren 6 to under 12 years10 mL every 4 hoursAdults and children 12 years and older20 mL every 4 hoursNighttime Wal-Tussin® DM•do not take more than 4 doses in any 24-hour period•measure only with dosing cup provided.•keep dosing cup with product •mL= milliliter agedoseChildren under 6 yearsDo not useChildren 6 to under 12 years10 mL every 6 hoursAdults and children 12 years and older20 mL every 6 hours. This formulation utilizes a kit delivery system. Marketed by Walgreen Co, this product is identified by NDC 0363-7570 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
0363-7570-08
Package Description
1 KIT in 1 KIT * 118 mL in 1 BOTTLE (0363-7572-04) * 118 mL in 1 BOTTLE (0363-7571-04)
Product Code
0363-7570
11-Digit Billing Format
00363757008
RxNorm Crosswalk
  • RxCUI: 1111440 - chlorpheniramine maleate 1 MG / dextromethorphan HBr 7.5 MG in 5 mL Oral Solution
  • RxCUI: 1111440 - chlorpheniramine maleate 0.2 MG/ML / dextromethorphan hydrobromide 1.5 MG/ML Oral Solution
  • RxCUI: 1111440 - chlorpheniramine maleate 1 MG / dextromethorphan hydrobromide 7.5 MG per 5 ML Oral Solution
  • RxCUI: 1111440 - chlorpheniramine maleate 2 MG / dextromethorphan hydrobromide 15 MG per 10 ML Oral Solution
  • RxCUI: 1790650 - dextromethorphan HBr 10 MG / guaiFENesin 100 MG in 10 mL Oral Solution

Clinical Specifications

Proprietary Name
Walgreens Day And Night Pack
Non-Proprietary Name
Dextromethorphan Hbr, Guaifenesin, Chlorpheniramine Maleate
Dosage Form
Kit - A packaged collection of related material.
Usage Information
Daytime Wal-Tussin® DM •do not take more than 6 doses in any 24-hour period•measure only with dosing cup provided.•keep dosing cup with product •mL= milliliter agedoseChildren under 4 yearsDo not useChildren 4 to under 6 years5 mL every 4 hoursChildren 6 to under 12 years10 mL every 4 hoursAdults and children 12 years and older20 mL every 4 hoursNighttime Wal-Tussin® DM•do not take more than 4 doses in any 24-hour period•measure only with dosing cup provided.•keep dosing cup with product •mL= milliliter agedoseChildren under 6 yearsDo not useChildren 6 to under 12 years10 mL every 6 hoursAdults and children 12 years and older20 mL every 6 hours

Regulatory & Marketing

Labeler Name
Walgreen Co
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
04-13-2020
Listing Expiration
12-31-2026
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 0363-7570-08 identifies a specific commercial package of 1 kit in 1 kit * 118 ml in 1 bottle (0363-7572-04) * 118 ml in 1 bottle (0363-7571-04) of Walgreens Day And Night Pack, a human over the counter drug labeled by Walgreen Co. 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 Walgreen Co on April 13, 2020. The current certification is valid through December 31, 2026.

How is this Walgreen Co product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363757008. 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)
0363-7570-08
11-Digit CMS (5-4-2)
00363-7570-08

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