Adult Cough Plus Chest Congestion Dm Solution
NDC Package 0363-7754-04

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

Package Information

Adult Cough Plus Chest Congestion Dm (dextromethorphan hbr, guaifenesin) solution is uses▪temporarily relieves cough due to minor throat and bronchial irritation as may occur with a cold▪helps loosen phlegm (mucus) and thin bronchial secretions to drain bronchial tubes. This formulation utilizes a solution delivery system. Marketed by Walgreen Company, this product is identified by NDC 0363-7754 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
0363-7754-04
Package Description
1 BOTTLE in 1 CARTON / 118 mL in 1 BOTTLE
Product Code
0363-7754
11-Digit Billing Format
00363775404
RxNorm Crosswalk
  • RxCUI: 1020138 - dextromethorphan HBr 20 MG / guaiFENesin 400 MG in 20 mL Oral Solution
  • RxCUI: 1020138 - dextromethorphan hydrobromide 1 MG/ML / guaifenesin 20 MG/ML Oral Solution
  • RxCUI: 1020138 - dextromethorphan HBr 20 MG / guaifenesin 400 MG per 20 ML Oral Solution
  • RxCUI: 1020138 - dextromethorphan HBr 5 MG / guaifenesin 100 MG per 5 ML Oral Solution

Clinical Specifications

Proprietary Name
Adult Cough Plus Chest Congestion Dm With Honey
Non-Proprietary Name
Dextromethorphan Hbr, Guaifenesin
Substance Name
Dextromethorphan Hydrobromide; Guaifenesin
Dosage Form
Solution - A clear, homogeneous liquid1 dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Uses▪temporarily relieves cough due to minor throat and bronchial irritation as may occur with a cold▪helps loosen phlegm (mucus) and thin bronchial secretions to drain bronchial tubes

Regulatory & Marketing

Labeler Name
Walgreen Company
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-05-2024
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 0363-7754-04 identifies a specific commercial package of 1 bottle in 1 carton / 118 ml in 1 bottle of Adult Cough Plus Chest Congestion Dm With Honey, a human over the counter drug labeled by Walgreen Company. This solution is formulated for oral use and contains dextromethorphan hydrobromide; guaifenesin 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 Company on February 05, 2024. The current certification is valid through December 31, 2026.

How is this Walgreen Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363775404. 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)
0363-7754-04
11-Digit CMS (5-4-2)
00363-7754-04

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