Mucus Relief Dm Capsule, Liquid Filled
NDC Package 0363-9013-30

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

Package Information

Mucus Relief Dm (guaifenesin and dextromethorphan hydrobromide) capsules is adults and children 12 years of age and older:Take with a full glass of water.Take 1 softgel every 4 hours with a full glass of water while symptoms persist. This formulation utilizes a capsule, liquid filled delivery system. Marketed by Walgreens, this product is identified by NDC 0363-9013 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
0363-9013-30
Package Description
3 BLISTER PACK in 1 CARTON / 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
Product Code
0363-9013
11-Digit Billing Format
00363901330
RxNorm Crosswalk
  • RxCUI: 1661740 - dextromethorphan HBr 20 MG / guaiFENesin 400 MG Oral Capsule
  • RxCUI: 1661740 - dextromethorphan hydrobromide 20 MG / guaifenesin 400 MG Oral Capsule

Clinical Specifications

Proprietary Name
Mucus Relief Dm
Non-Proprietary Name
Guaifenesin And Dextromethorphan Hydrobromide
Substance Name
Dextromethorphan Hydrobromide; Guaifenesin
Dosage Form
Capsule, Liquid Filled - A solid dosage form in which the drug is enclosed within a soluble, gelatin shell which is plasticized by the addition of a polyol, such as sorbitol or glycerin, and is therefore of a somewhat thicker consistency than that of a hard shell capsule; typically, the active ingredients are dissolved or suspended in a liquid vehicle.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Adults and children 12 years of age and older:Take with a full glass of water.Take 1 softgel every 4 hours with a full glass of water while symptoms persist. Do not exceed 6 doses in 24 hours.Children under 12 years of 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
08-24-2021
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 0363-9013-30 identifies a specific commercial package of 3 blister pack in 1 carton / 10 capsule, liquid filled in 1 blister pack of Mucus Relief Dm, a human over the counter drug labeled by Walgreens. This capsule, liquid filled 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 Walgreens on August 24, 2021. 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: 00363901330. 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)
0363-9013-30
11-Digit CMS (5-4-2)
00363-9013-30

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