Mucus Relief All In One Daytime Nighttime Cold Flu Kit
NDC Package 0363-9140-12

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

Package Information

Mucus Relief All In One Daytime Nighttime Cold Flu (acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl, acetaminophen, diphenhydramine hcl phenylephrine hcl) kits is daytimedo not take more than directed (see Overdose warning) do not take more than 6 doses in any 24-hour periodmeasure only with dosing cup provided. This formulation utilizes a kit delivery system. Marketed by Walgreens, this product is identified by NDC 0363-9140 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
0363-9140-12
Package Description
1 KIT in 1 KIT * 177 mL in 1 BOTTLE, PLASTIC * 177 mL in 1 BOTTLE, PLASTIC
Product Code
0363-9140
11-Digit Billing Format
00363914012
RxNorm Crosswalk
  • RxCUI: 1116572 - acetaminophen 650 MG / dextromethorphan HBr 20 MG / guaiFENesin 400 MG / phenylephrine HCl 10 MG in 20 mL Oral Solution
  • RxCUI: 1116572 - acetaminophen 32.5 MG/ML / dextromethorphan hydrobromide 1 MG/ML / guaifenesin 20 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Solution
  • RxCUI: 1116572 - acetaminophen 325 MG / dextromethorphan HBr 10 MG / guaifenesin 200 MG / phenylephrine hydrochloride 5 MG per 10 ML Oral Solution
  • RxCUI: 1116572 - acetaminophen 650 MG / dextromethorphan HBr 20 MG / guaifenesin 400 MG / phenylephrine hydrochloride 10 MG per 20 ML Oral Solution
  • RxCUI: 1116572 - APAP 32.5 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML / Guaifenesin 20 MG/ML / Phenylephrine Hydrochloride 0.5 MG/ML Oral Solution

Clinical Specifications

Proprietary Name
Mucus Relief All In One Daytime Nighttime Cold Flu Maximum Strength
Non-Proprietary Name
Acetaminophen, 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 directed (see Overdose warning) do not take more than 6 doses in any 24-hour periodmeasure only with dosing cup provided. Do not use any other dosing devicekeep dosing cup with product mL= milliliterdose as follows or as directed by a doctoradult and children 12 years of age and over: 20 mL in dosing cup provided avery 4 hoursChildren under 12 years of age do not useNighttimedo not take more than directed (see overdose warning)do not take more than 6 doses in any 24-hour period measure only with dosing cup provided. Do not use any other dosing devicekeep dosing cup with productmL= milliliterdose as follows or as directed by a doctoradult and children 12 years and older: 20 mL every 4 hours while symptoms lastchildren 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
09-30-2019
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 0363-9140-12 identifies a specific commercial package of 1 kit in 1 kit * 177 ml in 1 bottle, plastic * 177 ml in 1 bottle, plastic of Mucus Relief All In One Daytime Nighttime Cold Flu Maximum Strength, 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 September 30, 2019. The current certification is valid through December 31, 2026.

How is this Walgreens product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363914012. 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)
0363-9140-12
11-Digit CMS (5-4-2)
00363-9140-12

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