NDC Package 0574-1104-04 Brompheniramine Maleate, Pseudoephedrine Hydrochloride And Dextromethorphan Hydrobromide

Syrup Oral - View Billable Units, 11-Digit Format, RxNorm

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
0574-1104-04
Package Description:
118 mL in 1 BOTTLE, PLASTIC
Product Code:
Proprietary Name:
Brompheniramine Maleate, Pseudoephedrine Hydrochloride And Dextromethorphan Hydrobromide
Non-Proprietary Name:
Brompheniramine Maleate, Pseudoephedrine Hydrochloride And Dextromethorphan Hydrobromide
Substance Name:
Brompheniramine Maleate; Dextromethorphan Hydrobromide; Pseudoephedrine Hydrochloride
Usage Information:
For relief of coughs and upper respiratory symptoms, including nasal congestion, associated with allergy or the common cold.
11-Digit NDC Billing Format:
00574110404
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
118 ML
NDC to RxNorm Crosswalk:
  • RxCUI: 1357010 - brompheniramine maleate 2 MG / dextromethorphan HBr 10 MG / pseudoephedrine HCl 30 MG in 5 mL Oral Solution
  • RxCUI: 1357010 - brompheniramine maleate 0.4 MG/ML / dextromethorphan hydrobromide 2 MG/ML / pseudoephedrine hydrochloride 6 MG/ML Oral Solution
  • RxCUI: 1357010 - brompheniramine maleate 2 MG / dextromethorphan HBr 10 MG / pseudoephedrine HCl 30 MG per 5 ML Oral Solution
  • Product Type:
    Human Prescription Drug
    Labeler Name:
    Padagis Us Llc
    Dosage Form:
    Syrup - An oral solution containing high concentrations of sucrose or other sugars; the term has also been used to include any other liquid dosage form prepared in a sweet and viscid vehicle, including oral suspensions.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
  • Sample Package:
    No
    FDA Application Number:
    ANDA205292
    Marketing Category:
    ANDA - A product marketed under an approved Abbreviated New Drug Application.
    Start Marketing Date:
    02-06-2015
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N

    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 disclaimer below.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    0574-1104-16473 mL in 1 BOTTLE, PLASTIC

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 0574-1104-04?

    The NDC Packaged Code 0574-1104-04 is assigned to a package of 118 ml in 1 bottle, plastic of Brompheniramine Maleate, Pseudoephedrine Hydrochloride And Dextromethorphan Hydrobromide, a human prescription drug labeled by Padagis Us Llc. The product's dosage form is syrup and is administered via oral form.

    Is NDC 0574-1104 included in the NDC Directory?

    Yes, Brompheniramine Maleate, Pseudoephedrine Hydrochloride And Dextromethorphan Hydrobromide with product code 0574-1104 is active and included in the NDC Directory. The product was first marketed by Padagis Us Llc on February 06, 2015 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 0574-1104-04?

    The contents of this package are billed per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume. The calculated billable units for this package is 118.

    What is the 11-digit format for NDC 0574-1104-04?

    The 11-digit format is 00574110404. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    4-4-20574-1104-045-4-200574-1104-04