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  5. NDC Package Code: 0904-6255-49 Sore Throat Logenzes Sore Throat

NDC Package 0904-6255-49 Sore Throat Logenzes Sore Throat

Benzocaine And Menthol Lozenge Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

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:
0904-6255-49
Package Description:
18 BLISTER PACK in 1 CARTON / 18 LOZENGE in 1 BLISTER PACK
Product Code:
0904-6255
Proprietary Name:
Sore Throat Logenzes Sore Throat
Non-Proprietary Name:
Benzocaine And Menthol
Substance Name:
Benzocaine; Menthol
Usage Information:
Adults and children 5 years or older: allow lozenge to dissolve slowly in the mouth; may be repeated every 2 hours as needed or as directed by a doctor or dentist. children under 5 years of age: ask a doctor
11-Digit NDC Billing Format:
00904625549
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
18 EA
NDC to RxNorm Crosswalk:
  • RxCUI: 824574 - benzocaine 15 MG / menthol 3.6 MG Oral Lozenge
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Major Pharmaceuticals
    Dosage Form:
    Lozenge - A solid preparation containing one or more medicaments, usually in a flavored, sweetened base which is intended to dissolve or disintegrate slowly in the mouth. A lollipop is a lozenge on a stick.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • BENZOCAINE 15 mg/1
  • MENTHOL 3.6 mg/1
    • Pharmacologic Class(es):
  • Allergens - [CS]
  • Cell-mediated Immunity - [PE] (Physiologic Effect)
  • Increased Histamine Release - [PE] (Physiologic Effect)
  • Standardized Chemical Allergen - [EPC] (Established Pharmacologic Class)
    • Sample Package:
    No
    FDA Application Number:
    M013
    Marketing Category:
    OTC MONOGRAPH DRUG -
    Start Marketing Date:
    12-28-2012
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    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.

    Frequently Asked Questions

    What is NDC 0904-6255-49?

    The NDC Packaged Code 0904-6255-49 is assigned to a package of 18 blister pack in 1 carton / 18 lozenge in 1 blister pack of Sore Throat Logenzes Sore Throat, a human over the counter drug labeled by Major Pharmaceuticals. The product's dosage form is lozenge and is administered via oral form.

    Is NDC 0904-6255 included in the NDC Directory?

    Yes, Sore Throat Logenzes Sore Throat with product code 0904-6255 is active and included in the NDC Directory. The product was first marketed by Major Pharmaceuticals on December 28, 2012 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 0904-6255-49?

    The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 18.

    What is the 11-digit format for NDC 0904-6255-49?

    The 11-digit format is 00904625549. 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
    4-4-20904-6255-495-4-200904-6255-49