Pseudoephedrine Hydrochloride Tablet
NDC Package 0904-6907-06

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Pseudoephedrine Hydrochloride tablets is adults and children 12 years and older: take 1 tablet every 4 to 6 hours. This formulation utilizes a tablet delivery system. Marketed by Major Pharmaceuticals, this product is identified by NDC 0904-6907 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
0904-6907-06
Package Description
5 BLISTER PACK in 1 BOX / 10 TABLET in 1 BLISTER PACK
Product Code
11-Digit Billing Format
00904690706
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
5 EA
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Pseudoephedrine Hydrochloride
Non-Proprietary Name
Pseudoephedrine Hydrochloride
Substance Name
Pseudoephedrine Hydrochloride
Dosage Form
Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
Administration Route
Oral - Administration to or by way of the mouth.
Usage Information
Adults and children 12 years and older: take 1 tablet every 4 to 6 hours. Do not take more than 4 tablets in 24 hours.children under 12 years of age: do not use

Regulatory & Marketing

Labeler Name
Major Pharmaceuticals
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-31-2019
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 0904-6907-06 identifies a specific commercial package of 5 blister pack in 1 box / 10 tablet in 1 blister pack of Pseudoephedrine Hydrochloride, a human over the counter drug labeled by Major Pharmaceuticals. This tablet is formulated for oral use and contains pseudoephedrine hydrochloride 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 Major Pharmaceuticals on January 31, 2019. The current certification is valid through December 31, 2026.

How is this Major Pharmaceuticals product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00904690706. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 5 total billable units per package. 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)
0904-6907-06
11-Digit CMS (5-4-2)
00904-6907-06

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