Phenylephrine Hydrochloride
NDC Package 11673-394-53

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Phenylephrine Hydrochloride is adults:When practical, cleanse the affected area by patting or blotting with an appropriate cleansing tissue. Marketed by Target Corporation, this product is identified by NDC 11673-394 and is authorized under FDA application part346.

Identification & Billing

NDC Package Code
11673-394-53
Package Description
12 SUPPOSITORY in 1 BOX
Product Code
11673-394
11-Digit Billing Format
11673039453
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
12 EA
RxNorm Crosswalk
  • RxCUI: 259093 - cocoa butter 85.5 % / phenylephrine HCl 0.25 % / shark liver oil 3 % Rectal Suppository
  • RxCUI: 259093 - cocoa butter 0.855 MG/MG / phenylephrine 0.0025 MG/MG / shark liver oil 0.03 MG/MG Rectal Suppository
  • RxCUI: 259093 - cocoa butter 85.5 % / phenylephrine 0.25 % / shark liver oil preparation 3 % Rectal Suppository

Clinical Specifications

Proprietary Name
Phenylephrine Hydrochloride
Dosage Form
-
Usage Information
Adults:When practical, cleanse the affected area by patting or blotting with an appropriate cleansing tissue. Gently dry by patting or blotting with toilet tissue or soft cloth before insertion of this product.Detach one suppository from stripRemove wrapper before inserting into rectumHold suppository with rounded end up and insert tip of fingernail at end marked "peel down"Carefully peel film slowly and evenly down both sides to expose suppositoryInsert one suppository into rectum up to 4 times daily especially at night and morning or after each bowel movementChildren under 12 years:  ask a doctor

Regulatory & Marketing

Labeler Name
Target Corporation
FDA Application #
part346
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
09-01-2009
Listing Expiration
12-31-2017
Exclude Flag
I
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 11673-394-53 identifies a specific commercial package of 12 suppository in 1 box of Phenylephrine Hydrochloride, labeled by Target Corporation. This product is billed for "EA" each discreet unit and contains an estimated amount of 12 billable units per package. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Target Corporation on September 01, 2009. The current certification is valid through December 31, 2017.

How is this Target Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11673039453. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 12 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 (5-3-2)
11673-394-53
11-Digit CMS (5-4-2)
11673-0394-53

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