Mucus Relief Dm Tablet
NDC Package 11822-0733-2

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

Package Information

Mucus Relief Dm (guaifenesin, dextromethorphan hbr) tablets is do not crush, chew, or break tablettake with a full glass of water this product can be administered without regards for timing of meals adults and children 12 years of age and older: 1 or 2 tablet every 12 hours; not more than 4 tablets in 24 hourschildren under 12 years of age: do not use . This formulation utilizes a tablet delivery system. Marketed by Rite Aid Corporation, this product is identified by NDC 11822-0733 and is authorized under FDA application ANDA209692.

Identification & Billing

NDC Package Code
11822-0733-2
Package Description
20 BLISTER PACK in 1 CARTON / 1 TABLET in 1 BLISTER PACK
Product Code
11-Digit Billing Format
11822073302
RxNorm Crosswalk
  • RxCUI: 1298324 - guaiFENesin 600 MG / dextromethorphan HBr 30 MG 12HR Extended Release Oral Tablet
  • RxCUI: 1298324 - 12 HR dextromethorphan hydrobromide 30 MG / guaifenesin 600 MG Extended Release Oral Tablet
  • RxCUI: 1298324 - dextromethorphan hydrobromide 30 MG / guaifenesin 600 MG 12 HR Extended Release Oral Tablet

Clinical Specifications

Proprietary Name
Mucus Relief Dm
Non-Proprietary Name
Guaifenesin, Dextromethorphan Hbr
Substance Name
Dextromethorphan Hydrobromide; Guaifenesin
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
Do not crush, chew, or break tablettake with a full glass of water this product can be administered without regards for timing of meals adults and children 12 years of age and older: 1 or 2 tablet every 12 hours; not more than 4 tablets in 24 hourschildren under 12 years of age: do not use 

Regulatory & Marketing

Labeler Name
Rite Aid Corporation
Product Type
Human Otc Drug
FDA Application #
ANDA209692
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
02-28-2019
End Marketing Date
12-28-2026
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (11822-0733). Click a package code to view its specific billing and regulatory data.

40 BLISTER PACK in 1 CARTON / 1 TABLET in 1 BLISTER PACK
68 BLISTER PACK in 1 CARTON / 1 TABLET in 1 BLISTER PACK

* 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 11822-0733-2 identifies a specific commercial package of 20 blister pack in 1 carton / 1 tablet in 1 blister pack of Mucus Relief Dm, a human over the counter drug labeled by Rite Aid Corporation. This tablet is formulated for oral use and contains dextromethorphan hydrobromide; guaifenesin 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 Rite Aid Corporation on February 28, 2019.

How is this Rite Aid Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11822073302. 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 (5-4-1)
11822-0733-2
11-Digit CMS (5-4-2)
11822-0733-02

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