Multi-symptom Cold And Flu Relief Nighttime Capsule, Liquid Filled
NDC Package 11822-1987-9

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

Package Information

Multi-symptom Cold And Flu Relief Nighttime (acetaminophen 325 mg dextromethorphan hbr 15 mg doxylamine succinate 6.25 mg) capsules is uses temporarily relieves common cold/flu symptoms: cough due to minor throat & bronchial irritationsore throatheadacheminor aches & painsfeverrunny nose & sneezing. This formulation utilizes a capsule, liquid filled delivery system. Marketed by Rite Aid, this product is identified by NDC 11822-1987 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
11822-1987-9
Package Description
4 BLISTER PACK in 1 CARTON / 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
Product Code
11822-1987
11-Digit Billing Format
11822198709
RxNorm Crosswalk
  • RxCUI: 1094549 - acetaminophen 325 MG / dextromethorphan HBr 15 MG / doxylamine succinate 6.25 MG Oral Capsule
  • RxCUI: 1094549 - acetaminophen 325 MG / dextromethorphan hydrobromide 15 MG / doxylamine succinate 6.25 MG Oral Capsule
  • RxCUI: 1094549 - APAP 325 MG / dextromethorphan hydrobromide 15 MG / doxylamine succinate 6.25 MG Oral Capsule

Clinical Specifications

Proprietary Name
Multi-symptom Cold And Flu Relief Nighttime
Non-Proprietary Name
Acetaminophen 325 Mg Dextromethorphan Hbr 15 Mg Doxylamine Succinate 6.25 Mg
Substance Name
Acetaminophen; Dextromethorphan Hydrobromide; Doxylamine Succinate
Dosage Form
Capsule, Liquid Filled - A solid dosage form in which the drug is enclosed within a soluble, gelatin shell which is plasticized by the addition of a polyol, such as sorbitol or glycerin, and is therefore of a somewhat thicker consistency than that of a hard shell capsule; typically, the active ingredients are dissolved or suspended in a liquid vehicle.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Uses temporarily relieves common cold/flu symptoms: cough due to minor throat & bronchial irritationsore throatheadacheminor aches & painsfeverrunny nose & sneezing

Regulatory & Marketing

Labeler Name
Rite Aid
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
09-15-2021
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (11822-1987). Click a package code to view its specific billing and regulatory data.

11822-1987-0
2 BLISTER PACK in 1 CARTON / 12 CAPSULE, LIQUID FILLED 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 11822-1987-9 identifies a specific commercial package of 4 blister pack in 1 carton / 12 capsule, liquid filled in 1 blister pack of Multi-symptom Cold And Flu Relief Nighttime, a human over the counter drug labeled by Rite Aid. This capsule, liquid filled is formulated for oral use and contains acetaminophen; dextromethorphan hydrobromide; doxylamine succinate 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 on September 15, 2021. The current certification is valid through December 31, 2026.

How is this Rite Aid product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11822198709. 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)
11822-1987-9
11-Digit CMS (5-4-2)
11822-1987-09

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