Sinus Relief Kit
NDC Package 11822-5694-9

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

Package Information

Sinus Relief (acetaminophen, diphenhydramine hcl, guaifenesin, phenylephrine hcl) kits is do not use more than directeddo not take more than 12 caplets in any 24-hour periodadults and children 12 years and over: take 2 caplets every 4 hourschildren under 12 years: do not use. This formulation utilizes a kit delivery system. Marketed by Rite Aid Corporation, this product is identified by NDC 11822-5694 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
11822-5694-9
Package Description
1 KIT in 1 CARTON * 12 TABLET, FILM COATED in 1 BLISTER PACK * 8 TABLET, FILM COATED in 1 BLISTER PACK
Product Code
11822-5694
11-Digit Billing Format
11822569409
RxNorm Crosswalk
  • RxCUI: 1233575 - acetaminophen 325 MG / diphenhydrAMINE HCl 12.5 MG / phenylephrine HCl 5 MG Oral Tablet
  • RxCUI: 1233575 - acetaminophen 325 MG / diphenhydramine hydrochloride 12.5 MG / phenylephrine hydrochloride 5 MG Oral Tablet
  • RxCUI: 1233575 - acetaminophen 325 MG / diphenhydramine HCl 12.5 MG / phenylephrine HCl 5 MG Oral Tablet
  • RxCUI: 1233575 - APAP 325 MG / Diphenhydramine Hydrochloride 12.5 MG / Phenylephrine Hydrochloride 5 MG Oral Tablet
  • RxCUI: 1243679 - acetaminophen 325 MG / guaiFENesin 200 MG / phenylephrine HCl 5 MG Oral Tablet

Clinical Specifications

Proprietary Name
Sinus Relief Daytime, Nighttime
Non-Proprietary Name
Acetaminophen, Diphenhydramine Hcl, Guaifenesin, Phenylephrine Hcl
Dosage Form
Kit - A packaged collection of related material.
Usage Information
Do not use more than directeddo not take more than 12 caplets in any 24-hour periodadults and children 12 years and over: take 2 caplets every 4 hourschildren under 12 years: do not use

Regulatory & Marketing

Labeler Name
Rite Aid Corporation
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-16-2017
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 11822-5694-9 identifies a specific commercial package of 1 kit in 1 carton * 12 tablet, film coated in 1 blister pack * 8 tablet, film coated in 1 blister pack of Sinus Relief Daytime, Nighttime, a human over the counter drug labeled by Rite Aid Corporation. This kit is formulated for use and contains 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 June 16, 2017. The current certification is valid through December 31, 2026.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11822569409. 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)
11822-5694-9
11-Digit CMS (5-4-2)
11822-5694-09

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