Promethazine Hydrochloride And Codeine Phosphate
NDC Package 12634-907-06

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

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

Promethazine Hydrochloride And Codeine Phosphate is syrup is indicated for the temporary relief of coughs and upper respiratory symptoms associated with allergy or the common cold. Marketed by Apotheca Inc., this product is identified by NDC 12634-907 and is authorized under FDA application ANDA090180.

Identification & Billing

NDC Package Code
12634-907-06
Package Description
178 mL in 1 BOTTLE
Product Code
12634-907
11-Digit Billing Format
12634090706
RxNorm Crosswalk
  • RxCUI: 991486 - codeine phosphate 10 MG / promethazine HCl 6.25 MG in 5 mL Oral Solution
  • RxCUI: 991486 - codeine phosphate 2 MG/ML / promethazine hydrochloride 1.25 MG/ML Oral Solution
  • RxCUI: 991486 - codeine phosphate 10 MG / promethazine HCl 6.25 MG per 5 ML Oral Syrup

Clinical Specifications

Proprietary Name
Promethazine Hydrochloride And Codeine Phosphate
Dosage Form
-
Usage Information
Promethazine hydrochloride and codeine phosphate syrup is indicated for the temporary relief of coughs and upper respiratory symptoms associated with allergy or the common cold.

Regulatory & Marketing

Labeler Name
Apotheca Inc.
FDA Application #
ANDA090180
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
03-17-2010
Listing Expiration
12-31-2022
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (12634-907). Click a package code to view its specific billing and regulatory data.

12634-907-02
60 mL in 1 BOTTLE
12634-907-04
120 mL in 1 BOTTLE
12634-907-08
237 mL in 1 BOTTLE
12634-907-16
473 mL in 1 BOTTLE
12634-907-28
3785 mL in 1 BLISTER PACK
12634-907-32
946 mL in 1 BOTTLE

* 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 12634-907-06 identifies a specific commercial package of 178 ml in 1 bottle of Promethazine Hydrochloride And Codeine Phosphate, labeled by Apotheca Inc.. 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 Apotheca Inc. on March 17, 2010. The current certification is valid through December 31, 2022.

How is this Apotheca Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 12634090706. 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)
12634-907-06
11-Digit CMS (5-4-2)
12634-0907-06

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