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  5. NDC Package Code: 12634-969-04 Guaifenesin And Codeine Phosphate

NDC Package 12634-969-04 Guaifenesin And Codeine Phosphate

View Billable Units, 11-Digit Format, RxNorm

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.

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
12634-969-04
Package Description:
120 mL in 1 BOTTLE
Product Code:
12634-969
Proprietary Name:
Guaifenesin And Codeine Phosphate
Usage Information:
INDICATIONSTemporarily controls cough due to minor throat and bronchial irritation as may occur with the common cold or inhaled irritants. Helps loosen phlegm (mucus) and thin bronchial secretions to make coughs more productive.CONTRAINDICATIONSHypersensitivity to any of the ingredients.
11-Digit NDC Billing Format:
12634096904
NDC to RxNorm Crosswalk:
  • RxCUI: 995868 - codeine phosphate 10 MG / guaiFENesin 100 MG in 5 mL Oral Solution
  • RxCUI: 995868 - codeine phosphate 2 MG/ML / guaifenesin 20 MG/ML Oral Solution
  • RxCUI: 995868 - codeine phosphate 10 MG / guaifenesin 100 MG per 5 ML Oral Solution
    • Labeler Name:
    Apotheca, Inc
    Sample Package:
    No
    Start Marketing Date:
    01-28-2011
    Listing Expiration Date:
    12-31-2019
    Exclude Flag:
    I
    Code Structure:

    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 disclaimer below.

    Frequently Asked Questions

    What is NDC 12634-969-04?

    The NDC Packaged Code 12634-969-04 is assigned to a package of 120 ml in 1 bottle of Guaifenesin And Codeine Phosphate, labeled by Apotheca, Inc. The product's dosage form is and is administered via form.

    Is NDC 12634-969 included in the NDC Directory?

    No, Guaifenesin And Codeine Phosphate with product code 12634-969 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Apotheca, Inc on January 28, 2011 and its listing in the NDC Directory is set to expire on December 31, 2019 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 12634-969-04?

    The 11-digit format is 12634096904. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-212634-969-045-4-212634-0969-04