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  5. NDC Package Code: 17856-0276-1 Delsym (dextromethorphan)

NDC Package 17856-0276-1 Delsym (dextromethorphan)

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:
17856-0276-1
Package Description:
10 mL in 1 CUP
Product Code:
17856-0276
Proprietary Name:
Delsym (dextromethorphan)
Usage Information:
Shake bottle well before usemeasure only with dosing cup provideddo not use dosing cup with other productsdose as follows or as directed by a doctormL = milliliteradults and children 12 years of age and over10 mL every 12 hours, not to exceed 20 mL in 24 hourschildren 6 to under 12 years of age5 mL every 12 hours, not to exceed 10 mL in 24 hourschildren 4 to under 6 years of age2.5 mL every 12 hours, not to exceed 5 mL in 24 hourschildren under 4 years of agedo not use
11-Digit NDC Billing Format:
17856027601
NDC to RxNorm Crosswalk:
  • RxCUI: 1373045 - dextromethorphan polistirex 30 MG in 5 mL 12HR Extended Release Oral Suspension
  • RxCUI: 1373045 - 12 HR dextromethorphan polistirex 6 MG/ML Extended Release Suspension
  • RxCUI: 1373045 - dextromethorphan polistirex (dextromethorphan HBr 30 MG) per 5 ML 12 HR Extended Release Suspension
  • RxCUI: 1373045 - dextromethorphan polistirex 6 MG/ML 12 HR Extended Release Suspension
  • RxCUI: 1373128 - Delsym 30 MG in 5 mL 12HR Extended Release Oral Suspension
    • Labeler Name:
    Atlantic Biologicals Corps
    Sample Package:
    No
    Start Marketing Date:
    08-19-2011
    Listing Expiration Date:
    12-31-2018
    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 17856-0276-1?

    The NDC Packaged Code 17856-0276-1 is assigned to a package of 10 ml in 1 cup of Delsym (dextromethorphan), labeled by Atlantic Biologicals Corps. The product's dosage form is and is administered via form.

    Is NDC 17856-0276 included in the NDC Directory?

    No, Delsym (dextromethorphan) with product code 17856-0276 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Atlantic Biologicals Corps on August 19, 2011 and its listing in the NDC Directory is set to expire on December 31, 2018 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 17856-0276-1?

    The 11-digit format is 17856027601. 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 5-4-1 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
    5-4-117856-0276-15-4-217856-0276-01