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  5. NDC Package Code: 21130-385-08 Adult Cough And Chest Congestion Relief Dm Non Drowsy

NDC Package 21130-385-08 Adult Cough And Chest Congestion Relief Dm Non Drowsy

Dextromethorphan Hbr,Guaifenesin Liquid Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

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:
21130-385-08
Package Description:
1 BOTTLE, PLASTIC in 1 BOX / 237 mL in 1 BOTTLE, PLASTIC
Product Code:
21130-385
Proprietary Name:
Adult Cough And Chest Congestion Relief Dm Non Drowsy
Non-Proprietary Name:
Dextromethorphan Hbr, Guaifenesin
Substance Name:
Dextromethorphan Hydrobromide; Guaifenesin
Usage Information:
Do not take more than 6 doses in any 24-hours periodmeasure only with dosing cup provided. Do not use any other dosing devicekeep dosing cup with productmL = milliliterthis adult product is not intended for use in children under 12 years of ageadults and children 12 years and over: 10 mL every 4 hourschildren under 12 years: do not use
11-Digit NDC Billing Format:
21130038508
NDC to RxNorm Crosswalk:
  • RxCUI: 996520 - dextromethorphan HBr 20 MG / guaiFENesin 200 MG in 10 mL Oral Solution
  • RxCUI: 996520 - dextromethorphan hydrobromide 2 MG/ML / guaifenesin 20 MG/ML Oral Solution
  • RxCUI: 996520 - dextromethorphan hydrobromide 10 MG / guaifenesin 100 MG per 5 ML Oral Solution
  • RxCUI: 996520 - dextromethorphan hydrobromide 15 MG / guaifenesin 150 MG per 7.5 ML Oral Solution
  • RxCUI: 996520 - dextromethorphan hydrobromide 20 MG / guaifenesin 200 MG per 10 ML Oral Solution
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Safeway, Inc.
    Dosage Form:
    Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • DEXTROMETHORPHAN HYDROBROMIDE 20 mg/10mL
  • GUAIFENESIN 200 mg/10mL
    • Pharmacologic Class(es):
  • Decreased Respiratory Secretion Viscosity - [PE] (Physiologic Effect)
  • Expectorant - [EPC] (Established Pharmacologic Class)
  • Increased Respiratory Secretions - [PE] (Physiologic Effect)
  • Sigma-1 Agonist - [EPC] (Established Pharmacologic Class)
  • Sigma-1 Receptor Agonists - [MoA] (Mechanism of Action)
  • Uncompetitive N-methyl-D-aspartate Receptor Antagonist - [EPC] (Established Pharmacologic Class)
  • Uncompetitive NMDA Receptor Antagonists - [MoA] (Mechanism of Action)
    • Sample Package:
    No
    FDA Application Number:
    part341
    Marketing Category:
    OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
    Start Marketing Date:
    06-30-2014
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    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.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    21130-385-041 BOTTLE, PLASTIC in 1 BOX / 118 mL in 1 BOTTLE, PLASTIC

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 21130-385-08?

    The NDC Packaged Code 21130-385-08 is assigned to a package of 1 bottle, plastic in 1 box / 237 ml in 1 bottle, plastic of Adult Cough And Chest Congestion Relief Dm Non Drowsy, a human over the counter drug labeled by Safeway, Inc.. The product's dosage form is liquid and is administered via oral form.

    Is NDC 21130-385 included in the NDC Directory?

    Yes, Adult Cough And Chest Congestion Relief Dm Non Drowsy with product code 21130-385 is active and included in the NDC Directory. The product was first marketed by Safeway, Inc. on June 30, 2014 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 21130-385-08?

    The 11-digit format is 21130038508. 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
    5-3-221130-385-085-4-221130-0385-08