NDC Package 21130-866-08 Day Time Cold And Flu Relief Non Drowsy

Acetaminophen,Dextromethorphan Hydrobromide,Phenylephrine Hydrochloride Liquid Oral - View Billable Units, 11-Digit Format, RxNorm

Package Information
Other Packages
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:

21130-866-08

Package Description:

237 mL in 1 BOTTLE, PLASTIC

Product Code:

21130-866

Proprietary Name:

Day Time Cold And Flu Relief Non Drowsy

Non-Proprietary Name:

Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride

Substance Name:

Acetaminophen; Dextromethorphan Hydrobromide; Phenylephrine Hydrochloride

Usage Information:

Do not take more than directed ((see Overdose warning) do not take more than 4 doses in any 24-hours period measure only with dosing cup provided. Do not use any other dosing device keep dosing cup with product mL = milliliteradults and children 12 years and over 30 mL every 4 hourschildren 6 to under 12 years 15 mL every 4 hourschildren 4 to under 6 years ask a doctorchildren under 4 years do not usewhen using other Daytime or Nighttime products, carefully read each label to ensure correct dosing

11-Digit NDC Billing Format:

21130086608

NDC to RxNorm Crosswalk:

RxCUI: 1113705 - acetaminophen 325 MG / dextromethorphan HBr 10 MG / phenylephrine HCl 5 MG in 15 mL Oral Solution
RxCUI: 1113705 - acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML / phenylephrine hydrochloride 0.333 MG/ML Oral Solution
RxCUI: 1113705 - acetaminophen 325 MG / dextromethorphan HBr 10 MG / phenylephrine HCl 5 MG per 15 ML Oral Solution
RxCUI: 1113705 - acetaminophen 650 MG / dextromethorphan HBr 20 MG / phenylephrine HCl 10 MG per 30 ML Oral Solution
RxCUI: 1113705 - APAP 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML / phenylephrine hydrochloride 0.333 MG/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):

Pharmacologic Class(es):

Sample Package:

FDA Application Number:

M012

Marketing Category:

OTC MONOGRAPH DRUG -

Start Marketing Date:

08-31-2015

Listing Expiration Date:

12-31-2025

Exclude Flag:

Code Structure:

21130 - Safeway, Inc.
- 21130-866 - Day Time Cold And Flu Relief
  - 21130-866-08 - 237 mL in 1 BOTTLE, PLASTIC

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 Code	Package Description
21130-866-12	355 mL in 1 BOTTLE, PLASTIC

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 21130-866-08?

The NDC Packaged Code 21130-866-08 is assigned to a package of 237 ml in 1 bottle, plastic of Day Time Cold And Flu Relief 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 21130-866 included in the NDC Directory?

Yes, Day Time Cold And Flu Relief Non Drowsy with product code 21130-866 is active and included in the NDC Directory. The product was first marketed by Safeway, Inc. on August 31, 2015 and its listing in the NDC Directory is set to expire on December 31, 2025 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 21130-866-08?

The 11-digit format is 21130086608. 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 Format	10-Digit Original Code	11-Digit Format	11-Digit Code
5-3-2	21130-866-08	5-4-2	21130-0866-08

Table of Contents