NDC Package 21130-937-91 Signature Care Daytime Severe Cold

Acetaminophen,Dextromethorphan Hydrobromide,Phenylephrine Hydrochloride Powder, For - View Billable Units, 11-Digit Format, RxNorm

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:
21130-937-91
Package Description:
6 POWDER, FOR SOLUTION in 1 CARTON
Product Code:
Proprietary Name:
Signature Care Daytime Severe Cold
Non-Proprietary Name:
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
Substance Name:
Acetaminophen; Dextromethorphan Hydrobromide; Phenylephrine Hydrochloride
Usage Information:
•do not use more than directed (see overdose warning)•take every 4 hours, while symptoms persist. Do not take more than 6 packets in 24 hours unless directed by a doctor.AgeDoseadults and children 12 years of age and overone packetchildren under 12 years of agedo not use•dissolve contents of one packet into 8 oz. hot water: sip while hot. Consume entire drink within 10-15 minutes.•if using a microwave, add contents of one packet to 8 oz. of cool water: stir briskly before and after heating. Do not overheat.
11-Digit NDC Billing Format:
21130093791
NDC to RxNorm Crosswalk:
  • RxCUI: 1189316 - acetaminophen 500 MG / dextromethorphan HBr 20 MG / phenylephrine HCl 10 MG Granules for Oral Solution
  • RxCUI: 1189316 - acetaminophen 500 MG / dextromethorphan hydrobromide 20 MG / phenylephrine hydrochloride 10 MG Granules for Oral Solution
  • RxCUI: 1189316 - acetaminophen 500 MG / dextromethorphan HBr 20 MG / phenylephrine HCl 10 MG Packet for Oral Solution
  • RxCUI: 1189316 - acetaminophen 500 MG / dextromethorphan hydrobromide 20 MG / phenylephrine hydrochloride 10 MG Powder for Oral Solution
  • RxCUI: 1189316 - APAP 500 MG / Dextromethorphan Hydrobromide 20 MG / Phenylephrine Hydrochloride 10 MG Granules for Oral Solution
  • Product Type:
    Human Otc Drug
    Labeler Name:
    Safeway
    Dosage Form:
    Powder, For Solution - An intimate mixture of dry, finely divided drugs and/or chemicals, which, upon the addition of suitable vehicles, yields a solution.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
  • 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:
    05-17-2019
    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.

    Frequently Asked Questions

    What is NDC 21130-937-91?

    The NDC Packaged Code 21130-937-91 is assigned to a package of 6 powder, for solution in 1 carton of Signature Care Daytime Severe Cold, a human over the counter drug labeled by Safeway. The product's dosage form is powder, for solution and is administered via oral form.

    Is NDC 21130-937 included in the NDC Directory?

    Yes, Signature Care Daytime Severe Cold with product code 21130-937 is active and included in the NDC Directory. The product was first marketed by Safeway on May 17, 2019 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 21130-937-91?

    The 11-digit format is 21130093791. 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
    5-3-221130-937-915-4-221130-0937-91