Actifed Tablet
NDC Package 27854-119-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Actifed (phenylephrine hydrochloride) tablets is • do not use more than directedAdults & Children: (12 years & older) Take 2 tablets every 4-6 hours. Do not take more than 12 tablets in 24 hours.Children under 12 years: Ask a doctor. This formulation utilizes a tablet delivery system. Marketed by Belmora Llc, this product is identified by NDC 27854-119 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
27854-119-01
Package Description
50 POUCH in 1 BOX / 1 TABLET in 1 POUCH
Product Code
27854-119
11-Digit Billing Format
27854011901
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Actifed
Non-Proprietary Name
Phenylephrine Hydrochloride
Substance Name
Phenylephrine Hydrochloride
Dosage Form
Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
PHENYLEPHRINE HYDROCHLORIDE 5 mg/1
Pharmacologic Class
Usage Information
• do not use more than directedAdults & Children: (12 years & older) Take 2 tablets every 4-6 hours. Do not take more than 12 tablets in 24 hours.Children under 12 years: Ask a doctor

Regulatory & Marketing

Labeler Name
Belmora Llc
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-01-2023
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

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 full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 27854-119-01 identifies a specific commercial package of 50 pouch in 1 box / 1 tablet in 1 pouch of Actifed, a human over the counter drug labeled by Belmora Llc. This tablet is formulated for oral use and contains phenylephrine hydrochloride as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Belmora Llc on August 01, 2023. The current certification is valid through December 31, 2026.

How is this Belmora Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 27854011901. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
27854-119-01
11-Digit CMS (5-4-2)
27854-0119-01

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.