Childrens Multi Symptom Fever And Cold Suspension
NDC Package 30142-988-04

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

Package Information

Childrens Multi Symptom Fever And Cold (acetaminophen, chlorpheniramine maleate, dextromethorphan hbr, phenylephrine hcl) suspension is •this product does not contain directions or complete warnings for adult use•do not give more than directed •shake well before use•may be given every 4 hours, while symptoms persist. This formulation utilizes a suspension delivery system. Marketed by The Kroger Co., this product is identified by NDC 30142-988 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
30142-988-04
Package Description
1 BOTTLE in 1 CARTON / 118 mL in 1 BOTTLE
Product Code
30142-988
11-Digit Billing Format
30142098804
RxNorm Crosswalk
  • RxCUI: 1113397 - acetaminophen 160 MG / chlorpheniramine maleate 1 MG / dextromethorphan HBr 5 MG / phenylephrine HCl 2.5 MG in 5 mL Oral Suspension
  • RxCUI: 1113397 - acetaminophen 32 MG/ML / chlorpheniramine maleate 0.2 MG/ML / dextromethorphan hydrobromide 1 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Suspension
  • RxCUI: 1113397 - acetaminophen 160 MG / chlorpheniramine maleate 1 MG / dextromethorphan HBr 5 MG / phenylephrine HCl 2.5 MG per 5 ML Oral Suspension
  • RxCUI: 1113397 - APAP 32 MG/ML / Chlorpheniramine Maleate 0.2 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML / Phenylephrine Hydrochloride 0.5 MG/ML Oral Suspension

Clinical Specifications

Proprietary Name
Childrens Multi Symptom Fever And Cold
Non-Proprietary Name
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr, Phenylephrine Hcl
Substance Name
Acetaminophen; Chlorpheniramine Maleate; Dextromethorphan Hydrobromide; Phenylephrine Hydrochloride
Dosage Form
Suspension - A liquid1 dosage form that contains solid particles dispersed in a liquid vehicle.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
•this product does not contain directions or complete warnings for adult use•do not give more than directed •shake well before use•may be given every 4 hours, while symptoms persist. Do not give more than 5 doses in 24 hours unless directed by a doctor. •use enclosed dosing cup only. Keep for use with this product. Do not use any other dosing device.•mL = milliliterAge Dosechildren under 4 years do not usechildren 4 to under 6 years of agedo not use unless directed by a doctorchildren 6 to under 12 years of age10 mL

Regulatory & Marketing

Labeler Name
The Kroger Co.
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
09-03-2020
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 30142-988-04 identifies a specific commercial package of 1 bottle in 1 carton / 118 ml in 1 bottle of Childrens Multi Symptom Fever And Cold, a human over the counter drug labeled by The Kroger Co.. This suspension is formulated for oral use and contains acetaminophen; chlorpheniramine maleate; dextromethorphan hydrobromide; 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 The Kroger Co. on September 03, 2020. The current certification is valid through December 31, 2026.

How is this The Kroger Co. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 30142098804. 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)
30142-988-04
11-Digit CMS (5-4-2)
30142-0988-04

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