Combination Pack Hyvee Daytime And Nighttime Severe Cold And Flu Softgel - 24ct Kit
NDC Package 42507-106-42

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

Package Information

Combination Pack Hyvee Daytime And Nighttime Severe Cold And Flu Softgel - 24ct (acetaminophen, dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride, doxylamine succinate) kits is • take only as directed• do not exceed 8 softgels per 24 hrsadults & children 12 years of age & over2 softgels with water every 4 hrschildren 4 to under 12 years of ageask a doctorchildren under 4 years of agedo not use • take only as directed• do not exceed 8 softgels per 24 hrsadults & children 12 years of age & over 2 softgels with water every 4 hrs children 4 to under 12 years of age ask a doctor children under 4 years of age do not use . This formulation utilizes a kit delivery system. Marketed by Hyvee Inc, this product is identified by NDC 42507-106 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
42507-106-42
Package Description
1 KIT in 1 CARTON * 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK * 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
Product Code
42507-106
11-Digit Billing Format
42507010642

Clinical Specifications

Proprietary Name
Combination Pack Hyvee Daytime And Nighttime Severe Cold And Flu Softgel - 24ct
Non-Proprietary Name
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride, Doxylamine Succinate
Dosage Form
Kit - A packaged collection of related material.
Usage Information
• take only as directed• do not exceed 8 softgels per 24 hrsadults & children 12 years of age & over2 softgels with water every 4 hrschildren 4 to under 12 years of ageask a doctorchildren under 4 years of agedo not use • take only as directed• do not exceed 8 softgels per 24 hrsadults & children 12 years of age & over 2 softgels with water every 4 hrs children 4 to under 12 years of age ask a doctor children under 4 years of age do not use 

Regulatory & Marketing

Labeler Name
Hyvee Inc
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-20-2026
Listing Expiration
12-31-2027
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 42507-106-42 identifies a specific commercial package of 1 kit in 1 carton * 12 capsule, liquid filled in 1 blister pack * 12 capsule, liquid filled in 1 blister pack of Combination Pack Hyvee Daytime And Nighttime Severe Cold And Flu Softgel - 24ct, a human over the counter drug labeled by Hyvee Inc. This kit is formulated for use and contains 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 Hyvee Inc on August 20, 2026. The current certification is valid through December 31, 2027.

How is this Hyvee Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 42507010642. 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)
42507-106-42
11-Digit CMS (5-4-2)
42507-0106-42

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