Maximum Strength Mucus Relief Liquid
NDC Package 42507-630-58

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

Package Information

Maximum Strength Mucus Relief (dextromethorphan hbr, guaifenesin) liquids is do not take more than 6 doses in any 24-hour periodmeasure only with dosing cup provideddo not use dosing cup with other productsdose as follows or as directed by a doctorAdults & children 12 years & older: 20 mL every 4 hoursChildren under 12 years of age: Do not use. This formulation utilizes a liquid delivery system. Marketed by Hyvee Inc, this product is identified by NDC 42507-630 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
42507-630-58
Package Description
177 mL in 1 BOTTLE
Product Code
42507-630
11-Digit Billing Format
42507063058
RxNorm Crosswalk
  • RxCUI: 1020138 - dextromethorphan HBr 20 MG / guaiFENesin 400 MG in 20 mL Oral Solution
  • RxCUI: 1020138 - dextromethorphan hydrobromide 1 MG/ML / guaifenesin 20 MG/ML Oral Solution
  • RxCUI: 1020138 - dextromethorphan HBr 20 MG / guaifenesin 400 MG per 20 ML Oral Solution
  • RxCUI: 1020138 - dextromethorphan HBr 5 MG / guaifenesin 100 MG per 5 ML Oral Solution

Clinical Specifications

Proprietary Name
Maximum Strength Mucus Relief
Non-Proprietary Name
Dextromethorphan Hbr, Guaifenesin
Substance Name
Dextromethorphan Hydrobromide; Guaifenesin
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
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Do not take more than 6 doses in any 24-hour periodmeasure only with dosing cup provideddo not use dosing cup with other productsdose as follows or as directed by a doctorAdults & children 12 years & older: 20 mL every 4 hoursChildren under 12 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
03-23-2026
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 42507-630-58 identifies a specific commercial package of 177 ml in 1 bottle of Maximum Strength Mucus Relief, a human over the counter drug labeled by Hyvee Inc. This liquid is formulated for oral use and contains dextromethorphan hydrobromide; guaifenesin 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 March 23, 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: 42507063058. 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)
42507-630-58
11-Digit CMS (5-4-2)
42507-0630-58

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