Guaifenesin Dm Tablet
NDC Package 43063-801-60

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Guaifenesin Dm (guaifenesin and dextromethorphan hydrobromide) tablets is temporarily relieves cough due to minor throat and bronchial irritation as may occur with the common coldHelps loosen phlegm (mucus) and thin bronchial secretions to rid the bronchial passageways of bothersome mucusHelps make coughs more productive.These highlights do not include all the information needed to use Guaifenesin DM, See full prescribing information for Guaifenesin DM Initial U.S. This formulation utilizes a tablet delivery system. Marketed by Pd-rx Pharmaceuticals, Inc., this product is identified by NDC 43063-801 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
43063-801-60
Package Description
60 TABLET in 1 BOTTLE, PLASTIC
Product Code
11-Digit Billing Format
43063080160
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
60 EA
RxNorm Crosswalk
  • RxCUI: 1147685 - dextromethorphan HBr 20 MG / guaiFENesin 400 MG Oral Tablet
  • RxCUI: 1147685 - dextromethorphan hydrobromide 20 MG / guaifenesin 400 MG Oral Tablet
  • RxCUI: 1147685 - guaifenesin 400 MG / dextromethorphan HBr 20 MG Oral Tablet

Clinical Specifications

Proprietary Name
Guaifenesin Dm
Non-Proprietary Name
Guaifenesin And Dextromethorphan Hydrobromide
Substance Name
Dextromethorphan Hydrobromide; Guaifenesin
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.
Usage Information
Temporarily relieves cough due to minor throat and bronchial irritation as may occur with the common coldHelps loosen phlegm (mucus) and thin bronchial secretions to rid the bronchial passageways of bothersome mucusHelps make coughs more productive.These highlights do not include all the information needed to use Guaifenesin DM, See full prescribing information for Guaifenesin DM Initial U.S. Approval 04/29/2004

Regulatory & Marketing

Labeler Name
Pd-rx Pharmaceuticals, Inc.
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
04-02-2018
End Marketing Date
11-30-2027
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (43063-801). Click a package code to view its specific billing and regulatory data.

30 TABLET in 1 BOTTLE, PLASTIC
90 TABLET in 1 BOTTLE, PLASTIC

* 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 43063-801-60 identifies a specific commercial package of 60 tablet in 1 bottle, plastic of Guaifenesin Dm, a human over the counter drug labeled by Pd-rx Pharmaceuticals, Inc.. This product is billed for "EA" each discreet unit and contains an estimated amount of 60 billable units per package. This tablet 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 Pd-rx Pharmaceuticals, Inc. on April 02, 2018.

How is this Pd-rx Pharmaceuticals, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 43063080160. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 60 total billable units per package. 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)
43063-801-60
11-Digit CMS (5-4-2)
43063-0801-60

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