Daytime Nighttime Childrens Multi-symptom Cold Kit
NDC Package 49035-938-04

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

Package Information

Daytime Nighttime Childrens Multi-symptom Cold (dextromethorphan hbr, guaifenesin, phenylephrine hcl, acetaminophen, diphenhydramine hcl, phenylephrine hcl) kits is dAYTIMEdo 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 doctor Age Dose   children 6 years to under 12 years  10 mL every 4 hours children 4 years to under 6 years  5 mL every 4 hours children under 4 years do not use mL = milliliterNIGHTTIMEthis product does not contain directions or complete warnings for adult usedo not give more than directed (see Overdose warning)shake well before usedo not give more than 5 doses in any 24-hour periodif needed, repeat dose every 4 hours while symptoms lastdo not give more than 5 days unless directed by a doctormeasure only with dosing cup provideddo not use dosing cup with other productsdose as follows or as directed by a doctormL = milliliterchildren 6 to under 12 years of age: 10 mL in dosing cup provided.children under 6 years of age: do not use. This formulation utilizes a kit delivery system. Marketed by Wal-mart Stores, Inc., this product is identified by NDC 49035-938 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
49035-938-04
Package Description
1 KIT in 1 KIT * 1 BOTTLE in 1 CARTON / 118 mL in 1 BOTTLE * 1 BOTTLE in 1 CARTON / 118 mL in 1 BOTTLE
Product Code
11-Digit Billing Format
49035093804
RxNorm Crosswalk
  • RxCUI: 1043543 - dextromethorphan HBr 5 MG / guaiFENesin 100 MG / phenylephrine HCl 2.5 MG in 5 mL Oral Solution
  • RxCUI: 1043543 - dextromethorphan hydrobromide 1 MG/ML / guaifenesin 20 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Solution
  • RxCUI: 1043543 - dextromethorphan HBr 20 MG / guaifenesin 400 MG / phenylephrine HCl 10 MG per 20 ML Oral Solution
  • RxCUI: 1043543 - dextromethorphan HBr 5 MG / guaifenesin 100 MG / phenylephrine HCl 2.5 MG per 5 ML Oral Solution
  • RxCUI: 1375932 - acetaminophen 650 MG / diphenhydrAMINE HCl 25 MG / phenylephrine HCl 10 MG in 20 mL Oral Solution

Clinical Specifications

Proprietary Name
Daytime Nighttime Childrens Multi-symptom Cold
Non-Proprietary Name
Dextromethorphan Hbr, Guaifenesin, Phenylephrine Hcl, Acetaminophen, Diphenhydramine Hcl, Phenylephrine Hcl
Dosage Form
Kit - A packaged collection of related material.
Usage Information
DAYTIMEdo 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 doctor Age Dose   children 6 years to under 12 years  10 mL every 4 hours children 4 years to under 6 years  5 mL every 4 hours children under 4 years do not use mL = milliliterNIGHTTIMEthis product does not contain directions or complete warnings for adult usedo not give more than directed (see Overdose warning)shake well before usedo not give more than 5 doses in any 24-hour periodif needed, repeat dose every 4 hours while symptoms lastdo not give more than 5 days unless directed by a doctormeasure only with dosing cup provideddo not use dosing cup with other productsdose as follows or as directed by a doctormL = milliliterchildren 6 to under 12 years of age: 10 mL in dosing cup provided.children under 6 years of age: do not use.

Regulatory & Marketing

Labeler Name
Wal-mart Stores, Inc.
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
11-26-2024
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 49035-938-04 identifies a specific commercial package of 1 kit in 1 kit * 1 bottle in 1 carton / 118 ml in 1 bottle * 1 bottle in 1 carton / 118 ml in 1 bottle of Daytime Nighttime Childrens Multi-symptom Cold, a human over the counter drug labeled by Wal-mart Stores, 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 Wal-mart Stores, Inc. on November 26, 2024. The current certification is valid through December 31, 2026.

How is this Wal-mart Stores, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 49035093804. 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)
49035-938-04
11-Digit CMS (5-4-2)
49035-0938-04

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