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  5. NDC Package Code: 50991-723-15 Poly-tussin Ac

NDC Package 50991-723-15 Poly-tussin Ac

Brompheniramine Maleate,Codeine Phosphate,Phenylephrine Hydrochloride Liquid Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
50991-723-15
Package Description:
12 BOTTLE, PLASTIC in 1 TRAY / 15 mL in 1 BOTTLE, PLASTIC
Product Code:
50991-723
Proprietary Name:
Poly-tussin Ac
Non-Proprietary Name:
Brompheniramine Maleate, Codeine Phosphate, Phenylephrine Hydrochloride
Substance Name:
Brompheniramine Maleate; Codeine Phosphate; Phenylephrine Hydrochloride
Usage Information:
Do not exceed recommended dosage. Adults and children over 12 years of age: 1 teaspoonful (5 mL) every 4 to 6 hours, not to exceed 6 teaspoonfuls in a 24 hour period. Children 6 to under 12 years of age:  1/2 teaspoonful (2.5 mL) every 4 to 6 hours, not to exceed 3 teaspoonfuls in a 24 hour period. Children under 6 years of age:  Not recommended for use.
11-Digit NDC Billing Format:
50991072315
NDC to RxNorm Crosswalk:
  • RxCUI: 1541630 - codeine phosphate 10 MG / brompheniramine maleate 4 MG / phenylephrine HCl 10 MG in 5 mL Oral Solution
  • RxCUI: 1541630 - brompheniramine maleate 0.8 MG/ML / codeine phosphate 2 MG/ML / phenylephrine hydrochloride 2 MG/ML Oral Solution
  • RxCUI: 1541630 - brompheniramine maleate 4 MG / codeine phosphate 10 MG / phenylephrine hydrochloride 10 MG per 5 ML Oral Solution
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Poly Pharmaceuticals, Inc.
    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(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • BROMPHENIRAMINE MALEATE 4 mg/5mL
  • CODEINE PHOSPHATE 10 mg/5mL
  • PHENYLEPHRINE HYDROCHLORIDE 10 mg/5mL
    • Pharmacologic Class(es):
  • Adrenergic alpha1-Agonists - [MoA] (Mechanism of Action)
  • Full Opioid Agonists - [MoA] (Mechanism of Action)
  • Opioid Agonist - [EPC] (Established Pharmacologic Class)
  • alpha-1 Adrenergic Agonist - [EPC] (Established Pharmacologic Class)
    • DEA Schedule:
    Schedule V (CV) Substances
    Sample Package:
    No
    Marketing Category:
    UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
    Start Marketing Date:
    06-02-2014
    Listing Expiration Date:
    12-31-2025
    Exclude Flag:
    N
    Code Structure:

    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 disclaimer below.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    50991-723-16473 mL in 1 BOTTLE

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 50991-723-15?

    The NDC Packaged Code 50991-723-15 is assigned to a package of 12 bottle, plastic in 1 tray / 15 ml in 1 bottle, plastic of Poly-tussin Ac, a human over the counter drug labeled by Poly Pharmaceuticals, Inc.. The product's dosage form is liquid and is administered via oral form.

    Is NDC 50991-723 included in the NDC Directory?

    Yes, Poly-tussin Ac with product code 50991-723 is active and included in the NDC Directory. The product was first marketed by Poly Pharmaceuticals, Inc. on June 02, 2014 and its listing in the NDC Directory is set to expire on December 31, 2025 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 50991-723-15?

    The 11-digit format is 50991072315. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-250991-723-155-4-250991-0723-15