Tusicof Syrup
NDC Package 52083-239-04

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

Package Information

Tusicof (dextromethorphan, guaifenesin, and phenylephrine) syrups is do not take more than 6 doses in any 24-hour periodEVERY 4 HOURSAdults and Children 12 years and older: 5 mL (1 tsp)Children under 12 years of age: consult physician. This formulation utilizes a syrup delivery system. Marketed by Kramer Novis, this product is identified by NDC 52083-239 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
52083-239-04
Package Description
120 mL in 1 BOTTLE
Product Code
52083-239
11-Digit Billing Format
52083023904
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
120 ML
RxNorm Crosswalk
  • RxCUI: 1091331 - dextromethorphan HBr 20 MG / guaiFENesin 400 MG / phenylephrine HCl 10 MG in 5 mL Oral Solution
  • RxCUI: 1091331 - dextromethorphan hydrobromide 4 MG/ML / guaifenesin 80 MG/ML / phenylephrine hydrochloride 2 MG/ML Oral Solution
  • RxCUI: 1091331 - dextromethorphan hydrobromide 20 MG / guaifenesin 400 MG / phenylephrine hydrochloride 10 MG per 5 ML Oral Solution

Clinical Specifications

Proprietary Name
Tusicof
Non-Proprietary Name
Dextromethorphan, Guaifenesin, And Phenylephrine
Substance Name
Dextromethorphan Hydrobromide; Guaifenesin; Phenylephrine Hydrochloride
Dosage Form
Syrup - An oral solution containing high concentrations of sucrose or other sugars; the term has also been used to include any other liquid dosage form prepared in a sweet and viscid vehicle, including oral suspensions.
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 periodEVERY 4 HOURSAdults and Children 12 years and older: 5 mL (1 tsp)Children under 12 years of age: consult physician

Regulatory & Marketing

Labeler Name
Kramer Novis
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-17-2010
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (52083-239). Click a package code to view its specific billing and regulatory data.

52083-239-01
30 mL in 1 BOTTLE
52083-239-16
474 mL in 1 BOTTLE

* 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 52083-239-04 identifies a specific commercial package of 120 ml in 1 bottle of Tusicof, a human over the counter drug labeled by Kramer Novis. This product is billed per "ML" milliliter and contains an estimated amount of 120 billable units per package. This syrup is formulated for oral use and contains dextromethorphan hydrobromide; guaifenesin; phenylephrine hydrochloride 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 Kramer Novis on August 17, 2010. The current certification is valid through December 31, 2026.

How is this Kramer Novis product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 52083023904. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 120 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)
52083-239-04
11-Digit CMS (5-4-2)
52083-0239-04

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