Allergy Relief Multisymptom
NDC Package 52904-457-02

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Allergy Relief Multisymptom is uses: Temporarily: • relieves nasal congestion associated with sinusitis• relieves nasal congestion due to the common cold, hay fever or otherupper respiratory allergies • relieves sinus congestion and pressure,helps decongest sinus openings and passages • restores free breathing• helps loosen phlegm (mucus) and thin bronchial secretions to rid thebronchial passages of bothersome mucus, drain bronchial tubes, andmake coughs more productive • Temporarily relieves minor aches, pains,and fever associated with: • headache • common cold • toothache• backache • muscular aches • menstrual cramps. Marketed by Select Corporation, this product is identified by NDC 52904-457 and is authorized under FDA application part341.

Identification & Billing

NDC Package Code
52904-457-02
Package Description
2 TABLET, COATED in 1 PACKET
Product Code
52904-457
11-Digit Billing Format
52904045702
RxNorm Crosswalk
  • RxCUI: 1046781 - acetaminophen 325 MG / chlorpheniramine maleate 2 MG / phenylephrine HCl 5 MG Oral Tablet
  • RxCUI: 1046781 - acetaminophen 325 MG / chlorpheniramine maleate 2 MG / phenylephrine hydrochloride 5 MG Oral Tablet
  • RxCUI: 1046781 - APAP 325 MG / chlorpheniramine maleate 2 MG / phenylephrine hydrochloride 5 MG Oral Tablet

Clinical Specifications

Proprietary Name
Allergy Relief Multisymptom
Dosage Form
-
Usage Information
Uses: Temporarily: • relieves nasal congestion associated with sinusitis• relieves nasal congestion due to the common cold, hay fever or otherupper respiratory allergies • relieves sinus congestion and pressure,helps decongest sinus openings and passages • restores free breathing• helps loosen phlegm (mucus) and thin bronchial secretions to rid thebronchial passages of bothersome mucus, drain bronchial tubes, andmake coughs more productive • Temporarily relieves minor aches, pains,and fever associated with: • headache • common cold • toothache• backache • muscular aches • menstrual cramps

Regulatory & Marketing

Labeler Name
Select Corporation
FDA Application #
part341
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
10-15-2012
Listing Expiration
12-31-2018
Exclude Flag
I
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 52904-457-02 identifies a specific commercial package of 2 tablet, coated in 1 packet of Allergy Relief Multisymptom, labeled by Select Corporation. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Select Corporation on October 15, 2012. The current certification is valid through December 31, 2018.

How is this Select Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 52904045702. 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)
52904-457-02
11-Digit CMS (5-4-2)
52904-0457-02

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