NDC Package 52904-787-04 Advil Allergy Congestion Relief

View Billable Units, 11-Digit Format, RxNorm

Package Information
Other Packages
Frequently Asked Questions

Package Information

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

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:

52904-787-04

Package Description:

2 POUCH in 1 BLISTER PACK / 1 TABLET, COATED in 1 POUCH

Product Code:

52904-787

Proprietary Name:

Advil Allergy Congestion Relief

Usage Information:

Do not take more than directedadults and children 12 years of age and over:take 1 tablet every 4 hours while symptoms persistdo not take more than 6 tablets in any 24-hour period, unless directed by a doctorchildren under 12 years of age: do not use because this product contains too much medication for children under this age

11-Digit NDC Billing Format:

52904078704

NDC to RxNorm Crosswalk:

RxCUI: 1310503 - chlorpheniramine maleate 4 MG / ibuprofen 200 MG / phenylephrine HCl 10 MG Oral Tablet
RxCUI: 1310503 - chlorpheniramine maleate 4 MG / ibuprofen 200 MG / phenylephrine hydrochloride 10 MG Oral Tablet

Labeler Name:

Select Corporation

Sample Package:

FDA Application Number:

part343

Marketing Category:

OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.

Start Marketing Date:

07-23-2012

Listing Expiration Date:

12-31-2023

Exclude Flag:

Code Structure:

52904 - Select Corporation
- 52904-787 - Advil Allergy Congestion Relief
  - 52904-787-04 - 2 POUCH in 1 BLISTER PACK / 1 TABLET, COATED in 1 POUCH

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 Code	Package Description
52904-787-03	1 POUCH in 1 BLISTER PACK / 2 TABLET, COATED in 1 POUCH
52904-787-25	25 POUCH in 1 CARTON / 1 TABLET, COATED in 1 POUCH
52904-787-50	50 POUCH in 1 CARTON / 1 TABLET, COATED in 1 POUCH

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 52904-787-04?

The NDC Packaged Code 52904-787-04 is assigned to a package of 2 pouch in 1 blister pack / 1 tablet, coated in 1 pouch of Advil Allergy Congestion Relief, labeled by Select Corporation. The product's dosage form is and is administered via form.

Is NDC 52904-787 included in the NDC Directory?

No, Advil Allergy Congestion Relief with product code 52904-787 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Select Corporation on July 23, 2012 and its listing in the NDC Directory is set to expire on December 31, 2023 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 52904-787-04?

The 11-digit format is 52904078704. 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 Format	10-Digit Original Code	11-Digit Format	11-Digit Code
5-3-2	52904-787-04	5-4-2	52904-0787-04

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