Theraflu Daytime Severe Cold And Cough
NDC Package 52904-896-20

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

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

Theraflu Daytime Severe Cold And Cough is do not use more than directedtake every 4 hours, while symptoms persist. Marketed by Select Corporation, this product is identified by NDC 52904-896 and is authorized under FDA application part341.

Identification & Billing

NDC Package Code
52904-896-20
Package Description
20 PACKET in 1 CARTON / 1 POWDER, FOR SOLUTION in 1 PACKET
Product Code
52904-896
11-Digit Billing Format
52904089620
RxNorm Crosswalk
  • RxCUI: 1659967 - acetaminophen 650 MG / dextromethorphan HBr 20 MG / phenylephrine HCl 10 MG Granules for Oral Solution
  • RxCUI: 1659967 - acetaminophen 650 MG / dextromethorphan hydrobromide 20 MG / phenylephrine hydrochloride 10 MG Granules for Oral Solution
  • RxCUI: 1659967 - acetaminophen 650 MG / dextromethorphan HBr 20 MG / phenylephrine HCl 10 MG Powder for Oral Solution
  • RxCUI: 1659967 - APAP 650 MG / Dextromethorphan Hydrobromide 20 MG / Phenylephrine Hydrochloride 10 MG Granules for Oral Solution

Clinical Specifications

Proprietary Name
Theraflu Daytime Severe Cold And Cough
Dosage Form
-
Usage Information
Do not use more than directedtake every 4 hours, while symptoms persist. Do not take more than 5 packets in 24 hours unless directed by a doctor.AgeDoseadults and children 12 years of age and overone packetchildren under 12 years of agedo not usedissolve contents of one packet into 8 oz. hot water; sip while hot. Consume entire drink within 10-15 minutes.if using a microwave, add contents of one packet to 8 oz. of cool water; stir briskly before and after heating. Do not overheat.

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
04-30-2018
Listing Expiration
12-31-2023
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (52904-896). Click a package code to view its specific billing and regulatory data.

52904-896-03
1 PACKET in 1 BLISTER PACK / 1 POWDER, FOR SOLUTION in 1 PACKET

* 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 52904-896-20 identifies a specific commercial package of 20 packet in 1 carton / 1 powder, for solution in 1 packet of Theraflu Daytime Severe Cold And Cough, 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 April 30, 2018. The current certification is valid through December 31, 2023.

How is this Select Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 52904089620. 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)
52904-896-20
11-Digit CMS (5-4-2)
52904-0896-20

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