Day-time Cold/flu Relief Liquid
NDC Package 53943-506-28

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

Package Information

Day-time Cold/flu Relief (acetaminophen, dextromethorphan hydrobromide, phenylephrine hcl) liquids is take only as recommended (see overdose warning)use dosage cup or tablespoon (TBSP)do not exceed 4 doses per 24 hours age dose adults and children 12 years and over 30 mL (2 TBSP) every 4 hours children 6 years to under 12 years 15 mL (1 TBSP) every 4 hours children 4 years to under 6 years ask a doctor children under 4 years do not use* When using Day Time and Night Time products, carefully read each label to ensure correct dosing. This formulation utilizes a liquid delivery system. Marketed by Discount Drug Mart, this product is identified by NDC 53943-506 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
53943-506-28
Package Description
354 mL in 1 BOTTLE
Product Code
53943-506
11-Digit Billing Format
53943050628
RxNorm Crosswalk
  • RxCUI: 1113705 - acetaminophen 325 MG / dextromethorphan HBr 10 MG / phenylephrine HCl 5 MG in 15 mL Oral Solution
  • RxCUI: 1113705 - acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML / phenylephrine hydrochloride 0.333 MG/ML Oral Solution
  • RxCUI: 1113705 - acetaminophen 325 MG / dextromethorphan HBr 10 MG / phenylephrine HCl 5 MG per 15 ML Oral Solution
  • RxCUI: 1113705 - acetaminophen 650 MG / dextromethorphan HBr 20 MG / phenylephrine HCl 10 MG per 30 ML Oral Solution
  • RxCUI: 1113705 - APAP 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML / phenylephrine hydrochloride 0.333 MG/ML Oral Solution

Clinical Specifications

Proprietary Name
Day-time Cold/flu Relief
Non-Proprietary Name
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hcl
Substance Name
Acetaminophen; Dextromethorphan Hydrobromide; Phenylephrine Hydrochloride
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
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Take only as recommended (see overdose warning)use dosage cup or tablespoon (TBSP)do not exceed 4 doses per 24 hours age dose adults and children 12 years and over 30 mL (2 TBSP) every 4 hours children 6 years to under 12 years 15 mL (1 TBSP) every 4 hours children 4 years to under 6 years ask a doctor children under 4 years do not use* When using Day Time and Night Time products, carefully read each label to ensure correct dosing.

Regulatory & Marketing

Labeler Name
Discount Drug Mart
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
10-25-2014
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 53943-506-28 identifies a specific commercial package of 354 ml in 1 bottle of Day-time Cold/flu Relief, a human over the counter drug labeled by Discount Drug Mart. This liquid is formulated for oral use and contains acetaminophen; dextromethorphan hydrobromide; 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 Discount Drug Mart on October 25, 2014. The current certification is valid through December 31, 2026.

How is this Discount Drug Mart product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 53943050628. 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)
53943-506-28
11-Digit CMS (5-4-2)
53943-0506-28

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