Triponel Liquid
NDC Package 54859-508-16

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Triponel (dextromethorphan hbr, phenylephrine hcl, triprolidine hcl) liquids is Useshelps to control the reflex that causes coughingtemporarily relieves nasal congestion due to common cold, hay fever, or other upper respiratory allergies (allergic, rhinitis)temporarily relieves these symptomes due to hay fever or ther upper respiratory allergiesrunny noseitchy, watery eyessneexingitching of the nose or throat. This formulation utilizes a liquid delivery system. Marketed by Llorens Pharmaceuticals International Division, this product is identified by NDC 54859-508 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
54859-508-16
Package Description
474 mL in 1 BOTTLE
Product Code
11-Digit Billing Format
54859050816
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
474 ML
RxNorm Crosswalk
  • RxCUI: 2268058 - dextromethorphan HBr 15 MG / phenylephrine HCl 5 MG / triprolidine HCl 1.25 MG in 5 mL Oral Solution
  • RxCUI: 2268058 - dextromethorphan hydrobromide 3 MG/ML / phenylephrine hydrochloride 1 MG/ML / triprolidine hydrochloride 0.25 MG/ML Oral Solution
  • RxCUI: 2268058 - dextromethorphan hydrobromide 15 MG / phenylephrine hydrochloride 5 MG / triprolidine hydrochloride 1.25 MG per 5 ML Oral Solution

Clinical Specifications

Proprietary Name
Triponel
Non-Proprietary Name
Dextromethorphan Hbr, Phenylephrine Hcl, Triprolidine Hcl
Substance Name
Dextromethorphan Hydrobromide; Phenylephrine Hydrochloride; Triprolidine 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.
Usage Information
Useshelps to control the reflex that causes coughingtemporarily relieves nasal congestion due to common cold, hay fever, or other upper respiratory allergies (allergic, rhinitis)temporarily relieves these symptomes due to hay fever or ther upper respiratory allergiesrunny noseitchy, watery eyessneexingitching of the nose or throat

Regulatory & Marketing

Labeler Name
Llorens Pharmaceuticals International Division
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-01-2019
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 54859-508-16 identifies a specific commercial package of 474 ml in 1 bottle of Triponel, a human over the counter drug labeled by Llorens Pharmaceuticals International Division. This product is billed per "ML" milliliter and contains an estimated amount of 474 billable units per package. This liquid is formulated for oral use and contains dextromethorphan hydrobromide; phenylephrine hydrochloride; triprolidine 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 Llorens Pharmaceuticals International Division on August 01, 2019. The current certification is valid through December 31, 2026.

How is this Llorens Pharmaceuticals International Division product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 54859050816. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 474 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)
54859-508-16
11-Digit CMS (5-4-2)
54859-0508-16

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