Daytime Cold/flu Relief Capsule, Liquid Filled
NDC Package 55301-604-03

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

Package Information

Daytime Cold/flu Relief (acetaminophen, dextromethorphan hbr, phenylephrine hcl) capsules is uses temporarily relieves common cold/flusymptoms: ■ nasal congestion ■cough due toto minor throat & bronchial irritation ■ sore throat ■ headache ■ minor aches and pains■ fever. This formulation utilizes a capsule, liquid filled delivery system. Marketed by Army And Air Force Exchange Service, this product is identified by NDC 55301-604 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
55301-604-03
Package Description
2 BLISTER PACK in 1 CARTON / 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
Product Code
55301-604
11-Digit Billing Format
55301060403
RxNorm Crosswalk
  • RxCUI: 1086997 - acetaminophen 325 MG / dextromethorphan HBr 10 MG / phenylephrine HCl 5 MG Oral Capsule
  • RxCUI: 1086997 - acetaminophen 325 MG / dextromethorphan hydrobromide 10 MG / phenylephrine hydrochloride 5 MG Oral Capsule
  • RxCUI: 1086997 - APAP 325 MG / dextromethorphan hydrobromide 10 MG / phenylephrine hydrochloride 5 MG Oral Capsule

Clinical Specifications

Proprietary Name
Daytime Cold/flu Relief
Non-Proprietary Name
Acetaminophen, Dextromethorphan Hbr, Phenylephrine Hcl
Substance Name
Acetaminophen; Dextromethorphan Hydrobromide; Phenylephrine Hydrochloride
Dosage Form
Capsule, Liquid Filled - A solid dosage form in which the drug is enclosed within a soluble, gelatin shell which is plasticized by the addition of a polyol, such as sorbitol or glycerin, and is therefore of a somewhat thicker consistency than that of a hard shell capsule; typically, the active ingredients are dissolved or suspended in a liquid vehicle.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Uses temporarily relieves common cold/flusymptoms: ■ nasal congestion ■cough due toto minor throat & bronchial irritation ■ sore throat ■ headache ■ minor aches and pains■ fever

Regulatory & Marketing

Labeler Name
Army And Air Force Exchange Service
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-01-2025
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 55301-604-03 identifies a specific commercial package of 2 blister pack in 1 carton / 12 capsule, liquid filled in 1 blister pack of Daytime Cold/flu Relief, a human over the counter drug labeled by Army And Air Force Exchange Service. This capsule, liquid filled 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 Army And Air Force Exchange Service on January 01, 2025. The current certification is valid through December 31, 2026.

How is this Army And Air Force Exchange Service product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55301060403. 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)
55301-604-03
11-Digit CMS (5-4-2)
55301-0604-03

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