Suphedrine Pe Sinus Congestion Tablet, Film Coated
NDC Package 55301-753-23

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

Suphedrine Pe Sinus Congestion (phenylephrine hcl) tablets is a medication used for temporary relief of congestion in the nose caused by various conditions including the common cold, sinusitis, hay fever, and allergies. This formulation utilizes a tablet, film coated delivery system. Marketed by Army And Air Force Exchange Service, this product is identified by NDC 55301-753 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
55301-753-23
Package Description
3 BLISTER PACK in 1 CARTON / 24 TABLET, FILM COATED in 1 BLISTER PACK
Product Code
55301-753
11-Digit Billing Format
55301075323
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Suphedrine Pe Sinus Congestion Non-drowsy
Non-Proprietary Name
Phenylephrine Hcl
Substance Name
Phenylephrine Hydrochloride
Dosage Form
Tablet, Film Coated - A solid dosage form that contains medicinal substances with or without suitable diluents and is coated with a thin layer of a water-insoluble or water-soluble polymer.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
PHENYLEPHRINE HYDROCHLORIDE 10 mg/1
Pharmacologic Class
Usage Information
This medication is used for temporary relief of congestion in the nose caused by various conditions including the common cold, sinusitis, hay fever, and allergies. It works by narrowing the blood vessels in the nose area, reducing swelling and congestion.

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
01-15-2021
Listing Expiration
12-31-2027
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (55301-753). Click a package code to view its specific billing and regulatory data.

55301-753-44
1 BLISTER PACK in 1 CARTON / 18 TABLET, FILM COATED in 1 BLISTER PACK

* 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 55301-753-23 identifies a specific commercial package of 3 blister pack in 1 carton / 24 tablet, film coated in 1 blister pack of Suphedrine Pe Sinus Congestion Non-drowsy, a human over the counter drug labeled by Army And Air Force Exchange Service. This tablet, film coated is formulated for oral use and contains 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 15, 2021. The current certification is valid through December 31, 2027.

What are the primary indications for this medication?

This medication is used for temporary relief of congestion in the nose caused by various conditions including the common cold, sinusitis, hay fever, and allergies. It works by narrowing the blood vessels in the nose area, reducing swelling and congestion.

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: 55301075323. 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)
55301-753-23
11-Digit CMS (5-4-2)
55301-0753-23

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