Non Drowsy Day And Night Multi-symptom Cold And Flu Formula
NDC Package 55319-615-20

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

Package Information

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

Non Drowsy Day And Night Multi-symptom Cold And Flu Formula is dAY COLD & FLU FORMULAdo not take more than the recommended doseadults and children 12 years and over: take 2 softgels with water every 4 hours. Marketed by Family Dollar (family Wellness), this product is identified by NDC 55319-615 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
55319-615-20
Package Description
1 KIT in 1 CARTON * 1 BLISTER PACK in 1 CARTON / 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACK * 1 BLISTER PACK in 1 CARTON / 8 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
Product Code
55319-615
11-Digit Billing Format
55319061520
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
  • RxCUI: 1297288 - acetaminophen 325 MG / dextromethorphan HBr 10 MG / doxylamine succinate 6.25 MG / phenylephrine HCl 5 MG Oral Capsule
  • RxCUI: 1297288 - acetaminophen 325 MG / dextromethorphan hydrobromide 10 MG / doxylamine succinate 6.25 MG / phenylephrine hydrochloride 5 MG Oral Capsule

Clinical Specifications

Proprietary Name
Non Drowsy Day And Night Multi-symptom Cold And Flu Formula
Dosage Form
-
Usage Information
DAY COLD & FLU FORMULAdo not take more than the recommended doseadults and children 12 years and over: take 2 softgels with water every 4 hours. Do not exceed 10 softgels in 24 hours or as directed by a doctor.children under 12 years: do not useNIGHTTIME COLD & FLU FORMULAdo not take more than the recommended doseadults and children 12 years and over: take 2 softgels with water every 4 hours. Do not exceed 10 softgels in 24 hours or as directed by a doctor.children under 12 years: do not use

Regulatory & Marketing

Labeler Name
Family Dollar (family Wellness)
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
04-06-2023
Listing Expiration
12-31-2025
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 55319-615-20 identifies a specific commercial package of 1 kit in 1 carton * 1 blister pack in 1 carton / 12 capsule, liquid filled in 1 blister pack * 1 blister pack in 1 carton / 8 capsule, liquid filled in 1 blister pack of Non Drowsy Day And Night Multi-symptom Cold And Flu Formula, labeled by Family Dollar (family Wellness). 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 Family Dollar (family Wellness) on April 06, 2023. The current certification is valid through December 31, 2025.

How is this Family Dollar (family Wellness) product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55319061520. 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)
55319-615-20
11-Digit CMS (5-4-2)
55319-0615-20

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