Family Dollar Daytime Cold And Flu Relief
NDC Package 55319-912-12

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.

Family Dollar Daytime Cold And Flu Relief is •take only as directed•only use the dose cup provided•do not exceed 4 doses per 24 hoursAdults & children 12 yrs & over30 mL every 4 hrs.Children 6 to under 12 yrs15 mL every 4 hrsChildren 4 to under 6 yrs Ask a doctorChildren under 4 yrs.Do not use. Marketed by Family Dollar Services Inc, this product is identified by NDC 55319-912 and is authorized under FDA application part341.

Identification & Billing

NDC Package Code
55319-912-12
Package Description
354 mL in 1 BOTTLE, PLASTIC
Product Code
55319-912
11-Digit Billing Format
55319091212
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
Family Dollar Daytime Cold And Flu Relief
Dosage Form
-
Usage Information
•take only as directed•only use the dose cup provided•do not exceed 4 doses per 24 hoursAdults & children 12 yrs & over30 mL every 4 hrs.Children 6 to under 12 yrs15 mL every 4 hrsChildren 4 to under 6 yrs Ask a doctorChildren under 4 yrs.Do not use

Regulatory & Marketing

Labeler Name
Family Dollar Services Inc
FDA Application #
part341
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
07-07-2023
Listing Expiration
12-31-2024
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 55319-912-12 identifies a specific commercial package of 354 ml in 1 bottle, plastic of Family Dollar Daytime Cold And Flu Relief, labeled by Family Dollar Services Inc. 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 Services Inc on July 07, 2023. The current certification is valid through December 31, 2024.

How is this Family Dollar Services Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55319091212. 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)
55319-912-12
11-Digit CMS (5-4-2)
55319-0912-12

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