Sanatos Liquid
NDC Package 55758-415-06

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

Package Information

Sanatos (acetaminophen, dextromethorphan hbr) liquids is use only dosing cup providedshake well before useif you are taking other cold/flu products, read complete labeling before dosingadults & children 12 years & over30 mL every 4 hours, do not exceed (child) 4 doses and (adult) 6 doses per 24 hours children under 12 years of agedo not use. This formulation utilizes a liquid delivery system. Marketed by Pharmadel Llc, this product is identified by NDC 55758-415 and is authorized under FDA application M013.

Identification & Billing

NDC Package Code
55758-415-06
Package Description
177 mL in 1 BOTTLE, PLASTIC
Product Code
55758-415
11-Digit Billing Format
55758041506
RxNorm Crosswalk
  • RxCUI: 2604561 - acetaminophen 650 MG / dextromethorphan HBr 20 MG in 30 mL Oral Solution
  • RxCUI: 2604561 - acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML Oral Solution
  • RxCUI: 2604561 - acetaminophen 325 MG / dextromethorphan HBr 10 MG per 15 ML Oral Solution
  • RxCUI: 2604561 - acetaminophen 650 MG / dextromethorphan HBr 20 MG per 30 ML Oral Solution
  • RxCUI: 2604561 - APAP 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML Oral Solution

Clinical Specifications

Proprietary Name
Sanatos Multi Symptom Daytime
Non-Proprietary Name
Acetaminophen, Dextromethorphan Hbr
Substance Name
Acetaminophen; Dextromethorphan Hydrobromide
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.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Use only dosing cup providedshake well before useif you are taking other cold/flu products, read complete labeling before dosingadults & children 12 years & over30 mL every 4 hours, do not exceed (child) 4 doses and (adult) 6 doses per 24 hours children under 12 years of agedo not use

Regulatory & Marketing

Labeler Name
Pharmadel Llc
Product Type
Human Otc Drug
FDA Application #
M013
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-01-2023
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 55758-415-06 identifies a specific commercial package of 177 ml in 1 bottle, plastic of Sanatos Multi Symptom Daytime, a human over the counter drug labeled by Pharmadel Llc. This liquid is formulated for oral use and contains acetaminophen; dextromethorphan hydrobromide 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 Pharmadel Llc on December 01, 2023. The current certification is valid through December 31, 2026.

How is this Pharmadel Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55758041506. 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)
55758-415-06
11-Digit CMS (5-4-2)
55758-0415-06

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