Antigrip Tablet, Effervescent
NDC Package 55758-502-72

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

Package Information

Antigrip (acetaminophen, chlorpheniramine maleate, dextromethorphan hbr, phenylephrine hcl) tablets is ■ adults and children 12 years of age and older: take two (2) tablets fully dissolved in a 4 oz glass of water every 4 hours. This formulation utilizes a tablet, effervescent delivery system. Marketed by Pharmadel Llc, this product is identified by NDC 55758-502 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
55758-502-72
Package Description
36 POUCH in 1 CARTON / 2 TABLET, EFFERVESCENT in 1 POUCH
Product Code
55758-502
11-Digit Billing Format
55758050272
RxNorm Crosswalk
  • RxCUI: 2557336 - acetaminophen 325 MG / chlorpheniramine maleate 2 MG / dextromethorphan hydrobromide 10 MG / phenylephrine hydrochloride 5 MG Effervescent Oral Tablet
  • RxCUI: 2557336 - APAP 325 / chlorpheniramine maleate 2 MG / dextromethorphan hydrobromide 10 MG / phenylephrine hydrochloride 5 MG Effervescent Oral Tablet
  • RxCUI: 2557336 - APAP 325 MG / chlorpheniramine maleate 2 MG / dextromethorphan hydrobromide 10 MG / phenylephrine hydrochloride 5 MG Effervescent Oral Tablet

Clinical Specifications

Proprietary Name
Antigrip Cough And Cold
Non-Proprietary Name
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr, Phenylephrine Hcl
Substance Name
Acetaminophen; Chlorpheniramine Maleate; Dextromethorphan Hydrobromide; Phenylephrine Hydrochloride
Dosage Form
Tablet, Effervescent - A solid dosage form containing mixtures of acids (e.g., citric acid, tartaric acid) and sodium bicarbonate, which release carbon dioxide when dissolved in water; it is intended to be dissolved or dispersed in water before administration.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
■ adults and children 12 years of age and older: take two (2) tablets fully dissolved in a 4 oz glass of water every 4 hours. Do not exceed 12 tablets in 24 hours, or as directed by a doctor. ■ children under 12 years of age: do not use

Regulatory & Marketing

Labeler Name
Pharmadel Llc
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
11-01-2024
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 55758-502-72 identifies a specific commercial package of 36 pouch in 1 carton / 2 tablet, effervescent in 1 pouch of Antigrip Cough And Cold, a human over the counter drug labeled by Pharmadel Llc. This tablet, effervescent is formulated for oral use and contains acetaminophen; chlorpheniramine maleate; 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 Pharmadel Llc on November 01, 2024. 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: 55758050272. 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)
55758-502-72
11-Digit CMS (5-4-2)
55758-0502-72

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