Cold And Flu Relief Liquid
NDC Package 55910-366-12

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

Package Information

Cold And Flu Relief (acetaminophen, dextromethorphan hydrobromide, phenylephrine hydrochloride) liquids is do not take more than directed (see overdose warning)do not exceed 4 doses in any 24 hour periodmeasure only with dosing cup provided. This formulation utilizes a liquid delivery system. Marketed by Dolgencorp, Inc. (dollar General & Rexall), this product is identified by NDC 55910-366 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
55910-366-12
Package Description
355 mL in 1 BOTTLE, PLASTIC
Product Code
55910-366
11-Digit Billing Format
55910036612
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
Cold And Flu Relief Daytime
Non-Proprietary Name
Acetaminophen, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
Substance Name
Acetaminophen; Dextromethorphan Hydrobromide; Phenylephrine Hydrochloride
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
Do not take more than directed (see overdose warning)do not exceed 4 doses in any 24 hour periodmeasure only with dosing cup provided. Do not use any other dosing devicekeep dosing cup with productmL=milliliteradults and children 12 years and over 30 mL every 4 hours children 6 to under 12 years 15 mL every 4 hours children 4 to under 6 years  ask a doctor children under 4 years  do not use When using Day Time and Night Time products, carefully read each label to ensure correct dosing

Regulatory & Marketing

Labeler Name
Dolgencorp, Inc. (dollar General & Rexall)
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
03-31-2018
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 55910-366-12 identifies a specific commercial package of 355 ml in 1 bottle, plastic of Cold And Flu Relief Daytime, a human over the counter drug labeled by Dolgencorp, Inc. (dollar General & Rexall). This liquid is formulated for oral use and contains acetaminophen; 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 Dolgencorp, Inc. (dollar General & Rexall) on March 31, 2018. The current certification is valid through December 31, 2026.

How is this Dolgencorp, Inc. (dollar General & Rexall) product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55910036612. 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)
55910-366-12
11-Digit CMS (5-4-2)
55910-0366-12

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