Dg Health Multi Symptom Severe Cold Powder, For Solution
NDC Package 55910-509-91

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

Package Information

Dg Health Multi Symptom Severe Cold (acetaminophen, dextromethorphan hbr, phenylephrine hcl) powders is •do not use more than directed (see overdose warning)•take every 4 hours, while symptoms persist. This formulation utilizes a powder, for solution delivery system. Marketed by Dolgencorp, Llc, this product is identified by NDC 55910-509 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
55910-509-91
Package Description
6 POWDER, FOR SOLUTION in 1 CARTON
Product Code
55910-509
11-Digit Billing Format
55910050991
RxNorm Crosswalk
  • RxCUI: 1189316 - acetaminophen 500 MG / dextromethorphan HBr 20 MG / phenylephrine HCl 10 MG Granules for Oral Solution
  • RxCUI: 1189316 - acetaminophen 500 MG / dextromethorphan hydrobromide 20 MG / phenylephrine hydrochloride 10 MG Granules for Oral Solution
  • RxCUI: 1189316 - acetaminophen 500 MG / dextromethorphan HBr 20 MG / phenylephrine HCl 10 MG Packet for Oral Solution
  • RxCUI: 1189316 - acetaminophen 500 MG / dextromethorphan hydrobromide 20 MG / phenylephrine hydrochloride 10 MG Powder for Oral Solution
  • RxCUI: 1189316 - APAP 500 MG / Dextromethorphan Hydrobromide 20 MG / Phenylephrine Hydrochloride 10 MG Granules for Oral Solution

Clinical Specifications

Proprietary Name
Dg Health Multi Symptom Severe Cold
Non-Proprietary Name
Acetaminophen, Dextromethorphan Hbr, Phenylephrine Hcl
Substance Name
Acetaminophen; Dextromethorphan Hydrobromide; Phenylephrine Hydrochloride
Dosage Form
Powder, For Solution - An intimate mixture of dry, finely divided drugs and/or chemicals, which, upon the addition of suitable vehicles, yields a solution.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
•do not use more than directed (see overdose warning)•take every 4 hours, while symptoms persist. Do not take more than 6 packets in 24 hours unless directed by a doctor.AgeDoseadults and children 12 years of age and overone packetchildren under 12 years of agedo not use•dissolve contents of one packet into 8 oz. hot water: sip while hot. Consume entire drink within 10-15 minutes.•if using a microwave, add contents of one packet to 8 oz. of cool water: stir briskly before and after heating. Do not overheat.

Regulatory & Marketing

Labeler Name
Dolgencorp, Llc
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-22-2017
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 55910-509-91 identifies a specific commercial package of 6 powder, for solution in 1 carton of Dg Health Multi Symptom Severe Cold, a human over the counter drug labeled by Dolgencorp, Llc. This powder, for solution 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, Llc on May 22, 2017. The current certification is valid through December 31, 2026.

How is this Dolgencorp, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55910050991. 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)
55910-509-91
11-Digit CMS (5-4-2)
55910-0509-91

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