Mucus Relief Severe Congestion Cough Night Time Cold And Flu Kit
NDC Package 55910-562-12

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

Package Information

Mucus Relief Severe Congestion Cough Night Time Cold And Flu (dextromethorphan hbr, guaifenesin, phenylephrine hci, acetaminophen, diphenhydramine hci, phenylephrine hci) kits is nighttimedo not take more than directed (see overdose warning) do not take more than 6 doses in any 24-hour period measure only with dosing cup provided. This formulation utilizes a kit delivery system. Marketed by Dolgencorp, Inc. (dollar General & Rexall), this product is identified by NDC 55910-562 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
55910-562-12
Package Description
1 KIT in 1 KIT * 177 mL in 1 BOTTLE, PLASTIC * 177 mL in 1 BOTTLE, PLASTIC
Product Code
55910-562
11-Digit Billing Format
55910056212
RxNorm Crosswalk
  • RxCUI: 1043543 - dextromethorphan HBr 5 MG / guaiFENesin 100 MG / phenylephrine HCl 2.5 MG in 5 mL Oral Solution
  • RxCUI: 1043543 - dextromethorphan hydrobromide 1 MG/ML / guaifenesin 20 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Solution
  • RxCUI: 1043543 - dextromethorphan HBr 20 MG / guaifenesin 400 MG / phenylephrine HCl 10 MG per 20 ML Oral Solution
  • RxCUI: 1043543 - dextromethorphan HBr 5 MG / guaifenesin 100 MG / phenylephrine HCl 2.5 MG per 5 ML Oral Solution
  • RxCUI: 1375932 - acetaminophen 650 MG / diphenhydrAMINE HCl 25 MG / phenylephrine HCl 10 MG in 20 mL Oral Solution

Clinical Specifications

Proprietary Name
Mucus Relief Severe Congestion Cough Night Time Cold And Flu Maximum Strength
Non-Proprietary Name
Dextromethorphan Hbr, Guaifenesin, Phenylephrine Hci, Acetaminophen, Diphenhydramine Hci, Phenylephrine Hci
Dosage Form
Kit - A packaged collection of related material.
Usage Information
Nighttimedo not take more than directed (see overdose warning) do not take more than 6 doses in any 24-hour period measure only with dosing cup provided. Do not use any other dosing device keep dosing cup with product mL = mililiter dose as follows or as directed by a doctor adults and children 12 years and older: 20 mL every 4 hours while symptoms last children under 12 years of age: do not useDaytimedo not take more than 6 doses in any 24-hours period measure only with dosing cup provided. Do not use any other dosing device. shake well before using  keep dosing cup with product  mL = milliliter adults and children 12 years of age and older: 20 mL every 4 hours children under 12 years of age: do not use

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 55910-562-12 identifies a specific commercial package of 1 kit in 1 kit * 177 ml in 1 bottle, plastic * 177 ml in 1 bottle, plastic of Mucus Relief Severe Congestion Cough Night Time Cold And Flu Maximum Strength, a human over the counter drug labeled by Dolgencorp, Inc. (dollar General & Rexall). This kit is formulated for use and contains 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: 55910056212. 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)
55910-562-12
11-Digit CMS (5-4-2)
55910-0562-12

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