Cold And Flu
NDC Package 55910-862-20

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Cold And Flu is do not take more than directed - see Overdose warningdo not exceed 12 softgels in any 24 hour periodadults and children 12 years of age and over: take 2 softgels every 4 hourschildren under 12 years of age: do not use. Marketed by Dolgencorp, Inc., this product is identified by NDC 55910-862 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
55910-862-20
Package Description
2 BLISTER PACK in 1 CARTON / 10 CAPSULE, LIQUID FILLED in 1 BLISTER PACK
Product Code
55910-862
11-Digit Billing Format
55910086220
RxNorm Crosswalk
  • RxCUI: 1656815 - acetaminophen 325 MG / dextromethorphan HBr 10 MG / guaiFENesin 200 MG / phenylephrine HCl 5 MG Oral Capsule
  • RxCUI: 1656815 - acetaminophen 325 MG / dextromethorphan hydrobromide 10 MG / guaifenesin 200 MG / phenylephrine hydrochloride 5 MG Oral Capsule
  • RxCUI: 1656815 - APAP 325 MG / Dextromethorphan Hydrobromide 10 MG / Guaifenesin 200 MG / Phenylephrine Hydrochloride 5 MG Oral Capsule

Clinical Specifications

Proprietary Name
Cold And Flu
Dosage Form
-
Usage Information
Do not take more than directed - see Overdose warningdo not exceed 12 softgels in any 24 hour periodadults and children 12 years of age and over: take 2 softgels every 4 hourschildren under 12 years of age: do not use

Regulatory & Marketing

Labeler Name
Dolgencorp, Inc.
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
03-12-2020
Listing Expiration
12-31-2025
Exclude Flag
I
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 55910-862-20 identifies a specific commercial package of 2 blister pack in 1 carton / 10 capsule, liquid filled in 1 blister pack of Cold And Flu, labeled by Dolgencorp, Inc.. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Dolgencorp, Inc. on March 12, 2020. The current certification is valid through December 31, 2025.

How is this Dolgencorp, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55910086220. 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)
55910-862-20
11-Digit CMS (5-4-2)
55910-0862-20

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