Daytime Nighttime Severe Cold And Flu Relief Kit
NDC Package 55910-931-16

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

Package Information

Daytime Nighttime Severe Cold And Flu Relief (acetaminophen dextromethorphan hbr guaifenesin phenylephrine hci doxylaminesucinate) kits is dAYTIMEdo only as directed (see Overdose warning)do not take more than 4 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 55910-931 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
55910-931-16
Package Description
1 KIT in 1 KIT * 237 mL in 1 BOTTLE * 237 mL in 1 BOTTLE
Product Code
55910-931
11-Digit Billing Format
55910093116
RxNorm Crosswalk
  • RxCUI: 1369842 - acetaminophen 325 MG / dextromethorphan HBr 10 MG / guaiFENesin 200 MG / phenylephrine HCl 5 MG in 15 mL Oral Solution
  • RxCUI: 1369842 - acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 0.667 MG/ML / guaifenesin 13.3 MG/ML / phenylephrine hydrochloride 0.333 MG/ML Oral Solution
  • RxCUI: 1369842 - acetaminophen 325 MG / dextromethorphan HBr 10 MG / guaifenesin 200 MG / phenylephrine HCl 5 MG per 15 ML Oral Solution
  • RxCUI: 1369842 - acetaminophen 650 MG / dextromethorphan HBr 20 MG / guaifenesin 400 MG / phenylephrine HCl 10 MG per 30 ML Oral Solution
  • RxCUI: 1369842 - APAP 21.7 MG/ML / Dextromethorphan Hydrobromide 0.667 MG/ML / Guaifenesin 13.3 MG/ML / Phenylephrine Hydrochloride 0.333 MG/ML Oral Solution

Clinical Specifications

Proprietary Name
Daytime Nighttime Severe Cold And Flu Relief
Non-Proprietary Name
Acetaminophen Dextromethorphan Hbr Guaifenesin Phenylephrine Hci Doxylaminesucinate
Dosage Form
Kit - A packaged collection of related material.
Usage Information
DAYTIMEdo only as directed (see Overdose warning)do not take more than 4 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= milliliter adults and children 12 years and over30 mL every 4 hours children 6 to under 12 years 15 mL every 4 hours children 4 to under 6 yearsask a doctor children under 4 years do not use NIGHTTIMEdo only as directed (see Overdose warning)Do not exceed 4 doses per 24measure only with dosing cup provided. Do not use any other dosing device.   mL= milliliterkeep dosing cup with productadults and children 12 years and over: 30 mL every 4 hourschildren under 12 years of age: do not usewhen using other Daytime or Nighttime products, carefully read each label or 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 55910-931-16 identifies a specific commercial package of 1 kit in 1 kit * 237 ml in 1 bottle * 237 ml in 1 bottle of Daytime Nighttime Severe Cold And Flu Relief, 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: 55910093116. 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)
55910-931-16
11-Digit CMS (5-4-2)
55910-0931-16

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