First Aid Shot Therapy Cold Relief
NDC Package 57815-031-01

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.

First Aid Shot Therapy Cold Relief is for adults and children 12 years and over:Swallow the contents of one bottle every 4 hoursChildren 4 to under 12 years:Ask a doctorChildren under 4 years:Do not use. Marketed by First Aid Beverages, Inc., this product is identified by NDC 57815-031 and is authorized under FDA application part341.

Identification & Billing

NDC Package Code
57815-031-01
Package Description
40 mL in 1 BOTTLE, PLASTIC
Product Code
57815-031
11-Digit Billing Format
57815003101
RxNorm Crosswalk
  • RxCUI: 1667351 - dextromethorphan HBr 20 MG / menthol 10 MG / phenylephrine HCl 10 MG in 40 mL Oral Solution
  • RxCUI: 1667351 - dextromethorphan hydrobromide 0.5 MG/ML / menthol 0.213 MG/ML / phenylephrine hydrochloride 0.25 MG/ML Oral Solution
  • RxCUI: 1667351 - dextromethorphan HBr 20 MG / menthol 8.5 MG / phenylephrine HCl 10 MG per 40 ML Oral Solution

Clinical Specifications

Proprietary Name
First Aid Shot Therapy Cold Relief
Dosage Form
-
Usage Information
For adults and children 12 years and over:Swallow the contents of one bottle every 4 hoursChildren 4 to under 12 years:Ask a doctorChildren under 4 years:Do not use

Regulatory & Marketing

Labeler Name
First Aid Beverages, Inc.
FDA Application #
part341
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
05-01-2015
Listing Expiration
12-31-2017
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 57815-031-01 identifies a specific commercial package of 40 ml in 1 bottle, plastic of First Aid Shot Therapy Cold Relief, labeled by First Aid Beverages, 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 First Aid Beverages, Inc. on May 01, 2015. The current certification is valid through December 31, 2017.

How is this First Aid Beverages, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 57815003101. 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)
57815-031-01
11-Digit CMS (5-4-2)
57815-0031-01

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