On The Go-dose
NDC Package 58292-011-05

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.

On The Go-dose is adults and children 12 years of age and overTake 2-4 pre-filled vial every 4 to 6 hours, not to exceed 24 whistles in 24 hours, or as directed by a doctorChildren 6 to under 12 years of ageTake 1-2 pre-filled vial every 4 to 6 hours, not to exceed 12 whistles in 24 hours, or as directed by a doctorChildren under 6 years of ageConsult a doctor. Marketed by Perfect Measure Llc, this product is identified by NDC 58292-011 and is authorized under FDA application part341.

Identification & Billing

NDC Package Code
58292-011-05
Package Description
10 VIAL in 1 PACKAGE / 5 mL in 1 VIAL
Product Code
58292-011
11-Digit Billing Format
58292001105
RxNorm Crosswalk
  • RxCUI: 1049906 - diphenhydrAMINE HCl 12.5 MG in 5 mL Oral Solution
  • RxCUI: 1049906 - diphenhydramine hydrochloride 2.5 MG/ML Oral Solution
  • RxCUI: 1049906 - diphenhydramine HCl 12.5 MG per 5 ML Oral Solution
  • RxCUI: 1049906 - diphenhydramine hydrochloride 25 MG per 10 ML Oral Solution
  • RxCUI: 1049906 - diphenhydramine hydrochloride 50 MG per 20 ML Oral Solution

Clinical Specifications

Proprietary Name
On The Go-dose
Dosage Form
-
Usage Information
Adults and children 12 years of age and overTake 2-4 pre-filled vial every 4 to 6 hours, not to exceed 24 whistles in 24 hours, or as directed by a doctorChildren 6 to under 12 years of ageTake 1-2 pre-filled vial every 4 to 6 hours, not to exceed 12 whistles in 24 hours, or as directed by a doctorChildren under 6 years of ageConsult a doctor

Regulatory & Marketing

Labeler Name
Perfect Measure Llc
FDA Application #
part341
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
05-28-2014
Listing Expiration
12-31-2018
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 58292-011-05 identifies a specific commercial package of 10 vial in 1 package / 5 ml in 1 vial of On The Go-dose, labeled by Perfect Measure Llc. 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 Perfect Measure Llc on May 28, 2014. The current certification is valid through December 31, 2018.

How is this Perfect Measure Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 58292001105. 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)
58292-011-05
11-Digit CMS (5-4-2)
58292-0011-05

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