Giltuss Allergy Plus Solution
NDC Package 58552-138-04

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

Package Information

Giltuss Allergy Plus (chlorpheniramine maleate, dextromethorphan hydrobromide, phenylephrine hydrochloride) solution is usestemporarily relievescough due to minor throat and bronchial irritation associated with a cold or inhaled irritantsnasal congestion due to the common cold, hay fever or other upper respiratory allergiestemporarily relieves these symptoms due to hay fever (allergic rhinitis):runny nosesneezingitchy, watery eyesitching of the nose or throattemporarily restores freer breathing through the nose. This formulation utilizes a solution delivery system. Marketed by Gil Pharmaceutical Corp, this product is identified by NDC 58552-138 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
58552-138-04
Package Description
1 BOTTLE in 1 CARTON / 118 mL in 1 BOTTLE
Product Code
58552-138
11-Digit Billing Format
58552013804
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk
  • RxCUI: 1363752 - chlorpheniramine maleate 2 MG / dextromethorphan HBr 10 MG / phenylephrine HCl 5 MG in 5 mL Oral Solution
  • RxCUI: 1363752 - chlorpheniramine maleate 0.4 MG/ML / dextromethorphan hydrobromide 2 MG/ML / phenylephrine hydrochloride 1 MG/ML Oral Solution
  • RxCUI: 1363752 - chlorpheniramine maleate 2 MG / dextromethorphan HBr 10 MG / phenylephrine HCl 5 MG per 5 ML Oral Solution

Clinical Specifications

Proprietary Name
Giltuss Allergy Plus Cough And Congestion
Non-Proprietary Name
Chlorpheniramine Maleate, Dextromethorphan Hydrobromide, Phenylephrine Hydrochloride
Substance Name
Chlorpheniramine Maleate; Dextromethorphan Hydrobromide; Phenylephrine Hydrochloride
Dosage Form
Solution - A clear, homogeneous liquid1 dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Usestemporarily relievescough due to minor throat and bronchial irritation associated with a cold or inhaled irritantsnasal congestion due to the common cold, hay fever or other upper respiratory allergiestemporarily relieves these symptoms due to hay fever (allergic rhinitis):runny nosesneezingitchy, watery eyesitching of the nose or throattemporarily restores freer breathing through the nose

Regulatory & Marketing

Labeler Name
Gil Pharmaceutical Corp
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
10-02-2018
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 58552-138-04 identifies a specific commercial package of 1 bottle in 1 carton / 118 ml in 1 bottle of Giltuss Allergy Plus Cough And Congestion, a human over the counter drug labeled by Gil Pharmaceutical Corp. This solution is formulated for oral use and contains chlorpheniramine maleate; dextromethorphan hydrobromide; phenylephrine hydrochloride 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 Gil Pharmaceutical Corp on October 02, 2018. The current certification is valid through December 31, 2026.

How is this Gil Pharmaceutical Corp product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 58552013804. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. 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)
58552-138-04
11-Digit CMS (5-4-2)
58552-0138-04

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