Cvs Pharmacy Pre-measured Spoon Childrens
NDC Package 59779-044-10

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.

Cvs Pharmacy Pre-measured Spoon Childrens is refer to chart belowtake every 4 to 6 hoursdo not take more than 6 doses in 24 hoursChildren under 2 years of agedo not useChildren 2 to 5 years of agedo not use unless directed by a doctorChildren 6 to 11 years of age1 to 2 pre-filled spoons (12.5 mg to 25 mg)Adults and children 12 years of age and over2 to 4 pre-filled spoons (25 mg to 50 mg). Marketed by Cvs Pharmacy, Inc., this product is identified by NDC 59779-044 and is authorized under FDA application part341.

Identification & Billing

NDC Package Code
59779-044-10
Package Description
10 POUCH in 1 CARTON / 5 mL in 1 POUCH
Product Code
59779-044
11-Digit Billing Format
59779004410
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
Cvs Pharmacy Pre-measured Spoon Childrens Allergy Medication
Dosage Form
-
Usage Information
Refer to chart belowtake every 4 to 6 hoursdo not take more than 6 doses in 24 hoursChildren under 2 years of agedo not useChildren 2 to 5 years of agedo not use unless directed by a doctorChildren 6 to 11 years of age1 to 2 pre-filled spoons (12.5 mg to 25 mg)Adults and children 12 years of age and over2 to 4 pre-filled spoons (25 mg to 50 mg)

Regulatory & Marketing

Labeler Name
Cvs Pharmacy, 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
08-25-2011
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 59779-044-10 identifies a specific commercial package of 10 pouch in 1 carton / 5 ml in 1 pouch of Cvs Pharmacy Pre-measured Spoon Childrens Allergy Medication, labeled by Cvs Pharmacy, 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 Cvs Pharmacy, Inc. on August 25, 2011. The current certification is valid through December 31, 2017.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59779004410. 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)
59779-044-10
11-Digit CMS (5-4-2)
59779-0044-10

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