Cvs Health Multi Symptom Severe Cold
NDC Package 59779-877-06

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 Health Multi Symptom Severe Cold is •do not use more than directed•take every 4 hours ; not to exceed 6 packets in 24 hours or as directed by a doctorAgeDosechildren under 4 years of agedo not usechildren 4 to under 12 years of agedo not use unless directed by a doctor adults and children 12 years of age and overone packet•dissolve contents of one packet into 8 oz. Marketed by Cvs Pharmacy,inc., this product is identified by NDC 59779-877 and is authorized under FDA application part341.

Identification & Billing

NDC Package Code
59779-877-06
Package Description
6 POWDER, FOR SOLUTION in 1 CARTON
Product Code
59779-877
11-Digit Billing Format
59779087706
RxNorm Crosswalk
  • RxCUI: 1189316 - acetaminophen 500 MG / dextromethorphan HBr 20 MG / phenylephrine HCl 10 MG Granules for Oral Solution
  • RxCUI: 1189316 - acetaminophen 500 MG / dextromethorphan hydrobromide 20 MG / phenylephrine hydrochloride 10 MG Granules for Oral Solution
  • RxCUI: 1189316 - acetaminophen 500 MG / dextromethorphan HBr 20 MG / phenylephrine HCl 10 MG Packet for Oral Solution
  • RxCUI: 1189316 - acetaminophen 500 MG / dextromethorphan hydrobromide 20 MG / phenylephrine hydrochloride 10 MG Powder for Oral Solution
  • RxCUI: 1189316 - APAP 500 MG / Dextromethorphan Hydrobromide 20 MG / Phenylephrine Hydrochloride 10 MG Granules for Oral Solution

Clinical Specifications

Proprietary Name
Cvs Health Multi Symptom Severe Cold Multi Symptom Severe Cold
Dosage Form
-
Usage Information
•do not use more than directed•take every 4 hours ; not to exceed 6 packets in 24 hours or as directed by a doctorAgeDosechildren under 4 years of agedo not usechildren 4 to under 12 years of agedo not use unless directed by a doctor adults and children 12 years of age and overone packet•dissolve contents of one packet into 8 oz. hot water: sip while hot. Consume entire drink within 10 - 15 minutes.•if using a microwave, add contents of one packet to 8 oz. of cool water: stir briskly before and after heating, Do not overheat.

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
07-21-2015
Listing Expiration
12-31-2020
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 59779-877-06 identifies a specific commercial package of 6 powder, for solution in 1 carton of Cvs Health Multi Symptom Severe Cold Multi Symptom Severe Cold, 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 July 21, 2015. The current certification is valid through December 31, 2020.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59779087706. 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)
59779-877-06
11-Digit CMS (5-4-2)
59779-0877-06

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