NDC Package 63187-117-04 Guaifenesin And Codeine Phosphate

View Billable Units, 11-Digit Format, RxNorm

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
63187-117-04
Package Description:
118 mL in 1 BOTTLE
Product Code:
Proprietary Name:
Guaifenesin And Codeine Phosphate
Usage Information:
Temporarily controls cough due to minor throat and bronchial irritation as may occur with the common cold or inhaled irritants. Helps loosen phlegm (mucus) and thin bronchial secretions to make coughs more productive.
11-Digit NDC Billing Format:
63187011704
Labeler Name:
Proficient Rx Lp
Sample Package:
No
FDA Application Number:
M012
Marketing Category:
OTC MONOGRAPH DRUG -
Start Marketing Date:
10-01-2006
End Marketing Date:
06-30-2023
Listing Expiration Date:
06-30-2023
Exclude Flag:
D
Code Structure:

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.

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Frequently Asked Questions

What is NDC 63187-117-04?

The NDC Packaged Code 63187-117-04 is assigned to a package of 118 ml in 1 bottle of Guaifenesin And Codeine Phosphate, labeled by Proficient Rx Lp. The product's dosage form is and is administered via form.

Is NDC 63187-117 included in the NDC Directory?

No, Guaifenesin And Codeine Phosphate with product code 63187-117 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Proficient Rx Lp on October 01, 2006 and its listing in the NDC Directory is set to expire on June 30, 2023 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 63187-117-04?

The 11-digit format is 63187011704. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
5-3-263187-117-045-4-263187-0117-04