Dextromethorphan Hydrobromide And Promethazine Hydrochloride
NDC Package 63187-355-16

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

Package Information

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

Dextromethorphan Hydrobromide And Promethazine Hydrochloride is a . Marketed by Proficient Rx Lp, this product is identified by NDC 63187-355 and is authorized under FDA application ANDA088864.

Identification & Billing

NDC Package Code
63187-355-16
Package Description
473 mL in 1 BOTTLE, PLASTIC
Product Code
63187-355
11-Digit Billing Format
63187035516
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
473 ML

Clinical Specifications

Proprietary Name
Dextromethorphan Hydrobromide And Promethazine Hydrochloride
Dosage Form
-

Regulatory & Marketing

Labeler Name
Proficient Rx Lp
FDA Application #
ANDA088864
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
01-04-1985
End Marketing Date
06-25-2025
Listing Expiration
06-25-2025
Exclude Flag
D
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (63187-355). Click a package code to view its specific billing and regulatory data.

63187-355-04
118 mL in 1 BOTTLE, PLASTIC

* 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 63187-355-16 identifies a specific commercial package of 473 ml in 1 bottle, plastic of Dextromethorphan Hydrobromide And Promethazine Hydrochloride, labeled by Proficient Rx Lp. This product is billed per "ML" milliliter and contains an estimated amount of 473 billable units per package. 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 Proficient Rx Lp on January 04, 1985. The current certification is valid through June 25, 2025.

How is this Proficient Rx Lp product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63187035516. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 473 total billable units per package. 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)
63187-355-16
11-Digit CMS (5-4-2)
63187-0355-16

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