Delsym (dextromethorphan) Suspension, Extended Release
NDC Package 63824-173-65

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

Delsym (dextromethorphan) (dextromethorphan) suspension is shake bottle well before usemeasure only with dosing cup provideddo not use dosing cup with other productsdose as follows or as directed by a doctormL = milliliteradults and children 12 years of age and over10 mL every 12 hours, not to exceed 20 mL in 24 hourschildren 6 to under 12 years of age5 mL every 12 hours, not to exceed 10 mL in 24 hourschildren 4 to under 6 years of age2.5 mL every 12 hours, not to exceed 5 mL in 24 hourschildren under 4 years of agedo not use. This formulation utilizes a suspension, extended release delivery system. Marketed by Reckitt Benckiser Llc, this product is identified by NDC 63824-173 and is authorized under FDA application NDA018658.

Identification & Billing

NDC Package Code
63824-173-65
Package Description
1 BOTTLE in 1 CARTON / 148 mL in 1 BOTTLE
Product Code
63824-173
11-Digit Billing Format
63824017365
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk
  • RxCUI: 1373045 - dextromethorphan polistirex 30 MG in 5 mL 12HR Extended Release Oral Suspension
  • RxCUI: 1373045 - 12 HR dextromethorphan polistirex 6 MG/ML Extended Release Suspension
  • RxCUI: 1373045 - dextromethorphan polistirex (dextromethorphan HBr 30 MG) per 5 ML 12 HR Extended Release Suspension
  • RxCUI: 1373045 - dextromethorphan polistirex 6 MG/ML 12 HR Extended Release Suspension
  • RxCUI: 1373128 - Delsym 30 MG in 5 mL 12HR Extended Release Oral Suspension

Clinical Specifications

Proprietary Name
Delsym (dextromethorphan)
Non-Proprietary Name
Dextromethorphan
Substance Name
Dextromethorphan
Dosage Form
Suspension, Extended Release - A liquid preparation consisting of solid particles dispersed throughout a liquid phase in which the particles are not soluble; the suspension has been formulated in a manner to allow at least a reduction in dosing frequency as compared to that drug presented as a conventional dosage form (e.g., as a solution or a prompt drug-releasing, conventional solid dosage form).
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
DEXTROMETHORPHAN 30 mg/5mL
Pharmacologic Class
Usage Information
Shake bottle well before usemeasure only with dosing cup provideddo not use dosing cup with other productsdose as follows or as directed by a doctormL = milliliteradults and children 12 years of age and over10 mL every 12 hours, not to exceed 20 mL in 24 hourschildren 6 to under 12 years of age5 mL every 12 hours, not to exceed 10 mL in 24 hourschildren 4 to under 6 years of age2.5 mL every 12 hours, not to exceed 5 mL in 24 hourschildren under 4 years of agedo not use

Regulatory & Marketing

Labeler Name
Reckitt Benckiser Llc
Product Type
Human Otc Drug
FDA Application #
NDA018658
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
08-19-2011
Listing Expiration
12-31-2027
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (63824-173). Click a package code to view its specific billing and regulatory data.

63824-173-63
1 BOTTLE in 1 CARTON / 89 mL in 1 BOTTLE

* 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 63824-173-65 identifies a specific commercial package of 1 bottle in 1 carton / 148 ml in 1 bottle of Delsym (dextromethorphan), a human over the counter drug labeled by Reckitt Benckiser Llc. This suspension, extended release is formulated for oral use and contains dextromethorphan 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 Reckitt Benckiser Llc on August 19, 2011. The current certification is valid through December 31, 2027.

How is this Reckitt Benckiser Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63824017365. 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)
63824-173-65
11-Digit CMS (5-4-2)
63824-0173-65

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