Quality Choice Mucus Relief Dm Tablet
NDC Package 63868-753-50

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

Package Information

Quality Choice Mucus Relief Dm (dextromethorphan hydrobromide / guaifenesin) tablets is a medication used as PurposeCough SuppressantExpectorant. This formulation utilizes a tablet delivery system. Marketed by Chain Drug Marketing Association, this product is identified by NDC 63868-753 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
63868-753-50
Package Description
1 BOTTLE in 1 CARTON / 50 TABLET in 1 BOTTLE
Product Code
63868-753
11-Digit Billing Format
63868075350
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
1 EA
RxNorm Crosswalk
  • RxCUI: 1147685 - dextromethorphan HBr 20 MG / guaiFENesin 400 MG Oral Tablet
  • RxCUI: 1147685 - dextromethorphan hydrobromide 20 MG / guaifenesin 400 MG Oral Tablet
  • RxCUI: 1147685 - guaifenesin 400 MG / dextromethorphan HBr 20 MG Oral Tablet

Clinical Specifications

Proprietary Name
Quality Choice Mucus Relief Dm DM
Non-Proprietary Name
Dextromethorphan Hydrobromide / Guaifenesin
Substance Name
Dextromethorphan Hydrobromide; Guaifenesin
Dosage Form
Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
This product is used as PurposeCough SuppressantExpectorant. ■ Temporarily relieves cough due to minor throat and bronchial irritation as may occur with a common cold■ Helps loosen phlegm (mucus) and thin bronchial secretions to rid the bronchial passageways of bothersome mucus■ Helps make coughs more productive.

Regulatory & Marketing

Labeler Name
Chain Drug Marketing Association
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-01-2012
Listing Expiration
12-31-2026
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 63868-753-50 identifies a specific commercial package of 1 bottle in 1 carton / 50 tablet in 1 bottle of Quality Choice Mucus Relief Dm DM, a human over the counter drug labeled by Chain Drug Marketing Association. This tablet is formulated for oral use and contains dextromethorphan hydrobromide; guaifenesin 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 Chain Drug Marketing Association on August 01, 2012. The current certification is valid through December 31, 2026.

How is this Chain Drug Marketing Association product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63868075350. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 1 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)
63868-753-50
11-Digit CMS (5-4-2)
63868-0753-50

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