Tussin Cough Dm Liquid
NDC Package 63868-869-04

11-digit billing NDC: 63868086904 · Billing unit: ML · 118 ML per package
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is approaching its end of marketing date. An upcoming end of marketing date means the product has been delisted but will remain in the NDC database until the end of marketing date is reached. In most cases, the FDA advises firms to use the expiration date of the last lot produced as the end marketing date, reflecting the possibility that the product may still be available even after manufacturing has stopped.

Tussin Cough Dm (dextromethorphan hbr, guaifenesin) liquids is do not take more than 6 doses in any 24-hour periodmeasure only with dosing cup provided. This formulation utilizes a liquid delivery system. Marketed by Quality Choice (chain Drug Marketing Association), this product is identified by NDC 63868-869 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
63868-869-04
Package Description
1 BOTTLE, PLASTIC in 1 BOX / 118 mL in 1 BOTTLE, PLASTIC
Product Code
63868-869
11-Digit Billing Format
63868086904
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
118 ML
RxNorm Crosswalk
  • RxCUI: 996520 - dextromethorphan HBr 20 MG / guaiFENesin 200 MG in 10 mL Oral Solution
  • RxCUI: 996520 - dextromethorphan hydrobromide 2 MG/ML / guaifenesin 20 MG/ML Oral Solution
  • RxCUI: 996520 - dextromethorphan hydrobromide 10 MG / guaifenesin 100 MG per 5 ML Oral Solution
  • RxCUI: 996520 - dextromethorphan hydrobromide 15 MG / guaifenesin 150 MG per 7.5 ML Oral Solution
  • RxCUI: 996520 - dextromethorphan hydrobromide 20 MG / guaifenesin 200 MG per 10 ML Oral Solution

Clinical Specifications

Proprietary Name
Tussin Cough Dm Sugar Free
Non-Proprietary Name
Dextromethorphan Hbr, Guaifenesin
Substance Name
Dextromethorphan Hydrobromide; Guaifenesin
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Do not take more than 6 doses in any 24-hour periodmeasure only with dosing cup provided. Do not use any other dosing devicekeep dosing cup with productmL = milliliterthis adults product is not intended for use in children under 12 years of ageadults and children 12 years and over: 10 mL every 4 hourschildren under 12 years: do not use

Regulatory & Marketing

Labeler Name
Quality Choice (chain Drug Marketing Association)
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-31-2018
End Marketing Date
12-28-2026
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 63868-869-04 identifies a specific commercial package of 1 bottle, plastic in 1 box / 118 ml in 1 bottle, plastic of Tussin Cough Dm Sugar Free, a human over the counter drug labeled by Quality Choice (chain Drug Marketing Association). This product is billed per "ML" milliliter and contains an estimated amount of 118 billable units per package. This liquid 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 Quality Choice (chain Drug Marketing Association) on August 31, 2018.

How is this Quality Choice (chain Drug Marketing Association) product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63868086904. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 118 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)
63868-869-04
11-Digit CMS (5-4-2)
63868-0869-04

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