Alka-seltzer Plus Severe Cold And Flu Powerfast Fizz Tablet, Effervescent
NDC Package 67751-217-01

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

Alka-seltzer Plus Severe Cold And Flu Powerfast Fizz (chlorpheniramine maleate, acetaminophen, phenylephrine hydrochloride, dextromethorphan hydrobromide) tablets is uses · temporarily relieves these symptoms due to a cold or flu:· minor aches and pains · headache · cough· sore throat · runny nose · sneezing· nasal and sinus congestion· temporarily reduces fever. This formulation utilizes a tablet, effervescent delivery system. Marketed by Navajo Manufacturing Company Inc., this product is identified by NDC 67751-217 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
67751-217-01
Package Description
1 POUCH in 1 CARTON / 1 TABLET, EFFERVESCENT in 1 POUCH
Product Code
67751-217
11-Digit Billing Format
67751021701
RxNorm Crosswalk
  • RxCUI: 1536477 - acetaminophen 250 MG / chlorpheniramine maleate 2 MG / dextromethorphan HBr 10 MG / phenylephrine HCl 5 MG Effervescent Oral Tablet
  • RxCUI: 1536477 - acetaminophen 250 MG / chlorpheniramine maleate 2 MG / dextromethorphan hydrobromide 10 MG / phenylephrine hydrochloride 5 MG Effervescent Oral Tablet
  • RxCUI: 1536477 - APAP 250 MG / Chlorpheniramine Maleate 2 MG / Dextromethorphan Hydrobromide 10 MG / Phenylephrine Hydrochloride 5 MG Effervescent Oral Tablet

Clinical Specifications

Proprietary Name
Alka-seltzer Plus Severe Cold And Flu Powerfast Fizz
Non-Proprietary Name
Chlorpheniramine Maleate, Acetaminophen, Phenylephrine Hydrochloride, Dextromethorphan Hydrobromide
Substance Name
Acetaminophen; Chlorpheniramine Maleate; Dextromethorphan Hydrobromide; Phenylephrine Hydrochloride
Dosage Form
Tablet, Effervescent - A solid dosage form containing mixtures of acids (e.g., citric acid, tartaric acid) and sodium bicarbonate, which release carbon dioxide when dissolved in water; it is intended to be dissolved or dispersed in water before administration.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Uses · temporarily relieves these symptoms due to a cold or flu:· minor aches and pains · headache · cough· sore throat · runny nose · sneezing· nasal and sinus congestion· temporarily reduces fever

Regulatory & Marketing

Labeler Name
Navajo Manufacturing Company Inc.
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-01-2022
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (67751-217). Click a package code to view its specific billing and regulatory data.

67751-217-02
1 POUCH in 1 CARTON / 2 TABLET, EFFERVESCENT in 1 POUCH

* 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 67751-217-01 identifies a specific commercial package of 1 pouch in 1 carton / 1 tablet, effervescent in 1 pouch of Alka-seltzer Plus Severe Cold And Flu Powerfast Fizz, a human over the counter drug labeled by Navajo Manufacturing Company Inc.. This tablet, effervescent is formulated for oral use and contains acetaminophen; chlorpheniramine maleate; dextromethorphan hydrobromide; phenylephrine hydrochloride 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 Navajo Manufacturing Company Inc. on June 01, 2022. The current certification is valid through December 31, 2026.

How is this Navajo Manufacturing Company Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 67751021701. 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)
67751-217-01
11-Digit CMS (5-4-2)
67751-0217-01

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