1. Home
  2. Labeler Index
  3. Ascend Laboratories, Llc
  4. 67877-558
  5. NDC Package Code: 67877-558-17 Brompheniramine, Pseudoephedrine, Dextromethorphan

NDC Package 67877-558-17 Brompheniramine, Pseudoephedrine, Dextromethorphan

Syrup Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
67877-558-17
Package Description:
118 mL in 1 BOTTLE
Product Code:
67877-558
Proprietary Name:
Brompheniramine, Pseudoephedrine, Dextromethorphan
Non-Proprietary Name:
Brompheniramine, Pseudoephedrine, Dextromethorphan
Substance Name:
Brompheniramine Maleate; Dextromethorphan Hydrobromide; Pseudoephedrine Hydrochloride
Usage Information:
For relief of coughs and upper respiratory symptoms, including nasal congestion, associated with allergy or the common cold.
11-Digit NDC Billing Format:
67877055817
NDC to RxNorm Crosswalk:
  • RxCUI: 1357010 - brompheniramine maleate 2 MG / dextromethorphan HBr 10 MG / pseudoephedrine HCl 30 MG in 5 mL Oral Solution
  • RxCUI: 1357010 - brompheniramine maleate 0.4 MG/ML / dextromethorphan hydrobromide 2 MG/ML / pseudoephedrine hydrochloride 6 MG/ML Oral Solution
  • RxCUI: 1357010 - brompheniramine maleate 2 MG / dextromethorphan HBr 10 MG / pseudoephedrine HCl 30 MG per 5 ML Oral Solution
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Ascend Laboratories, Llc
    Dosage Form:
    Syrup - An oral solution containing high concentrations of sucrose or other sugars; the term has also been used to include any other liquid dosage form prepared in a sweet and viscid vehicle, including oral suspensions.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • BROMPHENIRAMINE MALEATE 2 mg/5mL
  • DEXTROMETHORPHAN HYDROBROMIDE 10 mg/5mL
  • PSEUDOEPHEDRINE HYDROCHLORIDE 30 mg/5mL
    • Pharmacologic Class(es):
  • Adrenergic alpha-Agonists - [MoA] (Mechanism of Action)
  • Sigma-1 Agonist - [EPC] (Established Pharmacologic Class)
  • Sigma-1 Receptor Agonists - [MoA] (Mechanism of Action)
  • Uncompetitive N-methyl-D-aspartate Receptor Antagonist - [EPC] (Established Pharmacologic Class)
  • Uncompetitive NMDA Receptor Antagonists - [MoA] (Mechanism of Action)
  • alpha-Adrenergic Agonist - [EPC] (Established Pharmacologic Class)
    • Sample Package:
    No
    FDA Application Number:
    ANDA210647
    Marketing Category:
    ANDA - A product marketed under an approved Abbreviated New Drug Application.
    Start Marketing Date:
    07-16-2020
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    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 disclaimer below.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    67877-558-16473 mL in 1 BOTTLE

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 67877-558-17?

    The NDC Packaged Code 67877-558-17 is assigned to a package of 118 ml in 1 bottle of Brompheniramine, Pseudoephedrine, Dextromethorphan, a human prescription drug labeled by Ascend Laboratories, Llc. The product's dosage form is syrup and is administered via oral form.

    Is NDC 67877-558 included in the NDC Directory?

    Yes, Brompheniramine, Pseudoephedrine, Dextromethorphan with product code 67877-558 is active and included in the NDC Directory. The product was first marketed by Ascend Laboratories, Llc on July 16, 2020 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 67877-558-17?

    The 11-digit format is 67877055817. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-267877-558-175-4-267877-0558-17