NDC Package 68258-8904-4 Guaifenesin And Codeine Phosphate

View Billable Units, 11-Digit Format, RxNorm

Package Information
Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

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:

68258-8904-4

Package Description:

118 mL in 1 BOTTLE

Product Code:

68258-8904

Proprietary Name:

Guaifenesin And Codeine Phosphate

Usage Information:

Temporarily controls cough due to minor throat and bronchial irritation as may occur with the common cold or inhaled irritants. Helps loosen phlegm (mucus) and thin bronchial secretions to make coughs more productive.

11-Digit NDC Billing Format:

68258890404

Billing Unit:

ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.

NDC to RxNorm Crosswalk:

118 ML

NDC to RxNorm Crosswalk:

RxCUI: 995868 - codeine phosphate 10 MG / guaiFENesin 100 MG in 5 mL Oral Solution

RxCUI: 995868 - codeine phosphate 2 MG/ML / guaifenesin 20 MG/ML Oral Solution

RxCUI: 995868 - codeine phosphate 10 MG / guaifenesin 100 MG per 5 ML Oral Solution

Labeler Name:

Dispensing Solutions, Inc.

Sample Package:

Start Marketing Date:

10-01-2006

Listing Expiration Date:

12-31-2017

Exclude Flag:

Code Structure:

68258 - Dispensing Solutions, Inc.
- 68258-8904 - Guaifenesin And Codeine Phosphate
  - 68258-8904-4 - 118 mL in 1 BOTTLE

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.

Frequently Asked Questions

What is NDC 68258-8904-4?

The NDC Packaged Code 68258-8904-4 is assigned to a package of 118 ml in 1 bottle of Guaifenesin And Codeine Phosphate, labeled by Dispensing Solutions, Inc.. The product's dosage form is and is administered via form.This product is billed per "ML" milliliter and contains an estimated amount of 118 billable units per package.

Is NDC 68258-8904 included in the NDC Directory?

No, Guaifenesin And Codeine Phosphate with product code 68258-8904 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Dispensing Solutions, Inc. on October 01, 2006 and its listing in the NDC Directory is set to expire on December 31, 2017 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 68258-8904-4?

The contents of this package are billed per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume. The calculated billable units for this package is 118.

What is the 11-digit format for NDC 68258-8904-4?

The 11-digit format is 68258890404. 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 5-4-1 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 Format	10-Digit Original Code	11-Digit Format	11-Digit Code
5-4-1	68258-8904-4	5-4-2	68258-8904-04

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