Westussin Dm Syrup
NDC Package 69367-334-16

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

Package Information

Westussin Dm (dexchlorpheniramine maleate, dextromethorphan hbr, phenylephrine hcl) syrups is adults 12 and over: 10 mL every 4 hours Not to exceed 60 mL in 24hrsChildren 6-12:5 mL every 4 hours Not to exceed 30 mL in 24hrsChildren 2-6:Consult a doctor. This formulation utilizes a syrup delivery system. Marketed by Westminster Pharmaceuticals, Llc, this product is identified by NDC 69367-334 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
69367-334-16
Package Description
480 mL in 1 BOTTLE, PLASTIC
Product Code
69367-334
11-Digit Billing Format
69367033416
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
480 ML
RxNorm Crosswalk
  • RxCUI: 1990881 - dexchlorpheniramine maleate 1 MG / dextromethorphan HBr 10 MG / phenylephrine HCl 5 MG in 5 mL Oral Solution
  • RxCUI: 1990881 - dexchlorpheniramine maleate 0.2 MG/ML / dextromethorphan hydrobromide 2 MG/ML / phenylephrine hydrochloride 1 MG/ML Oral Solution
  • RxCUI: 1990881 - dexchlorpheniramine maleate 1 MG / dextromethorphan HBr 10 MG / phenylephrine HCl 5 MG per 5 mL Oral Solution

Clinical Specifications

Proprietary Name
Westussin Dm
Non-Proprietary Name
Dexchlorpheniramine Maleate, Dextromethorphan Hbr, Phenylephrine Hcl
Substance Name
Dexchlorpheniramine Maleate; Dextromethorphan Hydrobromide; Phenylephrine Hydrochloride
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
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Adults 12 and over: 10 mL every 4 hours Not to exceed 60 mL in 24hrsChildren 6-12:5 mL every 4 hours Not to exceed 30 mL in 24hrsChildren 2-6:Consult a doctor

Regulatory & Marketing

Labeler Name
Westminster Pharmaceuticals, Llc
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
07-29-2021
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 69367-334-16 identifies a specific commercial package of 480 ml in 1 bottle, plastic of Westussin Dm, a human over the counter drug labeled by Westminster Pharmaceuticals, Llc. This syrup is formulated for oral use and contains dexchlorpheniramine 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 Westminster Pharmaceuticals, Llc on July 29, 2021. The current certification is valid through December 31, 2026.

How is this Westminster Pharmaceuticals, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69367033416. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 480 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)
69367-334-16
11-Digit CMS (5-4-2)
69367-0334-16

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