Guaifenesin 200mg
NDC Package 69517-148-03

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

Package Information

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

Guaifenesin 200mg is do not take more than 6 doses in any 24-hour period. Marketed by Healthlife Of Usa Llc, this product is identified by NDC 69517-148 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
69517-148-03
Package Description
300 TABLET in 1 BOTTLE
Product Code
69517-148
11-Digit Billing Format
69517014803
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Guaifenesin 200mg
Dosage Form
-
Usage Information
Do not take more than 6 doses in any 24-hour period. This product is not intended for use in children under 12 years of age Adults & children 12 years and over: 1 to 2 tablets every 4 hours Children under 12 years: do not use

Regulatory & Marketing

Labeler Name
Healthlife Of Usa Llc
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-22-2025
Listing Expiration
12-31-2026
Exclude Flag
I
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 69517-148-03 identifies a specific commercial package of 300 tablet in 1 bottle of Guaifenesin 200mg, labeled by Healthlife Of Usa Llc. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Healthlife Of Usa Llc on August 22, 2025. The current certification is valid through December 31, 2026.

How is this Healthlife Of Usa Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69517014803. 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)
69517-148-03
11-Digit CMS (5-4-2)
69517-0148-03

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