Chlorpheniramine Maleate 4 Mg
NDC Package 69618-022-01

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

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

Chlorpheniramine Maleate 4 Mg is adults and children 12 years and overtake 1 tablet every 4 to 6 hours, not more than 6 tablets in 24 hourschildren 6 years to under 12 yearstake 1/2 tablet every 4 to 6 hours, not more than 3 tablets in 24 hourschildren under 6 yearsdo not use. Marketed by Reliable 1 Laboratories Llc, this product is identified by NDC 69618-022 and is authorized under FDA application part341.

Identification & Billing

NDC Package Code
69618-022-01
Package Description
100 TABLET in 1 BOTTLE, PLASTIC
Product Code
69618-022
11-Digit Billing Format
69618002201
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
100 EA
RxNorm Crosswalk
RxCUI: 1363309 - chlorpheniramine maleate 4 MG Oral Tablet

Clinical Specifications

Proprietary Name
Chlorpheniramine Maleate 4 Mg
Dosage Form
-
Usage Information
Adults and children 12 years and overtake 1 tablet every 4 to 6 hours, not more than 6 tablets in 24 hourschildren 6 years to under 12 yearstake 1/2 tablet every 4 to 6 hours, not more than 3 tablets in 24 hourschildren under 6 yearsdo not use

Regulatory & Marketing

Labeler Name
Reliable 1 Laboratories Llc
FDA Application #
part341
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
11-01-2015
Listing Expiration
12-31-2024
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (69618-022). Click a package code to view its specific billing and regulatory data.

69618-022-10
1000 TABLET in 1 BOTTLE, PLASTIC

* 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 69618-022-01 identifies a specific commercial package of 100 tablet in 1 bottle, plastic of Chlorpheniramine Maleate 4 Mg, labeled by Reliable 1 Laboratories 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 Reliable 1 Laboratories Llc on November 01, 2015. The current certification is valid through December 31, 2024.

How is this Reliable 1 Laboratories Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69618002201. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 100 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)
69618-022-01
11-Digit CMS (5-4-2)
69618-0022-01

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