NDC Package 69772-440-01 Xl3 Xtra

View Billable Units, 11-Digit Format, RxNorm

Package Information
Other Packages
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:

69772-440-01

Package Description:

20 mg in 1 BLISTER PACK

Product Code:

69772-440

Proprietary Name:

Xl3 Xtra

Usage Information:

Adults and children 12 years of age and older; take 2 capsules every 4 hours. Do not take more than 12 capsules in 24 hours, unless directed by doctor. For children under 12 years of age consult a doctor

11-Digit NDC Billing Format:

69772044001

NDC to RxNorm Crosswalk:

RxCUI: 1193292 - acetaminophen 250 MG / chlorpheniramine maleate 2 MG / dextromethorphan HBr 10 MG / phenylephrine HCl 5 MG Oral Capsule
RxCUI: 1193292 - acetaminophen 250 MG / chlorpheniramine maleate 2 MG / dextromethorphan hydrobromide 10 MG / phenylephrine hydrochloride 5 MG Oral Capsule
RxCUI: 1193292 - APAP 250 MG / chlorpheniramine maleate 2 MG / dextromethorphan hydrobromide 10 MG / phenylephrine hydrochloride 5 MG Oral Capsule

Labeler Name:

Teresa Cecena Dba Genesis

Sample Package:

FDA Application Number:

part341

Marketing Category:

OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.

Start Marketing Date:

08-07-2015

Listing Expiration Date:

12-31-2017

Exclude Flag:

Code Structure:

69772 - Teresa Cecena Dba Genesis
- 69772-440 - Xl3 Xtra
  - 69772-440-01 - 20 mg in 1 BLISTER PACK

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 Code	Package Description
69772-440-02	12 mg in 1 BLISTER PACK

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 69772-440-01?

The NDC Packaged Code 69772-440-01 is assigned to a package of 20 mg in 1 blister pack of Xl3 Xtra, labeled by Teresa Cecena Dba Genesis. The product's dosage form is and is administered via form.

Is NDC 69772-440 included in the NDC Directory?

No, Xl3 Xtra with product code 69772-440 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Teresa Cecena Dba Genesis on August 07, 2015 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 11-digit format for NDC 69772-440-01?

The 11-digit format is 69772044001. 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 Format	10-Digit Original Code	11-Digit Format	11-Digit Code
5-3-2	69772-440-01	5-4-2	69772-0440-01

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