Mmm - Cough Formula Guaifenesin Dm
NDC Package 69822-021-40

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.

Mmm - Cough Formula Guaifenesin Dm is see DOSAGE & ADMINISTRATION. Marketed by Southern Sales & Services, Inc, this product is identified by NDC 69822-021 and is authorized under FDA application part341.

Identification & Billing

NDC Package Code
69822-021-40
Package Description
118 mL in 1 BOTTLE
Product Code
69822-021
11-Digit Billing Format
69822002140
RxNorm Crosswalk
  • RxCUI: 996520 - dextromethorphan HBr 20 MG / guaiFENesin 200 MG in 10 mL Oral Solution
  • RxCUI: 996520 - dextromethorphan hydrobromide 2 MG/ML / guaifenesin 20 MG/ML Oral Solution
  • RxCUI: 996520 - dextromethorphan hydrobromide 10 MG / guaifenesin 100 MG per 5 ML Oral Solution
  • RxCUI: 996520 - dextromethorphan hydrobromide 15 MG / guaifenesin 150 MG per 7.5 ML Oral Solution
  • RxCUI: 996520 - dextromethorphan hydrobromide 20 MG / guaifenesin 200 MG per 10 ML Oral Solution

Clinical Specifications

Proprietary Name
Mmm - Cough Formula Guaifenesin Dm
Dosage Form
-
Usage Information
See DOSAGE & ADMINISTRATION

Regulatory & Marketing

Labeler Name
Southern Sales & Services, Inc
FDA Application #
part341
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
01-01-2021
Listing Expiration
12-31-2022
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 69822-021-40 identifies a specific commercial package of 118 ml in 1 bottle of Mmm - Cough Formula Guaifenesin Dm, labeled by Southern Sales & Services, Inc. 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 Southern Sales & Services, Inc on January 01, 2021. The current certification is valid through December 31, 2022.

How is this Southern Sales & Services, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69822002140. 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)
69822-021-40
11-Digit CMS (5-4-2)
69822-0021-40

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