Akin Cough Formula Dm Strawberry Banana Liquid
NDC Package 69822-211-04

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

Package Information

Akin Cough Formula Dm Strawberry Banana (dextromethorphan hydrobromide, guaifenesin) liquids is do not take more than 6 doses in any 24 hours period Adults and children 12 years and over 10 ml (2 teaspoonfuls every 4 hours or as directed by doctor) Children under 12 years do not use. This formulation utilizes a liquid delivery system. Marketed by Southern Sales & Service, Inc., this product is identified by NDC 69822-211 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
69822-211-04
Package Description
118 mL in 1 BOTTLE
Product Code
69822-211
11-Digit Billing Format
69822021104

Clinical Specifications

Proprietary Name
Akin Cough Formula Dm Strawberry Banana
Non-Proprietary Name
Dextromethorphan Hydrobromide, Guaifenesin
Substance Name
Dextromethorphan Hydrobromide; Guaifenesin
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Do not take more than 6 doses in any 24 hours period Adults and children 12 years and over 10 ml (2 teaspoonfuls every 4 hours or as directed by doctor) Children under 12 years do not use

Regulatory & Marketing

Labeler Name
Southern Sales & Service, Inc.
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-01-2023
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 69822-211-04 identifies a specific commercial package of 118 ml in 1 bottle of Akin Cough Formula Dm Strawberry Banana, a human over the counter drug labeled by Southern Sales & Service, Inc.. This liquid is formulated for topical use and contains dextromethorphan hydrobromide; guaifenesin 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 Southern Sales & Service, Inc. on February 01, 2023. The current certification is valid through December 31, 2026.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69822021104. 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)
69822-211-04
11-Digit CMS (5-4-2)
69822-0211-04

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