Severe Cold And Flu Relief Kit
NDC Package 69842-803-08

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

Package Information

Severe Cold And Flu Relief (acetaminophen, chlorpheniramine maleate, dextromethorphan hbr, guaifenesin, phenylephrine hcl) kits is do not take more than directedadults and children 12 years and overtake 2 caplets every 4 hoursswallow whole – do not crush, chew, or dissolvedo not take more than 10 caplets in 24 hourschildren under 12 years: ask a doctor. This formulation utilizes a kit delivery system. Marketed by Cvs Pharmacy, this product is identified by NDC 69842-803 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
69842-803-08
Package Description
1 KIT in 1 CARTON * 8 TABLET, FILM COATED in 1 BLISTER PACK * 8 TABLET, FILM COATED in 1 BLISTER PACK
Product Code
69842-803
11-Digit Billing Format
69842080308
RxNorm Crosswalk
  • RxCUI: 1086991 - acetaminophen 325 MG / chlorpheniramine maleate 2 MG / dextromethorphan HBr 10 MG / phenylephrine HCl 5 MG Oral Tablet
  • RxCUI: 1086991 - acetaminophen 325 MG / chlorpheniramine maleate 2 MG / dextromethorphan hydrobromide 10 MG / phenylephrine hydrochloride 5 MG Oral Tablet
  • RxCUI: 1086991 - APAP 325 MG / chlorpheniramine maleate 2 MG / dextromethorphan hydrobromide 10 MG / phenylephrine hydrochloride 5 MG Oral Tablet
  • RxCUI: 1110988 - acetaminophen 325 MG / dextromethorphan HBr 10 MG / guaiFENesin 200 MG / phenylephrine HCl 5 MG Oral Tablet
  • RxCUI: 1110988 - acetaminophen 325 MG / dextromethorphan hydrobromide 10 MG / guaifenesin 200 MG / phenylephrine hydrochloride 5 MG Oral Tablet

Clinical Specifications

Proprietary Name
Severe Cold And Flu Relief Daytime/nighttime
Non-Proprietary Name
Acetaminophen, Chlorpheniramine Maleate, Dextromethorphan Hbr, Guaifenesin, Phenylephrine Hcl
Dosage Form
Kit - A packaged collection of related material.
Usage Information
Do not take more than directedadults and children 12 years and overtake 2 caplets every 4 hoursswallow whole – do not crush, chew, or dissolvedo not take more than 10 caplets in 24 hourschildren under 12 years: ask a doctor

Regulatory & Marketing

Labeler Name
Cvs Pharmacy
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-04-2005
End Marketing Date
05-31-2028
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 69842-803-08 identifies a specific commercial package of 1 kit in 1 carton * 8 tablet, film coated in 1 blister pack * 8 tablet, film coated in 1 blister pack of Severe Cold And Flu Relief Daytime/nighttime, a human over the counter drug labeled by Cvs Pharmacy. This kit is formulated for use and contains 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 Cvs Pharmacy on August 04, 2005.

How is this Cvs Pharmacy product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69842080308. 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)
69842-803-08
11-Digit CMS (5-4-2)
69842-0803-08

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