Ephedrine Sulfate Tablet, Film Coated
NDC Package 69842-922-07

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

Package Information

Ephedrine Sulfate tablets is  do not take more than directedadults and children 12 years of age and over take 1 caplet every 4 hours as needed. This formulation utilizes a tablet, film coated delivery system. Marketed by Cvs Pharmacy, Inc, this product is identified by NDC 69842-922 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
69842-922-07
Package Description
5 BLISTER PACK in 1 CARTON / 12 TABLET, FILM COATED in 1 BLISTER PACK
Product Code
69842-922
11-Digit Billing Format
69842092207
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Ephedrine Sulfate
Non-Proprietary Name
Ephedrine Sulfate
Substance Name
Ephedrine Sulfate
Dosage Form
Tablet, Film Coated - A solid dosage form that contains medicinal substances with or without suitable diluents and is coated with a thin layer of a water-insoluble or water-soluble polymer.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
EPHEDRINE SULFATE 25 mg/1
Pharmacologic Class
Usage Information
 do not take more than directedadults and children 12 years of age and over take 1 caplet every 4 hours as needed. Do not take more than 6 caplets in 24 hours or as directed by a doctor. children under 12 years of age do not use

Regulatory & Marketing

Labeler Name
Cvs Pharmacy, Inc
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-28-2022
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 69842-922-07 identifies a specific commercial package of 5 blister pack in 1 carton / 12 tablet, film coated in 1 blister pack of Ephedrine Sulfate, a human over the counter drug labeled by Cvs Pharmacy, Inc. This tablet, film coated is formulated for oral use and contains ephedrine sulfate 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, Inc on December 28, 2022. The current certification is valid through December 31, 2026.

How is this Cvs Pharmacy, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69842092207. 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)
69842-922-07
11-Digit CMS (5-4-2)
69842-0922-07

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