Novominsyrup Liquid
NDC Package 72988-0034-1

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

Package Information

Novominsyrup (caffeine anhydrous, meclizine hydrochloride hydrate, pyridoxine hydrochloride) liquids is ■ adult and children 15 years of age and older: 1 pack 30 minutes before boarding.■ children under 15 years of age: ask a doctor. This formulation utilizes a liquid delivery system. Marketed by Lydia Co., Ltd., this product is identified by NDC 72988-0034.

Identification & Billing

NDC Package Code
72988-0034-1
Package Description
6 mL in 1 POUCH
Product Code
72988-0034
11-Digit Billing Format
72988003401

Clinical Specifications

Proprietary Name
Novominsyrup
Non-Proprietary Name
Caffeine Anhydrous, Meclizine Hydrochloride Hydrate, Pyridoxine Hydrochloride
Substance Name
Caffeine; Meclizine Hydrochloride; Pyridoxine Hydrochloride
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
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
■ adult and children 15 years of age and older: 1 pack 30 minutes before boarding.■ children under 15 years of age: ask a doctor

Regulatory & Marketing

Labeler Name
Lydia Co., Ltd.
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
01-23-2023
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 72988-0034-1 identifies a specific commercial package of 6 ml in 1 pouch of Novominsyrup, a human over the counter drug labeled by Lydia Co., Ltd.. This liquid is formulated for oral use and contains caffeine; meclizine hydrochloride; pyridoxine hydrochloride 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 Lydia Co., Ltd. on January 23, 2023. The current certification is valid through December 31, 2026.

How is this Lydia Co., Ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72988003401. 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 (5-4-1)
72988-0034-1
11-Digit CMS (5-4-2)
72988-0034-01

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