Dextromethorphan Hbr 15 Mg Capsule, Liquid Filled
NDC Package 73629-005-10

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

Package Information

Dextromethorphan Hbr 15 Mg capsules is a medication used as Cough suppressant. This formulation utilizes a capsule, liquid filled delivery system. Marketed by Amz789 Llc, this product is identified by NDC 73629-005 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
73629-005-10
Package Description
100 CAPSULE, LIQUID FILLED in 1 BOTTLE, PLASTIC
Product Code
73629-005
11-Digit Billing Format
73629000510
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Dextromethorphan Hbr 15 Mg
Non-Proprietary Name
Dextromethorphan Hbr 15 Mg
Substance Name
Dextromethorphan Hydrobromide
Dosage Form
Capsule, Liquid Filled - A solid dosage form in which the drug is enclosed within a soluble, gelatin shell which is plasticized by the addition of a polyol, such as sorbitol or glycerin, and is therefore of a somewhat thicker consistency than that of a hard shell capsule; typically, the active ingredients are dissolved or suspended in a liquid vehicle.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
DEXTROMETHORPHAN HYDROBROMIDE 15 mg/1
Pharmacologic Class
Usage Information
This product is used as Cough suppressant

Regulatory & Marketing

Labeler Name
Amz789 Llc
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-01-2022
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 73629-005-10 identifies a specific commercial package of 100 capsule, liquid filled in 1 bottle, plastic of Dextromethorphan Hbr 15 Mg, a human over the counter drug labeled by Amz789 Llc. This capsule, liquid filled is formulated for oral use and contains dextromethorphan hydrobromide 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 Amz789 Llc on May 01, 2022. The current certification is valid through December 31, 2026.

How is this Amz789 Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 73629000510. 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)
73629-005-10
11-Digit CMS (5-4-2)
73629-0005-10

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