Cough Medicine
NDC Package 75663-002-01

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Cough Medicine is ■ do not take more than 4 doses in any 24-hour period■ one dose is one bottle■ this adult product is not intended for use in children under 12 years of ageAgeDoseAdults and Children one bottle (10 ml)12 years and over every 6-8 hoursChildren under 12 years do not use. Marketed by Lm Wholesale Herbs, this product is identified by NDC 75663-002 and is authorized under FDA application part341.

Identification & Billing

NDC Package Code
75663-002-01
Package Description
6 BOTTLE, GLASS in 1 BOX / 10 mL in 1 BOTTLE, GLASS (75663-002-10)
Product Code
75663-002
11-Digit Billing Format
75663000201
RxNorm Crosswalk
  • RxCUI: 1090496 - dextromethorphan HBr 15 MG in 5 mL Oral Solution
  • RxCUI: 1090496 - dextromethorphan hydrobromide 3 MG/ML Oral Solution
  • RxCUI: 1090496 - dextromethorphan hydrobromide 15 MG per 5 ML Oral Solution
  • RxCUI: 1090496 - dextromethorphan hydrobromide 30 MG per 10 ML Oral Solution

Clinical Specifications

Proprietary Name
Cough Medicine Soothing Relief
Dosage Form
-
Usage Information
■ do not take more than 4 doses in any 24-hour period■ one dose is one bottle■ this adult product is not intended for use in children under 12 years of ageAgeDoseAdults and Children one bottle (10 ml)12 years and over every 6-8 hoursChildren under 12 years do not use

Regulatory & Marketing

Labeler Name
Lm Wholesale Herbs
FDA Application #
part341
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
05-18-2020
Listing Expiration
12-31-2021
Exclude Flag
I
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 75663-002-01 identifies a specific commercial package of 6 bottle, glass in 1 box / 10 ml in 1 bottle, glass (75663-002-10) of Cough Medicine Soothing Relief, labeled by Lm Wholesale Herbs. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Lm Wholesale Herbs on May 18, 2020. The current certification is valid through December 31, 2021.

How is this Lm Wholesale Herbs product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 75663000201. 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)
75663-002-01
11-Digit CMS (5-4-2)
75663-0002-01

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