Meijer Adult Severe Multi-symptom Cough Cold Flu Liquid
NDC Package 79481-6300-8

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

Package Information

Meijer Adult Severe Multi-symptom Cough Cold Flu (acetaminophen, dextromethorphan hydrobromide, guaifenesin, phenylephrine hydrochloride) liquids is uses▪temporarily relieves these symptoms occurring with a cold or flu: ▪cough due to minor throat and bronchial irritation▪nasal congestion▪sinus congestion and pressure▪minor aches and pains▪sore throat▪headache▪temporarily reduces fever▪helps loosen phlegm (mucus) and thin bronchial secretions to drain bronchial tubes and make coughs more productive. This formulation utilizes a liquid delivery system. Marketed by Meijer Distribution Inc, this product is identified by NDC 79481-6300 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
79481-6300-8
Package Description
1 BOTTLE in 1 CARTON / 237 mL in 1 BOTTLE
Product Code
79481-6300
11-Digit Billing Format
79481630008
RxNorm Crosswalk
  • RxCUI: 1116572 - acetaminophen 650 MG / dextromethorphan HBr 20 MG / guaiFENesin 400 MG / phenylephrine HCl 10 MG in 20 mL Oral Solution
  • RxCUI: 1116572 - acetaminophen 32.5 MG/ML / dextromethorphan hydrobromide 1 MG/ML / guaifenesin 20 MG/ML / phenylephrine hydrochloride 0.5 MG/ML Oral Solution
  • RxCUI: 1116572 - acetaminophen 325 MG / dextromethorphan HBr 10 MG / guaifenesin 200 MG / phenylephrine hydrochloride 5 MG per 10 ML Oral Solution
  • RxCUI: 1116572 - acetaminophen 650 MG / dextromethorphan HBr 20 MG / guaifenesin 400 MG / phenylephrine hydrochloride 10 MG per 20 ML Oral Solution
  • RxCUI: 1116572 - APAP 32.5 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML / Guaifenesin 20 MG/ML / Phenylephrine Hydrochloride 0.5 MG/ML Oral Solution

Clinical Specifications

Proprietary Name
Meijer Adult Severe Multi-symptom Cough Cold Flu
Non-Proprietary Name
Acetaminophen, Dextromethorphan Hydrobromide, Guaifenesin, Phenylephrine Hydrochloride
Substance Name
Acetaminophen; Dextromethorphan Hydrobromide; Guaifenesin; Phenylephrine 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
Uses▪temporarily relieves these symptoms occurring with a cold or flu: ▪cough due to minor throat and bronchial irritation▪nasal congestion▪sinus congestion and pressure▪minor aches and pains▪sore throat▪headache▪temporarily reduces fever▪helps loosen phlegm (mucus) and thin bronchial secretions to drain bronchial tubes and make coughs more productive

Regulatory & Marketing

Labeler Name
Meijer Distribution Inc
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
03-31-2023
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 79481-6300-8 identifies a specific commercial package of 1 bottle in 1 carton / 237 ml in 1 bottle of Meijer Adult Severe Multi-symptom Cough Cold Flu, a human over the counter drug labeled by Meijer Distribution Inc. This liquid is formulated for oral use and contains acetaminophen; dextromethorphan hydrobromide; guaifenesin; phenylephrine 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 Meijer Distribution Inc on March 31, 2023. The current certification is valid through December 31, 2026.

How is this Meijer Distribution Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 79481630008. 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)
79481-6300-8
11-Digit CMS (5-4-2)
79481-6300-08

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