Childrens Cough And Congestion, Childrens Cold And Cough Kit
NDC Package 79903-414-16

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

Package Information

Childrens Cough And Congestion, Childrens Cold And Cough (dextromethorphan hbr, doxylamine succinate, guaifenesin) kits is do not take more than directeddo not exceed 6 doses per 24 hoursmL = milliliteronly use the dose cup providedadults and children 12 years and over30 mL every 4 hourschildren 6 to under 12 years15 mL every 4 hourschildren under 6 yearsdo not use do not take more than directeddo not exceed 6 doses per 24 hoursmL = milliliteronly use the dose cup providedadults and children 12 years and over30 mL every 4 hourschildren 6 to under 12 years15 mL every 4 hourschildren under 6 yearsdo not use. This formulation utilizes a kit delivery system. Marketed by Walmart Inc., this product is identified by NDC 79903-414 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
79903-414-16
Package Description
1 KIT in 1 PACKAGE / 1 KIT in 1 KIT * 237 mL in 1 BOTTLE, PLASTIC (79903-412-08) * 237 mL in 1 BOTTLE, PLASTIC (79903-413-08)
Product Code
79903-414
11-Digit Billing Format
79903041416
RxNorm Crosswalk
  • RxCUI: 1298228 - dextromethorphan HBr 10 MG / guaiFENesin 100 MG in 15 mL Oral Solution
  • RxCUI: 1298228 - dextromethorphan hydrobromide 0.667 MG/ML / guaifenesin 6.67 MG/ML Oral Solution
  • RxCUI: 1298228 - dextromethorphan hydrobromide 10 MG / guaifenesin 100 MG per 15 ML Oral Solution
  • RxCUI: 1298228 - dextromethorphan hydrobromide 20 MG / guaifenesin 200 MG per 30 ML Oral Solution
  • RxCUI: 2743624 - dextromethorphan HBr 10 MG / doxylamine succinate 6.25 MG per 15 mL Oral Solution

Clinical Specifications

Proprietary Name
Childrens Cough And Congestion, Childrens Cold And Cough Day, Night
Non-Proprietary Name
Dextromethorphan Hbr, Doxylamine Succinate, Guaifenesin
Dosage Form
Kit - A packaged collection of related material.
Usage Information
Do not take more than directeddo not exceed 6 doses per 24 hoursmL = milliliteronly use the dose cup providedadults and children 12 years and over30 mL every 4 hourschildren 6 to under 12 years15 mL every 4 hourschildren under 6 yearsdo not use do not take more than directeddo not exceed 6 doses per 24 hoursmL = milliliteronly use the dose cup providedadults and children 12 years and over30 mL every 4 hourschildren 6 to under 12 years15 mL every 4 hourschildren under 6 yearsdo not use

Regulatory & Marketing

Labeler Name
Walmart Inc.
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-19-2026
Listing Expiration
12-31-2027
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 79903-414-16 identifies a specific commercial package of 1 kit in 1 package / 1 kit in 1 kit * 237 ml in 1 bottle, plastic (79903-412-08) * 237 ml in 1 bottle, plastic (79903-413-08) of Childrens Cough And Congestion, Childrens Cold And Cough Day, Night, a human over the counter drug labeled by Walmart Inc.. This kit is formulated for use and contains 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 Walmart Inc. on May 19, 2026. The current certification is valid through December 31, 2027.

How is this Walmart Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 79903041416. 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)
79903-414-16
11-Digit CMS (5-4-2)
79903-0414-16

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