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HyVee Cough Drops Cherry Menthol 5.8 mg Lozenge, 30-count — NDC 42507-902-30 (Billing 42507-0902-30)

by HY-VEE, INC · 30 LOZENGE in 1 BAG

This is a package of 30 lozenges of HyVee Cough Drops Cherry Menthol 5.8 mg Lozenge from HY-VEE, INC, marketed since Dec 2025 and currently FDA-listed. It is this product's only package size.

NDC 42507-0902-30
🏷️ FDA NDC (as labeled) 42507-902-30 billing pads the product segment with a zero
OTC On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

⚠️
Other active recalls for Menthol (different manufacturers) — 1 · tap to view
These affect other manufacturers’ products for the same ingredient — not necessarily the exact NDC on this page.
Class II · Mar 20, 2026 — This recall is being initiated following FDA's recommendation based on certain observations noted during an August 15, 2025, inspection of the manufacturing facility that may bear on product quality. (Xiamen Kang Zhongyuan Biotechnology Co., Ltd.) · FDA recall D-0458-2026
Each entry is an official FDA enforcement report — look up any recall number in the FDA recall database ↗

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 42507-902-30
Product NDC 42507-902
11-digit billing NDC 42507090230
RxCUI 476973
UNII L7T10EIP3A
Application # M012
SPL Set ID 47a717e9-56b3-e771-e063-6394a90a5c17
DEA schedule Non-controlled
Marketing category OTC MONOGRAPH DRUG
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 2025-12-30
Route ORAL
Dosage form LOZENGE
Substance MENTHOL
Quick answers
  • RxCUI (RxNorm): 476973
Why two NDCs? The FDA registers this code as 42507-902-30 — a 5-3-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the product segment → 42507-0902-30. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

Clinical

📗 Our plain-language guide HelloPharmacist
  • Mostly for temporary relief of minor aches and pains in muscles and joints, like those from arthritis, backache, strains, sprains and bruises. Some products are for other things, s...
  • It depends on the product. Many creams, gels and patches are limited to about 3 to 4 times a day, and patches also have a time limit, often 8 hours. Follow your product label and a...
  • A brief burning feeling can happen when you first apply it and usually fades in several days. But if you get severe burning pain, swelling or blistering, stop using it and call you...
  • No. Don't use menthol products with a heating pad, and avoid local heat or direct sunlight on the area. Rare cases of serious burns have been reported.
📖 Read our full Menthol guide →

Supplement & herbal interactions

🌿 Drug–supplement interaction checker →
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer eachPer package
Retail pharmacies payNADAC · weekly Not in the retail survey — common for institutional, discontinued, or low-volume packs.
Medicaid paysCMS SDUD · 12 mo No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data.
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
ℹ️
No price is published for this exact package yet. CMS surveys NADAC per package size, so a different pack of the same drug often has one.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

Packaging — all sizes for this product

Package NDCDescription Marketing startMarketing endStatus
42507-0902-30 You're viewing this Main listing 30 LOZENGE in 1 BAG 2025-12-30 — Active

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Cough Drops Cherry 5.8 mg 70000-0640-01 Cardinal 30 pastilles $0.042 — Availability likely —
Sugar Free Cough Drops 5.8 mg 70000-0641-01 Cardinal 25 pastilles $0.042 — Availability likely —
Sugar Free Cough Drops Black Cherry 5.8 mg 70000-0643-01 Cardinal 25 pastilles $0.042 — Availability likely —
Foster and Thrive Cherry Cough Drops 5.8 mg 70677-1298-01 McKesson 80 lozenges $0.042 — Availability likely —
Cherry Cough Drop 5.8 mg 00363-1071-00 Walgreen 200 lozenges — — FDA listed —
SF Menthol Cough Drop 5.8 mg 00363-1085-50 Walgreen 150 lozenges — — FDA listed —
Cherry Cough Drops 5.8 mg 00363-1086-30 Walgreen 30 lozenges — — FDA listed —
Walgreens Cherry Cough Drops 5.8 mg 00363-9958-40 Walgreens 40 lozenges — — FDA listed —
Halls Sugar Free Black Cherry 5.8 mg 12546-0104-25 Mondelez 25 lozenges — — Discontinued —
Halls Cherry 5.8 mg 12546-0109-14 Mondelez 14 lozenges — — FDA listed —
Halls Sugar Free Mountain Menthol 5.8 mg 12546-0640-25 Mondelez 25 lozenges — — Discontinued —
Halls Sugar Free Mountain Menthol 5.8 mg 12546-0724-01 Mondelez 150000 lozenges — — FDA listed —
Cherry Cough Drop 5.8 mg 21130-0266-30 Safeway 30 lozenges — — FDA listed —
Signature Care Cherry Cough Drops 5.8 mg 21130-0308-00 Safeway 200 lozenges — — FDA listed —
Cherry cough drop 5.8 mg 30142-0032-30 The 30 lozenges — — FDA listed —
Kroger Cherry Cough Drops 5.8 mg 30142-0045-00 Kroger 200 lozenges — — FDA listed —
cherry cough drops 5.8 mg 36800-0815-30 TopCo 30 lozenges — — FDA listed —
sugar free menthol cough drops 5.8 mg 36800-0819-25 Topco 25 lozenges — — FDA listed —
Vicks Formula 44 Cough Drops 5.8 mg 37000-0997-50 The 50 lozenges — — FDA listed —
Cherry cough drop 5.8 mg 37808-0033-30 HEB 30 lozenges — — FDA listed —
SF Menthol Cough Drop 5.8 mg 37808-0051-25 HEB 25 lozenges — — FDA listed —
HEB Cherry Cough Drops 5.8 mg 37808-0473-60 HEB 160 lozenges — — FDA listed —
cherry cough drops 5.8 mg 41250-0151-30 Meijer 30 lozenges — — FDA listed —
cherry cough drops 5.8 mg 41250-0152-00 Meijer 200 lozenges — — FDA listed —
sugar free menthol cough drops 5.8 mg 41250-0168-50 Meijer 150 lozenges — — FDA listed —
Cherry Cough Drops 5.8 mg 41415-0008-30 Publix 30 lozenges — — FDA listed —
Sugar Free Menthol Cough Drops 5.8 mg 41520-0020-25 American 25 lozenges — — FDA listed —
Cherry cough drop 5.8 mg 41520-0026-30 American 30 lozenges — — FDA listed —
HyVee Cough Drops Cherry 5.8 mgthis 42507-0902-30 HY-VEE, 30 lozenges — — FDA listed —
Menthol Cough Drops 5.8 mg 42681-0040-01 WHOLE 25 pastilles — — FDA listed —
Medique Sugar Free Medikoff Drops 5.8 mg 47682-0110-03 Unifirst 300 lozenges — — FDA listed —
cherry cough drops 5.8 mg 49035-0012-30 Walmart 30 lozenges — — FDA listed —
Therastat 5.8 mg 50332-0137-04 HART 50 lozenges — — FDA listed —
Good Sense Cherry Cough Drops 5.8 mg 50804-0014-30 Geiss, 30 lozenges — — FDA listed —
Cough Drops 5.8 mg 50804-0591-01 Perrigo 30 pastilles — — FDA listed —
Sugar Free Cough Drops 5.8 mg 51316-0013-01 CVS 140 pastilles — — FDA listed —
Cough Drops 5.8 mg 51316-0016-01 CVS 160 pastilles — — FDA listed —
Sugar Free Cough Drops 5.8 mg 51316-0851-01 CVS 140 pastilles — — FDA listed —
Sugar Free Cough Drops 5.8 mg 51316-0989-01 CVS 140 pastilles — — FDA listed —
Cherry Cough Drops 5.8 mg 52642-0043-80 Bestco 80 lozenges — — FDA listed —
Sugar Free Cherry Cough Drops 5.8 mg 52642-0046-25 Bestco 25 lozenges — — FDA listed —
Discount Drug Mart 5.8 mg 53943-0202-30 DISCOUNT 30 lozenges — — FDA listed —
Sugar Free Cherry Cough Drops 5.8 1 55301-0038-25 Army 25 lozenges — — FDA listed —
Exchange Select Cough Drop Black Cherry Sugar Free 5.8 mg 55301-0582-25 Army 25 lozenges — — FDA listed —
cherry cough drops 5.8 mg 55319-0007-30 Family 30 lozenges — — FDA listed —
sugar free menthol cough drops 5.8 mg 59779-0695-36 CVS 36 lozenges — — FDA listed —
cherry cough drops 5.8 mg 67091-0301-30 Winco 30 lozenges — — FDA listed —
Sugar Free Menthol Cough Drops 5.8 mg 67091-0303-25 Winco 25 lozenges — — FDA listed —
Premier Value 5.8 mg 68016-0883-30 Pharmacy 30 lozenges — — FDA listed —
Premier Value 5.8 mg 68016-0886-25 Pharmacy 25 lozenges — — FDA listed —
McKesson Sugar Free Cough Suppressant Oral Anesthetic 5.8 mg 68599-1090-03 McKesson 300 lozenges — — FDA listed —
CVS Cherry Cough Drops 5.8 mg 69842-0532-60 CVS 160 lozenges — — FDA listed —
CVS SF Menthol Cough Drops 5.8 mg 69842-0593-40 CVS 140 lozenges — — FDA listed —
Cough Drops Cherry with Sugar 5.8 mg/5.8mg 71141-0111-32 Lidl 96000 mg — — FDA listed —
Cough Drops Menthol Sugar Free 5.8 mg/5.8mg 71141-0112-32 Lidl 96000 mg — — FDA listed —
Freegells Cough Drops Menthol Cherry 5.8 mg 71165-0011-00 Riclan 30 lozenges — — FDA listed —
Harris Teeter Cherry Cough Drops 5.8 mg 72036-0082-30 Harris 30 lozenges — — FDA listed —
Basic Care Cherry Cough Drops 5.8 mg 72288-0231-60 Amazon.com 160 lozenges — — FDA listed —
Basic Care SF Menthol Cough Drops 5.8 mg 72288-0233-40 Amazon.com 140 lozenges — — FDA listed —
Amazon Basics Cherry Cough Drops 30ct 5.8 mg 72288-0237-30 Amazon 30 lozenges — — FDA listed —
Black Cherry Cough Drops 5.8 mg 72628-0104-01 Boston 25 pastilles — — FDA listed —
Menthol Cough Drops 5.8 mg 72628-0105-01 Boston 36 pastilles — — FDA listed —
Menthol Cough Drops 5.8 mg 72628-0106-01 Boston 150 pastilles — — FDA listed —
Cough Drops Dollar General Cherry 30ct 5.8 mg 75712-0018-01 Dollar 270 lozenges — — FDA listed —
Sugar Free Cough Drops 5.8 mg 76162-0010-01 Topco 25 pastilles — — FDA listed —
Sugar Free Cough Drops 5.8 mg 76162-0012-01 Topco 25 pastilles — — FDA listed —
Cough Drops 5.8 mg 76162-0014-01 Topco 30 pastilles — — FDA listed —
Cough Drops 5.8 mg 76162-0016-01 Topco 80 pastilles — — FDA listed —
Cough Drops 5.8 mg 76162-0018-01 Topco 160 pastilles — — FDA listed —
Equate SF Menthol Cough Drops 5.8 mg 79903-0185-70 WalMart 70 lozenges — — FDA listed —
caring mill Cough drops CHERRY 5.8 mg 81522-0421-90 FSA 90 lozenges — — FDA listed —
Menthol Cough Drops 5.8 mg 82442-0001-01 Target 80 pastilles — — FDA listed —
Menthol Cough Drops 5.8 mg 82442-0200-01 Target 80 pastilles — — FDA listed —
Freegells Cough Drops Menthol Cherry 80ct 5.8 mg 83002-0002-01 R.L. 480 lozenges — — FDA listed —
Freegells Cough Drops Menthol Cherry 30ct 5.8 mg 83002-0003-01 R.L. 270 lozenges — — FDA listed —
Freegells Cough Drops Menthol Cherry 200ct 5.8 mg 83002-0008-01 R.L. 800 lozenges — — FDA listed —
MGC Health 5.8 mg 83173-0121-30 Medical 30 lozenges — — FDA listed —
MGC Health 5.8 mg 83173-0127-25 Medical 25 lozenges — — FDA listed —
Quality Choice Cherry Cough Drops 5.8 mg 83324-0267-30 Chain 30 lozenges — — FDA listed —
QUALITY CHOICE Cough Drops Black Cherry SUGAR FREE 5.8 mg 83324-0307-25 Chain 25 lozenges — — FDA listed —
Cough Drops 5.8 mg 83455-0201-01 United 200 pastilles — — FDA listed —
Cough Drops 5.8 mg 83455-0202-01 United 30 pastilles — — FDA listed —
Cough Drops 5.8 mg 83455-0204-01 United 25 pastilles — — FDA listed —
Cough Drops 5.8 mg 83455-0205-01 United 140 pastilles — — FDA listed —
MGC Health 5.8 mg 83698-0121-30 Xiamen 30 lozenges — — FDA listed —
MGC Health 5.8 mg 83698-0127-25 Xiamen 25 lozenges — — FDA listed —
Discount Drug Mart 5.8 mg 83698-0202-30 Xiamen 30 lozenges — — FDA listed —
caring mill Cough drops CHERRY 5.8 mg 83698-0421-90 Xiamen 90 lozenges — — FDA listed —
Exchange Select Cough Drop Black Cherry Sugar Free 5.8 mg 83698-0582-25 Xiamen 25 lozenges — — FDA listed —
QUALITY CHOICE Cough Drops Black Cherry SUGAR FREE 5.8 mg 83698-0624-25 Xiamen 25 lozenges — — FDA listed —
Quality Choice 5.8 mg 83698-0674-30 Xiamen 30 lozenges — — FDA listed —
Premier Value 5.8 mg 83698-0883-30 Xiamen 30 lozenges — — FDA listed —
Premier Value 5.8 mg 83698-0886-25 Xiamen 25 lozenges — — FDA listed —
HyVee Cough Drops Cherry 5.8 mg 83698-0902-30 Xiamen 30 lozenges — — FDA listed —
Vicks VapoDrops 5.8 mg 84126-0362-50 The 50 lozenges — — FDA listed —
About this product: other versions of the same ingredient, strength and form are listed above, least expensive first, with FDA equivalence ratings where available.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
2025
On the market since
Dec 2025
📍
2026
Currently FDA-listed
1 year listed
🔒
·
No generic listed yet
brand only
ℹ️No FDA-approved generic found

We did not find an FDA-approved generic match for this exact strength, form and route.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII 2968PHW8QP
    A weak organic acid derived from citrus fruits or made through fermentation. It works as a buffer to control pH, a preservative to extend shelf life, and a flavoring agent in medications.
  • UNII 9G5L16BK6N
    A thick, sweet liquid made from corn starch. It acts as a sweetener, thickener, and binder in medicines, helping create the right texture and taste while holding ingredients together.
  • UNII 2R04ONI662
    Eucalyptus oil is a fragrant liquid extracted from eucalyptus tree leaves. It's used in medicines as a flavor, scent, or soothing agent in topical products and cough preparations.
  • UNII PDC6A3C0OX
    Glycerin is a clear, thick liquid derived from plant oils or fats. It acts as a humectant to retain moisture, a sweetener, and a solvent in medications.
  • UNII 1DI56QDM62
    A natural fatty substance from soybeans that helps mix oil and water-based ingredients together. It acts as an emulsifier and lubricant in medicines to improve texture and help the product break down properly in your body.
  • UNII STI11B5A2X
    Polysorbate 40 is a synthetic emulsifier derived from sorbitol and fatty acids. It helps keep oils and water mixed together in liquid medications and also improves how the product flows.
  • UNII IJ67X351P9
    A natural plant extract from rosemary leaves used as a preservative to help prevent oils and fats in the medicine from spoiling or becoming rancid during storage.
  • UNII 96K6UQ3ZD4
    Sucralose is a synthetic sweetener made from sugar. It's added to medicines to improve taste without adding calories, helping make bitter or unpleasant-tasting drugs easier to take.
  • UNII C151H8M554
    A natural sugar derived from sugar cane or sugar beets. It's used as a sweetener, filler, and binder to improve taste, add bulk, and help hold tablet or capsule ingredients together.
  • UNII 15744271E9
    A chemical ion form of sulfur that acts as a preservative in medicines. It prevents oxidation and microbial growth to help keep the product stable and safe during storage.

10 inactive ingredients listed in the exact product block matched to this NDC.

The official label also statesartificial cherry flavor, citric acid, corn syrup, eucalyptus oil, glycerin, mint flavor, naural cherry flavor, polysorbate 40, rosemary extract, sucrose, sulfites (residual), vegetable juice (color)

Label-section wording can be broader than the structured product block and may mention additional formulation ingredients.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMed — ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

Manufacturer & labeler

LabelerHY-VEE, INC
FDA applicationM012 (OTC MONOGRAPH DRUG)
Labeler code42507
First marketedDec 2025
Product typeHuman Otc Drug
Portfolio9 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

FDA label — Drug Facts FDA SPL

The complete FDA label for this product — the official Drug Facts labeling, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage ⏱️ Dosage and Administration ⚠️ Warnings 📦 Storage and Handling 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose 📄 Ask a Doctor Before Use If 📄 Stop Use and Ask a Doctor If 📄 Keep Out of Reach of Children 📄 Questions or Comments 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 15 words ▾

Use temporary relieves: ■ cough due to cold ■ occasional minor irritation or sore throat

⏱️ Dosage and Administration 33 words ▾

Directions ■ adults and children 2 years and over: dissolve lozenge slowly in the mouth. Repeat every 2 hours as needed or directed by doctor. ■ children under 2 years: ask a doctor.

⚠️ Warnings 29 words ▾

Warnings Sore throat warning: If sore throat is severe, persists for more than 2 days, is accompanied or follow headache, rash, swelling, nausea, or vomiting, consult a doctor promptly.

📦 Storage and Handling 28 words ▾

Other information ■ store at room temperature ■ Keep away from excessive heat or sunlight ■ do not use if primary bag seal has been torn or broken

🧪 Active Ingredient 5 words ▾

Active Ingredient(s) Menthol 5.8 mg

🧪 Inactive Ingredients 27 words ▾

Inactive ingredients artificial cherry flavor, citric acid, corn syrup, eucalyptus oil, glycerin, mint flavor, naural cherry flavor, polysorbate 40, rosemary extract, sucrose, sulfites (residual), vegetable juice (color)

🎯 Purpose 6 words ▾

Purpose Purposes cough suppressant, oral anesthetic

📄 Ask a Doctor Before Use If 28 words ▾

Ask a doctor before use if you have: ■ persistent or chronic cough such as occurs with smoking, asthma, or emphysema ■ cough accompanied by excessive phlegm (mucus).

📄 Stop Use and Ask a Doctor If 52 words ▾

Stop use and ask a doctor if ■ cough persists for more than 1 week, tends to recur, or is accompained by fever, rash, or persistent headache. These could be signs of a serius condition. ■ sore mouth does not improve in 7 days ■ irritation, pain, or redness persists or worsens.

📄 Keep Out of Reach of Children 10 words ▾

Keep this and all drugs out of reach of children

📄 Questions or Comments 27 words ▾

Call +1-866-306-9136 You may also report concerns to this phone number Monday to Friday, 9 AM - 5 PM Eastern Time or visit our website at www.mgc.us

📄 Package Label / Principal Display Panel 8 words ▾

Package Label - Principal Display Panel hyvee cherry

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

About this NDC listing & data coverage

Over-the-counter (OTC) product
What data is (and isn’t) available for this NDC — tap to expand
NDC identity (package / product / labeler codes) ✓ Available
Labeler ✓ Available
Product & package description ✓ Available
Marketing category & status ✓ Available
Active ingredient / dosage form / route ✓ Available
FDA label (SPL via DailyMed) ✓ Available
Package photos — Not published for this NDC No photo available yet for this listing.
Inactive ingredients (structured) ✓ Available
NADAC pharmacy acquisition price (CMS) — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey.
Orange Book / therapeutic-equivalence data — Not published for this NDC Applies only to products approved under an NDA/ANDA; many listings are out of scope.
HCPCS J-code billing crosswalk — Not published for this NDC Most self-administered / retail products have no J-code — that is normal.
Medicaid utilization (CMS SDUD) — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold.
“Not published” reflects what the public FDA / CMS / NLM sources provide for this exact package code — it is a property of the data feeds, not a judgment about the product.

Questions about this listing

Is this NDC FDA-approved?
An NDC listing does not by itself establish FDA approval — the NDC Directory records that a product is listed with FDA, not that it was reviewed and approved. This listing's marketing category is "Otc Monograph Drug". Products approved under an application carry an NDA, ANDA, or BLA number.
Why is there no price listed?
The pricing shown on our NDC pages comes from CMS NADAC, a voluntary survey of retail community pharmacy invoices. CMS does not publish a NADAC for every NDC — packages outside the retail survey (institutional and hospital products, bulk packages, discontinued items, and many OTC items) may never receive one. A missing price reflects the survey's scope, not this product's actual cost, and does not mean the product is free or unavailable.
Is the NDC printed on the package the same as the 11-digit billing NDC?
Yes, they identify this exact package in different formats. The form printed on the packaging and shown on DailyMed is the one the FDA registered. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero and the dashes are dropped. The Identity section at the top of this page lists each form of this code.
Is this package still being marketed?
Yes, per the latest FDA NDC Directory data on this page: this package is listed as actively marketed, with no marketing end date reported by HY-VEE, INC. Listing status can change — the directory data on this page refreshes weekly.
Who lists this product with the FDA?
HY-VEE, INC is the labeler of record for this NDC — the company under whose FDA-assigned code the package is listed. The labeler may be the manufacturer itself or a distributor marketing the product under its own code.
Do I need a prescription for this product?
This NDC is listed with FDA as an over-the-counter product, so it does not require a prescription. Follow the package directions, and ask your pharmacist if you are unsure whether it is right for you.
This page identifies an FDA-listed package (the NDC) and reports public regulatory and pricing data about the listing. It is reference information, not a medical recommendation — talk to your pharmacist or prescriber about your own medication.
Where does this data come from?
Listing facts (marketing category, packager status, marketing dates) from the FDA openFDA NDC Directory; label availability from DailyMed; pricing coverage from CMS NADAC; equivalence scope from the FDA Orange Book.
← 42507-0898-42 · HyVee 42507-0904-30 · HY-VEE, →
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.