NDC codes

FDA NDC Directory
Product NDC (as listed)0573-0164Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00573-0164Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0573-0164-04005730164044 TABLET, COATED in 1 POUCH (0573-0164-04)Marketed from Dec 21, 2005
0573-0164-05005730164052 BOTTLE in 1 CARTON (0573-0164-05) / 2 TABLET, COATED in 1 BOTTLEMarketed from Dec 21, 2005
0573-0164-08005730164081 VIAL in 1 PACKAGE (0573-0164-08) / 8 TABLET, COATED in 1 VIALMarketed from Mar 17, 2017
0573-0164-09005730164098 TABLET, COATED in 1 VIAL (0573-0164-09)Marketed from Mar 17, 2017
0573-0164-12005730164126 POUCH in 1 CARTON (0573-0164-12) / 2 TABLET, COATED in 1 POUCHMarketed from Dec 21, 2005
0573-0164-14005730164142 POUCH in 1 CARTON (0573-0164-14) / 2 TABLET, COATED in 1 POUCHMarketed from Dec 21, 2005
0573-0164-20005730164201 BOTTLE in 1 CARTON (0573-0164-20) / 20 TABLET, COATED in 1 BOTTLEMarketed from Dec 21, 2005
0573-0164-21005730164211 BOTTLE in 1 CARTON (0573-0164-21) / 30 TABLET, COATED in 1 BOTTLEMarketed from Dec 21, 2005
0573-0164-30005730164301 BOTTLE in 1 CARTON (0573-0164-30) / 40 TABLET, COATED in 1 BOTTLEMarketed from Dec 21, 2005
0573-0164-32005730164321 BOTTLE in 1 CARTON (0573-0164-32) / 50 TABLET, COATED in 1 BOTTLEMarketed from Dec 21, 2005
0573-0164-33005730164331 BOTTLE in 1 CARTON (0573-0164-33) / 50 TABLET, COATED in 1 BOTTLEMarketed from Dec 21, 2005
0573-0164-40005730164401 BOTTLE in 1 CARTON (0573-0164-40) / 80 TABLET, COATED in 1 BOTTLEMarketed from Dec 21, 2005
0573-0164-41005730164411 BOTTLE in 1 CARTON (0573-0164-41) / 100 TABLET, COATED in 1 BOTTLEMarketed from Dec 21, 2005
0573-0164-43005730164431 BOTTLE in 1 CARTON (0573-0164-43) / 120 TABLET, COATED in 1 BOTTLEMarketed from Dec 21, 2005
0573-0164-44005730164441 BOTTLE in 1 CARTON (0573-0164-44) / 140 TABLET, COATED in 1 BOTTLEMarketed from Dec 21, 2005
0573-0164-45005730164451 BOTTLE in 1 CARTON (0573-0164-45) / 180 TABLET, COATED in 1 BOTTLEMarketed from Dec 21, 2005
0573-0164-46005730164461 BOTTLE in 1 CARTON (0573-0164-46) / 180 TABLET, COATED in 1 BOTTLEMarketed from Dec 21, 2005
0573-0164-49005730164491 BOTTLE in 1 CARTON (0573-0164-49) / 200 TABLET, COATED in 1 BOTTLEMarketed from Dec 21, 2005
0573-0164-550057301645550 POUCH in 1 TRAY (0573-0164-55) / 2 TABLET, COATED in 1 POUCHMarketed from Dec 21, 2005
0573-0164-6500573016465120 TABLET, COATED in 1 BOTTLE (0573-0164-65)Marketed from Sep 30, 2016
0573-0164-91005730164913000 POUCH in 1 BOX (0573-0164-91) / 2 TABLET, COATED in 1 POUCHMarketed from Dec 21, 2005

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Advil PM
Generic name (nonproprietary)
diphenhydramine citrate and ibuprofen
Active ingredients
Diphenhydramine citrate — 38 mg/1Ibuprofen — 200 mg/1
Dosage form
Tablet, Coated
Route
Oral
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021394
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 0573-0164_15971707-84cd-4742-e063-6394a90af906SPL ID 15971707-84cd-4742-e063-6394a90af906SPL set ID 658fc201-47c9-6a6d-8af9-6208298d43b4RxCUI 895664UNII 4OD433S209, WK2XYI10QM
Pharmacologic class
Histamine-1 Receptor Antagonist; Nonsteroidal Anti-inflammatory Drug

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400573016404 followed by a unit qualifier and the quantity

Package 00573-0164-04. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Uses for relief of occasional sleeplessness when associated with minor aches and pains helps you fall asleep and stay asleep

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 021394

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 021394
ProductStrengthForm · routeLabelerProduct NDC
Advil PMdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, CoatedOralNavajo Manufacturing Company Inc.67751-147
Advil PMdiphenhydramine citrate and ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, CoatedOralSelect Consumer Group85237-1784
Advil PM, TRAVEL BASIXibuprofen and diphenhydramine citrateIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralLil' Drug Store Products, Inc.66715-6433
Advil PM, CVP HEALTHibuprofen and diphenhydramine citrateIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralLil' Drug Store Products, Inc.66715-6533
Advil PMibuprofen and diphenhydramine citrateIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralLil' Drug Store Products, Inc.66715-9633
Advil PMibuprofen and diphenhydramine citrateIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralLil' Drug Store Products, Inc.66715-9733
ADVIL PM- diphenhydramine citrate and ibuprofen tablet, coatedadvil pmDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, CoatedOralLil Drug Store Products, Inc29485-6533
ADVIL PM- diphenhydramine citrate and ibuprofen tablet, coatedadvil pmDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, CoatedOralLil Drug Store Products, Inc29485-7008

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