NDC codes

FDA NDC Directory
Product NDC (as listed)0904-2051Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-2051Add 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
0904-2051-1200904205112009042051122 BLISTER PACK in 1 CARTON (0904-2051-12) / 6 TABLET in 1 BLISTER PACKMarketed from Dec 1, 1992
0904-2051-5900904205159009042051591 BOTTLE, PLASTIC in 1 CARTON (0904-2051-59) / 100 TABLET in 1 BOTTLE, PLASTICMarketed from Dec 1, 1992

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)
Driminate
Generic name (nonproprietary)
dimenhydrinate
Active ingredients
Dimenhydrinate — 50 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Major PharmaceuticalsNDC labeler code 0904
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 009
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 0904-2051_a0972926-caa6-4d35-8a38-1483cd74a925SPL ID a0972926-caa6-4d35-8a38-1483cd74a925SPL set ID d2967f78-41ee-4c30-8b47-0757df9f3d91RxCUI 198603, 211482UNII JB937PER5CUPC 0309042051590
Pharmacologic class
Histamine-1 Receptor Antagonist

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

N400904205112 followed by a unit qualifier and the quantity

Package 00904-2051-12. 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 prevention and treatment of these symptoms associated with motion sickness: nausea vomiting dizziness

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0904-2051

What is NDC 0904-2051?
0904-2051 is the product NDC for Driminate (dimenhydrinate), Dimenhydrinate 50 mg/1 tablet, listed with the FDA by Major Pharmaceuticals. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Driminate (Dimenhydrinate).
What is the active ingredient?
Dimenhydrinate.
Who is the labeler?
Major Pharmaceuticals, NDC labeler code 0904. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Driminate?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under M 009

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

FDA NDC Directory listings under M 009
ProductStrengthForm · routeLabelerProduct NDC
Travel-Easemeclizine hclMeclizine hydrochloride 25 mg/1TabletOralGeri-Care Pharmaceutical Corp57896-378
Meclizine HCL 25 mgmeclizine hclMeclizine hydrochloride 25 mg/1TabletOralBryant Ranch Prepack71335-1607
MQ Motion Patchmotion patchMenthol 2 g/1001; Ginger 1 g/1001PatchTopicalZhengzhou Miaoqi Medical Technology Co., Ltd.83781-012
Motion Sickness Reliefdimenhydrinate 50 mgDimenhydrinate 50 mg/1TabletOralTARGET CORPORATION11673-354
Motion Sickness Reliefmeclizine hclMeclizine hydrochloride 25 mg/1TabletOralMeijer Distribution Inc41250-930
Meclizine HCL 12.5 mgMeclizine hydrochloride 12.5 mg/1TabletOralProficient Rx LP71205-762
Motion Sickness Reliefmeclizine hydrochlorideMeclizine hydrochloride 25 mg/1TabletOralTARGET CORPORATION11673-356
Motion Sickness Reliefmeclizine hclMeclizine hydrochloride 25 mg/1TabletOralUnited Natural Foods, Inc. dba UNFI41163-304
Motion Sicknessmotion sickness natural herbal plantMenthol glucuronide 10 mg/10g; Camphor, (-)- 20 mg/10gPatchTopicalPuning Huiyu E-Commerce Co., Ltd.85213-001
HIONFURT Motion Sicknessmotion sickness prevent nausea,dizziness vomitingCinnamon oil 10 mg/100g + 3 more ingredientsPatchTopicalPuning Huiyu E-Commerce Co., Ltd.85213-005
Meclizinemeclizine hcl 12.5 mgMeclizine hydrochloride 12.5 mg/1TabletOralRUGBY LABORATORIES0536-1297
HIONFURT Motion Sicknessmotion sickness natural herbal plant lemonMenthol glucuronide 10 mg/100g; Camphor, (-)- 20 mg/100gPatchTopicalPuning Huiyu E-Commerce Co., Ltd.85213-002
HIONFURT Motion Sicknessmotion sickness natural herbal plantCamphor, (-)- 20 mg/100g; Menthol glucuronide 10 mg/100gPatchTopicalPuning Huiyu E-Commerce Co., Ltd.85213-003
HIONFURT Motion Sicknessmotion sickness natural herbal plant lavenderCamphor, (-)- 20 mg/100g; Menthol glucuronide 10 mg/100gPatchTopicalPuning Huiyu E-Commerce Co., Ltd.85213-004
PhysiciansCare Motion Sicknessmeclizine hclMeclizine hydrochloride 25 mg/1TabletOralAcme United Corporation0924-1008
Meclizine HydrochlorideMeclizine hydrochloride 25 mg/1Tablet, ChewableOralA-S Medication Solutions50090-5496
Meclizinemeclizine hydrochlorideMeclizine hydrochloride 25 mg/1Tablet, ChewableOralAdvanced Rx LLC80513-421
Meclizinemeclizine hcl 12.5 mgMeclizine hydrochloride 12.5 mg/1TabletOralAdvanced Rx LLC80513-427
Motion Sickness Reliefmeclizine hclMeclizine hydrochloride 25 mg/1TabletOralDOLGENCORP, LLC55910-943
Motion SicknessdimenhydrinateDimenhydrinate 50 mg/1TabletOralCVS Pharmacy59779-198

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