NDC codes

FDA NDC Directory
Product NDC (as listed)0904-5551Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-5551Add 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
0904-5551-24009045551242 BLISTER PACK in 1 CARTON (0904-5551-24) / 12 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Mar 2, 1990
0904-5551-59009045551591 BOTTLE, PLASTIC in 1 CARTON (0904-5551-59) / 100 TABLET, FILM COATED in 1 BOTTLE, PLASTICMarketed from Mar 2, 1990

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)
Banophen
Generic name (nonproprietary)
diphenhydramine hcl
Active ingredients
Diphenhydramine hydrochloride — 25 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Major PharmaceuticalsNDC labeler code 0904
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 012
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 0904-5551_e0443532-ae16-498a-86f5-c706edb11aa6SPL ID e0443532-ae16-498a-86f5-c706edb11aa6SPL set ID 69b7f7ca-7a3a-4fe6-a9bb-90b0e6ad62c1RxCUI 1049630, 1092421UNII TC2D6JAD40UPC 0309045551240
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

N400904555124 followed by a unit qualifier and the quantity

Package 00904-5551-24. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

About NDC 0904-5551

What is NDC 0904-5551?
0904-5551 is the product NDC for Banophen (diphenhydramine hcl), Diphenhydramine hydrochloride 25 mg/1 tablet, film coated, 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?
Banophen (Diphenhydramine HCl).
What is the active ingredient?
Diphenhydramine hydrochloride.
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 Banophen?
8 other product NDCs are listed under this name. See all Banophen NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Banophen NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Banophendiphenhydramine hclDiphenhydramine hydrochloride 25 mg/1Tablet, Film coatedOralHealth Department, Oklahoma State83112-55583112-0555-59
Banophendiphenhydramine hclDiphenhydramine hydrochloride 50 mg/1CapsuleOralPreferred Pharmaceuticals Inc.68788-783068788-7830-0168788-7830-03
Banophendiphenhydramine hclDiphenhydramine hydrochloride 50 mg/1CapsuleOralMajor Pharmaceuticals0904-530700904-5307-6000904-5307-80
Banophendiphenhydramine hclDiphenhydramine hydrochloride 50 mg/1CapsuleOralBryant Ranch Prepack63629-945163629-9451-0163629-9451-02
Banophendiphenhydramine hclDiphenhydramine hydrochloride 50 mg/1CapsuleOralBryant Ranch Prepack71335-008171335-0081-0071335-0081-0171335-0081-02+7 more
Banophendiphenhydramine hydrochloride, zinc acetateDiphenhydramine hydrochloride 2 g/100g; Zinc acetate .1 g/100gCreamTopicalMajor Pharmaceuticals0904-535400904-5354-31
Banophendiphenhydramine hclDiphenhydramine hydrochloride 25 mg/1Tablet, Film coatedOralA-S Medication Solutions50090-554650090-5546-00
Banophendiphenhydramine hclDiphenhydramine hydrochloride 25 mg/1Tablet, Film coatedOralProficient Rx LP71205-61171205-0611-2071205-0611-3071205-0611-60+1 more

Other NDCs under M 012

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

FDA NDC Directory listings under M 012
ProductStrengthForm · routeLabelerProduct NDC
Cold and Flu HBPacetaminophen, chlorpheniramine maleateAcetaminophen 325 mg/1; Chlorpheniramine maleate 2 mg/1Tablet, Film coatedOralWALMART INC.79903-120
Equate Daytime Nighttime Vapor Ice Cold and Fluacetaminophen, dextromethorphan hydrobromide, doxylamine succinate—KitWALMART INC.79903-417
Night Time Cold and Flu ReadyInCaseacetaminophen, dextromethorphan hydrobromide, doxylamine succinateAcetaminophen 650 mg/30mL + 2 more ingredientsLiquidOralP & L Development, LLC49580-0343
Sinus Severeacetaminophen, guaifenesin, phenylephrine hclAcetaminophen 325 mg/1 + 2 more ingredientsTablet, Film coatedOralL.N.K. International, Inc.50844-572
SUDAFED PE Head Congestion Plus Flu Severeacetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 3 more ingredientsTablet, Film coatedOralKenvue Brands LLC50580-450
Nighttime severe cold and fluacetaminophen, dextromethorphan hbr, doxylamine succinate, phenylephrine hclDextromethorphan hydrobromide 20 mg/30mL + 3 more ingredientsLiquidOralTARGET CORPORATION11673-828
Freegells Cough Drops Menthol Cherry 30ctmentholLevomenthol 5.8 mg/1LozengeOralRL Albert & Son Inc.83002-040
SanatosmentholMenthol 5.4 mg/1LozengeOralPharmadel LLC55758-518
Pressure and Pain Plus Mucus PEacetaminophen, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 2 more ingredientsTablet, CoatedOralVALU MERCHANDISERS COMPANY63941-173
Supress Adexbromopheniramine maleate, dextromethorphan hbr, phenylephrine hclDexbrompheniramine maleate 1 mg/mL + 2 more ingredientsSyrupOralDextrum Laboratories, Inc65852-020
Nighttime Cold And Flu Reliefacetaminophen, dextromethorphan hbr and doxylamine succinateAcetaminophen 325 mg/1 + 2 more ingredientsCapsuleOralChain Drug Consortium, LLC68016-878
Head Congestion plus Flu Severe PEacetaminophen, dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochlorideAcetaminophen 325 mg/1 + 3 more ingredientsTablet, CoatedOralHARRIS TEETER72036-274
Theraflu-D Flu Relief Max Strength plus Nasal Decongestant Nighttimeacetaminophen, chlorpheniramine maleate, dextromethorphan hbr, pseudoephedrine hclAcetaminophen 1000 mg/30mL + 3 more ingredientsSyrupOralHaleon US Holdings LLC0067-0114
Childrens Cough and Congestion, Childrens Cold and Cough Day, Nightdextromethorphan hbr, doxylamine succinate, guaifenesin—KitWALMART INC.79903-414
Meijer Adult MS Severe Multi-Symptom Cough Cold Fluaacetaminophen, dextromethorphan hbr and guaifenesiAcetaminophen 650 mg/20mL + 2 more ingredientsLiquidOralMEIJER DISTRIBUTION INC79481-6308
Menthol Cough DropsmentholMenthol 5.8 mg/1PastilleOralTarget Corporation Inc.82442-001
adult dm max cough and chest congestiondextromethorphan hbr, guaifenesinDextromethorphan hydrobromide 20 mg/20mL; Guaifenesin 400 mg/20mLSolutionOralMeijer Distribution Inc41250-261
Bio-Rytusschlorpheniramine maleate, dextromethorphan hydrobromide, phenylephrine hydrochlorideChlorpheniramine maleate 2 mg/5mL + 2 more ingredientsLiquidOralAdvanced Generic Corporation45737-250
Allergy Reliefdiphenhydramine hclDiphenhydramine hydrochloride 50 mg/1TabletOralAMERISOURCE BERGEN46122-829
Cold Relief Multi-Symptomacetaminophen, chlorpheniramine maleate, dextromethorphan hbr, phenylephrine hcl—KitL.N.K. International, Inc.50844-529

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