NDC codes

FDA NDC Directory
Product NDC (as listed)11673-390Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11673-0390Add 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
11673-390-1011673039010116730390101 BOTTLE in 1 CARTON (11673-390-10) / 40 TABLET, FILM COATED in 1 BOTTLEMarketed from Apr 1, 2019

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Menstrual Relief
Generic name (nonproprietary)
acetaminophen, caffeine and pyrilamine maleate
Active ingredients
Acetaminophen — 500 mg/1Caffeine — 60 mg/1Pyrilamine maleate — 15 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Target CorporationNDC labeler code 11673
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 013
Marketing start
Marketing end
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)Xanthines (Chemical structure)
Identifiers
Product ID 11673-390_cdfd3368-2530-43c8-8b63-9051f33bab71SPL ID cdfd3368-2530-43c8-8b63-9051f33bab71SPL set ID bc65e205-64fd-4764-8c5e-2793af4e9adfRxCUI 1597298UNII 362O9ITL9D, 3G6A5W338E, R35D29L3ZAUPC 0311673890103
Pharmacologic class
Central Nervous System Stimulant; Methylxanthine

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

N411673039010 followed by a unit qualifier and the quantity

Package 11673-0390-10. 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 the temporary relief of these symptoms associated with menstrual periods: bloating headache muscle aches cramps backache fatigue water-weight gain

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 11673-390

What is NDC 11673-390?
11673-390 is the product NDC for Menstrual Relief, Acetaminophen 500 mg/1 + 2 more ingredients tablet, film coated, listed with the FDA by Target Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Menstrual Relief (Acetaminophen, Caffeine and Pyrilamine maleate).
What is the active ingredient?
Acetaminophen, Caffeine, Pyrilamine maleate.
Who is the labeler?
Target Corporation, NDC labeler code 11673. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Menstrual Relief?
7 other product NDCs are listed under this name. See all Menstrual Relief 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 Menstrual Relief NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralCVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED51316-39051316-0390-1051316-0390-21
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralUnited Natural Foods, Inc. dba UNFI41163-39141163-0391-10
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralBetter Living Brands, LLC21130-93021130-0930-10
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralWalgreen Company0363-390900363-3909-21
Menstrual Reliefacetaminophen, caffeine and pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralDOLGENCORP, LLC55910-12355910-0123-10
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralGeiss, Destin & Dunn Inc.50804-99050804-0990-08
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralCVS Pharmacy59779-93059779-0930-0859779-0930-1059779-0930-21

Other NDCs under M 013

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

FDA NDC Directory listings under M 013
ProductStrengthForm · routeLabelerProduct NDC
Aspirin Low DoseaspirinAspirin 81 mg/1Tablet, Delayed releaseOralATLANTIC BIOLOGICALS CORP.17856-3086
Childrens TYLENOLacetaminophenAcetaminophen 160 mg/5mLSuspensionOralKenvue Brands LLC50580-614
Acetaminophen Regular strengthacetaminophenAcetaminophen 325 mg/1TabletOralPD-Rx Pharmaceuticals, Inc.55289-563
Pain Reliever PM Extra Strengthacetaminophen, diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralTOP CARE (Topco Associates LLC)36800-466
Acetaminophen 325 MgacetaminophenAcetaminophen 325 mg/1TabletOralProficient Rx LP71205-456
AcetaminophenAcetaminophen 500 mg/1Tablet, CoatedOralHarris Teeter72036-170
Topcare AspirinaspirinAspirin 81 mg/1Tablet, ChewableOralTopco Associates LLC36800-467
Pain ReliefacetaminophenAcetaminophen 500 mg/1Tablet, CoatedOralHYVEE INC42507-592
Pain Relief Extra StrengthacetaminophenAcetaminophen 500 mg/1Tablet, CoatedOralMARC GLASSMAN, INC.68998-392
AcetaminophenAcetaminophen 500 mg/1TabletOralTrifecta Pharmaceuticals USA LLC69396-140
Goodnow Pain ReliefacetaminophenAcetaminophen 500 mg/1TabletOralGobrands, Inc82501-0484
Tension Headache Pain Relieving Aidacetaminophen,caffeineAcetaminophen 500 mg/1; Caffeine 65 mg/1TabletOralWAL-MART STORES INC79903-373
Acetaminophen , Aspirin and CaffeineAspirin 250 mg/1 + 2 more ingredientsCapsuleOralSoftgel Healthcare Pvt Ltd35916-0709
AcetaminophenAcetaminophen 160 mg/5mLSuspensionOralPAI Holdings, LLC dba PAI Pharma0121-0941
CareOne Childrens AcetaminophenacetaminophenAcetaminophen 160 mg/5mLSuspensionOralAmerican Sales Company41520-615
Childrens TYLENOLacetaminophenAcetaminophen 160 mg/5mLSuspensionOralKenvue Brands LLC50580-612
Adwe Feverx Acetaminophen Caplets, 500 mg Extra StrengthacetaminophenAcetaminophen 500 mg/1TabletOralAurex Laboratories Limited Liability Company71009-109
Acetaminophen PMacetaminophen and diphenhydramine hydrochlorideAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralHarris Teeter72036-171
Basic Care Childrens Pain and FeveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralAmazon.com Services LLC72288-130
good neighbor pharmacy aspirinaspirinAspirin 81 mg/1Tablet, ChewableOralAmerisource Bergen24385-278

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