NDC codes

FDA NDC Directory
Product NDC (as listed)21130-661Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0661Add 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
21130-661-1021130066110100 TABLET in 1 BOTTLE (21130-661-10)Marketed from Jun 30, 2023
21130-661-2021130066120200 TABLET in 1 BOTTLE (21130-661-20)Marketed from Jun 30, 2023
21130-661-242113006612424 TABLET in 1 BOTTLE (21130-661-24)Marketed from Jun 30, 2023

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

Generic name (nonproprietary)
acetaminophen and diphenhydramine hcl
Active ingredients
Acetaminophen — 500 mg/1Diphenhydramine — 25 mg/1
Dosage form
Tablet
Route
Oral
Labeler
SAFEWAYNDC labeler code 21130
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 013
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 21130-661_4650a298-b556-8c7e-e063-6394a90a01dbSPL ID 4650a298-b556-8c7e-e063-6394a90a01dbSPL set ID f18c1aa2-5f8b-5458-e053-2995a90ab947RxCUI 1092189UNII 362O9ITL9D, 8GTS82S83M
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

N421130066110 followed by a unit qualifier and the quantity

Package 21130-0661-10. 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 temporary relief of occasional headaches and minor aches and pains with accompanying sleeplessness

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 21130-661

What is NDC 21130-661?
21130-661 is the product NDC for Acetaminophen and Diphenhydramine HCL, Acetaminophen 500 mg/1; Diphenhydramine 25 mg/1 tablet, listed with the FDA by SAFEWAY. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Acetaminophen and Diphenhydramine HCL.
What is the active ingredient?
Acetaminophen, Diphenhydramine.
Who is the labeler?
SAFEWAY, NDC labeler code 21130. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Acetaminophen and Diphenhydramine HCL?
1 other product NDC are listed under this name. See all Acetaminophen and Diphenhydramine HCL 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 Acetaminophen and Diphenhydramine HCL NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Acetaminophen and Diphenhydramine HCLDiphenhydramine 25 mg/1; Acetaminophen 500 mg/1TabletOralPUBLIX SUPERMARKETS, INC41415-66141415-0661-0541415-0661-10

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
Best Choice Effervescent Pain Reliever 36aspirinAspirin 325 mg/1Tablet, EffervescentOralVALU MERCHANDISERS COMPANY63941-241
Aspirin PacksaspirinAspirin 325 mg/1Tablet, Film coatedOralSina Health Inc70385-2006
Back and Body Extra Strengthaspirin, caffeineAspirin 500 mg/1; Caffeine 32.5 mg/1Tablet, Film coatedOralCardinal Health 110, LLC. DBA Leader70000-0127
foster and thrive aspirinaspirinAspirin 81 mg/1Tablet, ChewableOralStrategic Sourcing Services LLC70677-1134
Medique Pain Offacetaminophen, aspirin, caffeineCaffeine 65 mg/1 + 2 more ingredientsTablet, Film coatedOralUnifirst First Aid Corporation47682-238
Acetaminophen Extra StrengthacetaminophenAcetaminophen 500 mg/1Tablet, Film coatedOralWal-Mart Stores Inc49035-175
Low Dose AspirinaspirinAspirin 81 mg/1Tablet, CoatedOralA-S Medication Solutions50090-4830
Childrens Pain ReliefAcetaminophen 160 mg/5mLLiquidOralAllegiant Health69168-455
Aspirin Low DoseaspirinAspirin 81 mg/1Tablet, CoatedOralMAJOR PHARMACEUTICALS0904-6783
equaline acetaminophenacetaminophenAcetaminophen 500 mg/1TabletOralUnited Natural Foods, Inc. dba UNFI41163-363
Chewable AspirinaspirinAspirin 81 mg/1Tablet, ChewableOralHARRIS TEETER72036-205
Pain Relief PM Extra Strengthacetaminophen and diphenhydramine hydrochlorideAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralChain Drug Marketing Association63868-325
Excedrin Extra Strength and Excedrin Tension Headacheacetaminophen, aspirin (nsaid), and caffeine—KitHaleon US Holdings LLC0067-8151
Enteric Coated Aspirin Regular StrengthaspirinAspirin 325 mg/1Tablet, Delayed releaseOralSafeway21130-081
Headache Relief Extra Strengthacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralH E B37808-586
DrKids Childrens Pain and Feveracetaminophen 80mg/pieceAcetaminophen 80 mg/1Bar, ChewableOralCalmCo LLC73282-2480
CAREALL Non-Aspirin PM Extra Strengthacetaminophen, diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1TabletOralNew World Imports, Inc51824-069
dg health pain reliefacetaminophenAcetaminophen 500 mg/1TabletOralDolgencorp Inc55910-661
Extra Strength AcetaminophenacetaminophenAcetaminophen 500 mg/1TabletOralPreferred Pharmaceuticals Inc.68788-4065
Aspirin 81mg Dye-Freeaspirin 81mgAspirin 81 mg/1Tablet, Film coatedOralAllegiant Health69168-457

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