NDC codes

FDA NDC Directory
Product NDC (as listed)21130-930Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0930Add 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
21130-930-1021130093010211300930101 BOTTLE, PLASTIC in 1 CARTON (21130-930-10) / 40 TABLET, FILM COATED in 1 BOTTLE, PLASTICMarketed from Apr 29, 2024

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, pyrilamine maleate
Active ingredients
Acetaminophen — 500 mg/1Caffeine — 60 mg/1Pyrilamine maleate — 15 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Better Living Brands, LLCNDC labeler code 21130
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 027
Marketing start
Listing expires
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)Xanthines (Chemical structure)
Identifiers
Product ID 21130-930_2960d075-3298-42b0-ac67-242e336137c2SPL ID 2960d075-3298-42b0-ac67-242e336137c2SPL set ID d069487b-5856-4e3e-bc0e-5e57313c8231RxCUI 1597298UNII 362O9ITL9D, 3G6A5W338E, R35D29L3ZAUPC 0321130778639
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

N421130093010 followed by a unit qualifier and the quantity

Package 21130-0930-10. 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 water-weight gain cramps backache fatigue muscle aches

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 21130-930

What is NDC 21130-930?
21130-930 is the product NDC for Menstrual Relief, Acetaminophen 500 mg/1 + 2 more ingredients tablet, film coated, listed with the FDA by Better Living Brands, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Menstrual Relief (Acetaminophen, Caffeine, Pyrilamine maleate).
What is the active ingredient?
Acetaminophen, Caffeine, Pyrilamine maleate.
Who is the labeler?
Better Living Brands, LLC, 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 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 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 and pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralTarget Corporation11673-39011673-0390-10
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 027

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

FDA NDC Directory listings under M 027
ProductStrengthForm · routeLabelerProduct NDC
PMS Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralCVS Pharmacy59779-879
Menstrual Complete Pain Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralWalgreen Company0363-9390
Medi First Plus PMS Reliefacetaminophen, pamabrom, pyrilamine maleatePamabrom 25 mg/1 + 2 more ingredientsTablet, CoatedOralUnifirst First Aid Corporation47682-723
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralCVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED51316-390
Menstrual Pain Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralWalgreen Company0363-3900
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralTopco Associates, LLC36800-391
Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralTopco Associates, LLC36800-979
Medi First PMS Reliefacetaminophen, pamabrom, pyrilamine maleatePamabrom 25 mg/1 + 2 more ingredientsTablet, CoatedOralUnifirst First Aid Corporation47682-823
Pamprin BloatpamabromPamabrom 50 mg/1Tablet, Film coatedOralFocus Consumer Healthcare, LLC71687-3009
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralWalgreen Company0363-3909
PamabromPamabrom 50 mg/1Capsule, Liquid filledOralSoftgel Healthcare Pvt Ltd35916-1654
Cramp Tabsacetaminophen, pamabrom, and pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsCapsule, CoatedOralJHK DBA American Safety & First Aid73598-1472
Menstrual Reliefacetaminophen, caffeine and pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralDOLGENCORP, LLC55910-123
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralCVS Pharmacy59779-930
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralFamily Dollar Services Inc55319-301
Midol Completeacetaminophen, caffeine, and pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTabletOralBayer HealthCare LLC.0280-8005
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralRite Aid Corporation11822-3900
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralH E B37808-389
Menstrual Bloat ReliefpamabromPamabrom 50 mg/1Tablet, Film coatedOralWALMART INC.79903-425
Midol Complete Gelcapsmidol completeCaffeine 60 mg/1 + 2 more ingredientsTablet, CoatedOralBayer HealthCare LLC0280-8015

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