ibuprofen pm NDC 30142-050

NDC codes

FDA NDC Directory

Product NDC (as listed)30142-050Labeler and product segments. Claims need a package NDC.

Product NDC at billing width30142-0050Add 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 NDC	11-digit (billing)	Package	Copy
30142-050-27	30142005027	1 BOTTLE in 1 CARTON (30142-050-27) / 80 TABLET, FILM COATED in 1 BOTTLEMarketed from Apr 6, 2009
30142-050-60	30142005060	1 BOTTLE in 1 CARTON (30142-050-60) / 20 TABLET, FILM COATED in 1 BOTTLEMarketed from Apr 6, 2009

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): ibuprofen pm
Generic name (nonproprietary): diphenhydramine citrate, ibuprofen
Active ingredients: Diphenhydramine citrate — 38 mg/1Ibuprofen — 200 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: Kroger Company
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 079113
Marketing start: Apr 6, 2009
Listing expires: Dec 31, 2026
Other FDA classes: Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)
Identifiers: Product ID 30142-050_2a2bd653-3e02-4f81-bd07-0c3506215ea3SPL ID 2a2bd653-3e02-4f81-bd07-0c3506215ea3SPL set ID 347dd263-ba0d-4a5a-8ac8-e586fcfd014eRxCUI 895664UNII 4OD433S209, WK2XYI10QM
Pharmacologic class: Histamine-1 Receptor Antagonist; Nonsteroidal Anti-inflammatory Drug

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

N430142005027 followed by a unit qualifier and the quantity

Package 30142-0050-27. 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.

Other NDCs under ANDA 079113

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

FDA NDC Directory listings under ANDA 079113
Product	Strength	Form · route	Labeler	Product NDC
Exchange Select Ibuprofen PMdiphenhydramine citrate, ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	Army & Air Force Exchange Service	55301-050
up and up ibuprofen pmdiphenhydramine citrate and ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	Target Corporation	11673-050
Care One Ibuprofen PMdiphenhydramine citrate and ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	American Sales Company	41520-050
good neighbor pharmacy ibuprofen pmdiphenhydramine citrate, ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	Amerisource Bergen	46122-708
ibuprofen pmdiphenhydramine citrate, ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	Rite Aid Corporation	11822-0050
Ibuprofen PMdiphenhydramine citrate, ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	Meijer Distribution Inc	41250-050
equaline ibuprofen pmdiphenhydramine citrate, ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	United Natural Foods, Inc. dba UNFI	41163-050
Ibuprofen PMdiphenhydramine citrate, ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	Safeway	21130-623
basic care ibuprofen pmdiphenhydramine citrate, ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	Amazon.com Services LLC	72288-050
equate ibuprofen pmdiphenhydramine citrate, ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	Wal-Mart Stores Inc	49035-699
ibuprofen pmdiphenhydramine citrate, ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	Publix Super Markets Inc	56062-050
Topcare Ibuprofen PMdiphenhydramine citrate and ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	Topco Associates LLC	36800-050
ibuprofen pmdiphenhydramine citrate and ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	CVS Pharmacy	59779-050
good sense ibuprofen pmdiphenhydramine citrate, ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	L. Perrigo Company	0113-0050
foster and thrive ibuprofen pmdiphenhydramine citrate, ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	Strategic Sourcing Services LLC	70677-1131
Motrin PMibuprofen and diphenhydramine citrate	Ibuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1	Tablet, CoatedOral	Kenvue Brands LLC	50580-563
Leader Ibuprofen PMdiphenhydramine citrate, ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	Cardinal Health 110, LLC. dba Leader	70000-0157
dg health Ibuprofen pmdiphenhydramine citrate and ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	Dolgencorp Inc	55910-050
ibuprofen pmdiphenhydramine citrate, ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	H E B	37808-703
Ibuprofen PMdiphenhydramine citrate, ibuprofen	Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1	Tablet, Film coatedOral	Walgreen Company	0363-0050

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