NDC codes

FDA NDC Directory
Product NDC (as listed)30142-753Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0753Add 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
30142-753-273014207532780 TABLET in 1 BOTTLE (30142-753-27)Marketed from Jun 20, 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)
naproxen sodium pm
Generic name (nonproprietary)
diphenhydramine hydrochloride, naproxen sodium
Active ingredients
Diphenhydramine hydrochloride — 25 mg/1Naproxen sodium — 220 mg/1
Dosage form
Tablet
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 208499
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 30142-753_c100a604-8175-43a6-a600-ddb561bd2c75SPL ID c100a604-8175-43a6-a600-ddb561bd2c75SPL set ID d5dafdd0-968d-4ee6-9461-1f72d3255240RxCUI 1550957UNII TC2D6JAD40, 9TN87S3A3C
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

N430142075327 followed by a unit qualifier and the quantity

Package 30142-0753-27. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Uses • for relief of occasional sleeplessness when associated with minor aches and pains • helps you fall asleep and stay asleep

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 208499

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

FDA NDC Directory listings under ANDA 208499
ProductStrengthForm · routeLabelerProduct NDC
Naproxen Sodium PMdiphenhydramine hydrochloride, naproxen sodiumDiphenhydramine hydrochloride 25 mg/1; Naproxen sodium 220 mg/1Tablet, Film coatedOralSafeway21130-639
basic care naproxen sodium pmdiphenhydramine hydrochloride, naproxen sodiumDiphenhydramine hydrochloride 25 mg/1; Naproxen sodium 220 mg/1Tablet, Film coatedOralAmazon.com Services LLC72288-310
good sense naproxen sodiumdiphenhydramine hydrochloride, naproxen sodiumDiphenhydramine hydrochloride 25 mg/1; Naproxen sodium 220 mg/1Tablet, Film coatedOralL. Perrigo Company0113-8264
equaline naproxen sodium pmdiphenhydramine hydrochloride, naproxen sodiumDiphenhydramine hydrochloride 25 mg/1; Naproxen sodium 220 mg/1Tablet, Film coatedOralUnited Natural Foods, Inc. dba UNFI41163-593
topcare all night pain relief pmdiphenhydramine hydrochloride, naproxen sodiumDiphenhydramine hydrochloride 25 mg/1; Naproxen sodium 220 mg/1Tablet, Film coatedOralTopco Associates LLC36800-264
naproxen sodium pmdiphenhydramine hydrochloride, naproxen sodiumDiphenhydramine hydrochloride 25 mg/1; Naproxen sodium 220 mg/1Tablet, Film coatedOralMeijer Distribution Inc41250-526
dg health naproxen sodium pmdiphenhydramine hydrochloride, naproxen sodiumDiphenhydramine hydrochloride 25 mg/1; Naproxen sodium 220 mg/1Tablet, Film coatedOralDolgencorp Inc55910-858
All Night Pain Relief PMdiphenhydramine hydrochloride, naproxen sodiumDiphenhydramine hydrochloride 25 mg/1; Naproxen sodium 220 mg/1Tablet, Film coatedOralWalgreen Company0363-2264
careone naproxen sodium pmdiphenhydramine hydrochloride, naproxen sodiumDiphenhydramine hydrochloride 25 mg/1; Naproxen sodium 220 mg/1Tablet, Film coatedOralAmerican Sales Company41520-264
up and up naproxen sodium pmdiphenhydramine hydrochloride, naproxen sodiumDiphenhydramine hydrochloride 25 mg/1; Naproxen sodium 220 mg/1Tablet, Film coatedOralTarget Corporation11673-687
naproxen sodium pmdiphenhydramine hydrochloride, naproxen sodiumDiphenhydramine hydrochloride 25 mg/1; Naproxen sodium 220 mg/1Tablet, Film coatedOralH E B37808-264

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