What is NDC 30142-755?

30142-755 is the product NDC for Extra Strength Acetaminophen PM, Acetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1 tablet, listed with the FDA by KROGER COMPANY. It has 3 package NDCs, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Extra Strength Acetaminophen PM (Acetaminophen and Diphenhydramine Hydrochloride).

What is the active ingredient?

Acetaminophen, Diphenhydramine hydrochloride.

KROGER COMPANY, NDC labeler code 30142. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Extra Strength Acetaminophen PM?

3 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Extra Strength Acetaminophen PM NDC 30142-755

NDC codes

FDA NDC Directory

Product NDC (as listed)30142-755Labeler and product segments. Claims need a package NDC.

Product NDC at billing width30142-0755Add 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
30142-755-01	3014207550130142075501	1 BOTTLE in 1 CARTON (30142-755-01) / 100 TABLET in 1 BOTTLEMarketed from May 1, 2021
30142-755-05	3014207550530142075505	1 BOTTLE in 1 CARTON (30142-755-05) / 50 TABLET in 1 BOTTLEMarketed from May 1, 2021
30142-755-20	3014207552030142075520	2 BOTTLE in 1 CARTON (30142-755-20) / 100 TABLET in 1 BOTTLEMarketed from May 1, 2021

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): Extra Strength Acetaminophen PM
Generic name (nonproprietary): acetaminophen and diphenhydramine hydrochloride
Active ingredients: Acetaminophen — 500 mg/1Diphenhydramine hydrochloride — 25 mg/1
Dosage form: Tablet
Route: Oral
Labeler: KROGER COMPANYNDC labeler code 30142
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 013
Marketing start: May 1, 2021
Listing expires: Dec 31, 2026
Other FDA classes: Histamine H1 Receptor Antagonists (Mechanism)
Identifiers: Product ID 30142-755_0ff0d79b-98ed-4c9f-b57c-2553cb9cb784SPL ID 0ff0d79b-98ed-4c9f-b57c-2553cb9cb784SPL set ID 2560126e-a54a-4a47-9631-a1bca42f5277RxCUI 1092189UNII 362O9ITL9D, TC2D6JAD40
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

N430142075501 followed by a unit qualifier and the quantity

Package 30142-0755-01. 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 Jan 10, 2024.

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 30142-755

What is NDC 30142-755?: 30142-755 is the product NDC for Extra Strength Acetaminophen PM, Acetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1 tablet, listed with the FDA by KROGER COMPANY. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Extra Strength Acetaminophen PM (Acetaminophen and Diphenhydramine Hydrochloride).
What is the active ingredient?: Acetaminophen, Diphenhydramine hydrochloride.
Who is the labeler?: KROGER COMPANY, NDC labeler code 30142. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Extra Strength Acetaminophen PM?: 3 other product NDCs are listed under this name. See all Extra Strength Acetaminophen PM 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 Extra Strength Acetaminophen PM NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Extra Strength Acetaminophen PMacetaminophen, diphenhydramine hydrochloride	Acetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1	TabletOral	Kroger	41226-043	41226-0043-20
Extra Strength Acetaminophen PMacetaminophen, diphenhydramine	Acetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1	TabletOral	BJWC (Berkley & Jensen / BJ's)	68391-430	68391-0430-50
Extra strength Acetaminophen PMacetaminophen 500mg/ diphenhydramine hcl 25mg	Diphenhydramine hydrochloride 25 mg/1; Acetaminophen 500 mg/1	TabletOral	TIME CAP LABS INC	49483-430	49483-0430-40

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
Product	Strength	Form · route	Labeler	Product NDC
Acetaminophen	Acetaminophen 500 mg/1	Tablet, CoatedOral	COSTCO WHOLESALE CORPORATION	63981-019
Extra Strength Pain Releifacetaminophen	Acetaminophen 500 mg/1	Tablet, Film coatedOral	Strategic Sourcing Services, LLC	70677-1242
Aspirin 81 mgaspirin	Aspirin 81 mg/1	Tablet, Delayed releaseOral	H E B	37808-600
TYLENOL Extra Strengthacetaminophen	Acetaminophen 500 mg/1	Tablet, Film coatedOral	Morning Star OTC	53209-1001
Extra Strength Pain Relieveracetaminophen tablets 500 mg	Acetaminophen 500 mg/1	TabletOral	WALGREENS	0363-0669
Pain Relieveracetaminophen capsules 500mg (minis-red opaque)	Acetaminophen 500 mg/1	Capsule, Liquid filledOral	Walgreens	0363-6684
Mommys Bliss Childrens Pain and Feveracetaminophen	Acetaminophen 160 mg/5mL	SuspensionOral	Mom Enterprises, LLC.	71444-793
Childrens Pain and Feveracetaminophen	Acetaminophen 160 mg/5mL	SuspensionOral	CVS Pharmacy	59779-126
Good Neighbor Pharmacy childrens pain and feveracetaminophen	Acetaminophen 160 mg/5mL	SuspensionOral	Amerisource Bergen	46122-211
Acetaminophen	Acetaminophen 160 mg/5mL	LiquidOral	A-S Medication Solutions	50090-6059
Members Mark Acetaminophenacetaminophen	Acetaminophen 500 mg/1	TabletOral	Sam's West Inc	68196-606
Mommys Bliss Infants Pain and Feveracetaminophen	Acetaminophen 160 mg/5mL	SuspensionOral	Mom Enterprises, LLC.	71444-893
Thompson Extra Strength Non-Aspirinacetaminophen	Acetaminophen 500 mg/1	TabletOral	Thompson	73408-174
Aspirin 81 mg Low Doseaspirin	Aspirin 81 mg/1	Tablet, Delayed releaseOral	CHAIN DRUG MARKETING ASSOCIATION, INC.	83324-089
Acetaminophen	Acetaminophen 500 mg/1	TabletOral	ASCLEMED USA INC.	87063-222
Pain Relief Aspirin Low Doseaspirin	Aspirin 81 mg/1	Tablet, Delayed releaseOral	Rite Aid Corporation	11822-0600
equate pain and fever childrensacetaminophen	Acetaminophen 160 mg/5mL	SuspensionOral	Wal-Mart Stores Inc	49035-042
Pain and Fever Childrensacetaminophen	Acetaminophen 160 mg/5mL	SuspensionOral	P & L Development, LLC	49580-0282
Dye Free Pain and Fever Childrensacetaminophen	Acetaminophen 160 mg/5mL	SuspensionOral	Walgreens	0363-0285
Pain Reliever Extra Strengthacetaminophen	Acetaminophen 500 mg/1	Tablet, CoatedOral	Walgreen Company	0363-0519

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