Ibuprofen PM NDC 41250-050

NDC codes

FDA NDC Directory

Product NDC (as listed)41250-050Labeler and product segments. Claims need a package NDC.

Product NDC at billing width41250-0050Add 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
41250-050-58	41250005058	1 BOTTLE in 1 CARTON (41250-050-58) / 40 TABLET, FILM COATED in 1 BOTTLEMarketed from Apr 8, 2009
41250-050-60	41250005060	1 BOTTLE in 1 CARTON (41250-050-60) / 20 TABLET, FILM COATED in 1 BOTTLE (41250-050-20)Marketed from Mar 5, 2026
41250-050-76	41250005076	1 BOTTLE in 1 CARTON (41250-050-76) / 120 TABLET, FILM COATED in 1 BOTTLEMarketed from Oct 21, 2017

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: Meijer Distribution Inc
Product type: Over-the-counter drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 079113
Marketing start: Apr 8, 2009
Listing expires: Dec 31, 2027
Other FDA classes: Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)
Identifiers: Product ID 41250-050_182350eb-e5cb-4c58-bbec-aaee7e38d5c4SPL ID 182350eb-e5cb-4c58-bbec-aaee7e38d5c4SPL set ID 47e71e23-da8a-4759-ac5a-1d48e0d9ab98RxCUI 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

N441250005058 followed by a unit qualifier and the quantity

Package 41250-0050-58. 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

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