Over-the-counter drug · ANDA
ibuprofen pm (Diphenhydramine citrate, ibuprofen) NDC 42507-050
Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1 · Tablet, Film coated · Oral · HyVee Inc
NDC codes
FDA NDC DirectoryProduct NDC (as listed)42507-050Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42507-0050Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 42507-050-27 | 42507005027 | 1 BOTTLE in 1 CARTON (42507-050-27) / 80 TABLET, FILM COATED in 1 BOTTLE (42507-050-80)Marketed from Mar 2, 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
- HyVee IncNDC labeler code 42507
- Product type
- Over-the-counter drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 079113
- Marketing start
- Listing expires
- Other FDA classes
- Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)
- Identifiers
- Product ID 42507-050_574cd550-b66e-4dad-abd8-3330fc429474SPL ID 574cd550-b66e-4dad-abd8-3330fc429474SPL set ID 833a2bee-0e55-44f7-b80d-b336ebe52fc9RxCUI 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
N442507005027followed by a unit qualifier and the quantityPackage 42507-0050-27. 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
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.
About NDC 42507-050
- What is NDC 42507-050?
- 42507-050 is the product NDC for ibuprofen pm, Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1 tablet, film coated, listed with the FDA by HyVee Inc. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- ibuprofen pm (Diphenhydramine citrate, ibuprofen).
- What is the active ingredient?
- Diphenhydramine citrate, Ibuprofen.
- Who is the labeler?
- HyVee Inc, NDC labeler code 42507. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for ibuprofen pm?
- 24 other product NDCs are listed under this name. See all ibuprofen pm NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other ibuprofen pm products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Ibuprofen PMibuprofen and diphenhydramine hcl | Ibuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1 | Capsule, Liquid filledOral | Whole Foods Market, INC. | 42681-0061 | 42681-0061-01 |
| Ibuprofen PMibuprofen, diphenhydramine hcl | Ibuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1 | Capsule, Liquid filledOral | HEB | 59640-020 | 59640-0020-15 |
| Ibuprofen PMdiphenhydramine citrate, ibuprofen | Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1 | Tablet, Film coatedOral | Safeway | 21130-623 | 21130-0623-76 |
| Ibuprofen PMdiphenhydramine citrate, ibuprofen | Ibuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1 | Tablet, CoatedOral | WR Group, Inc. | 69607-1970 | 69607-1970-01 |
| Ibuprofen PMdiphenhydramine citrate, ibuprofen | Ibuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1 | Tablet, CoatedOral | WALMART INC. (see also Equate) | 79903-186 | 79903-0186-2079903-0186-80 |
| Ibuprofen PMibuprofen and diphenhydramine citrate | Ibuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1 | Tablet, CoatedOral | KROGER COMPANY | 30142-278 | 30142-0278-80 |
| Ibuprofen PMdiphenhydramine citrate, ibuprofen | Ibuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1 | Tablet, CoatedOral | Safeway, Inc. | 21130-056 | 21130-0056-4021130-0056-80 |
| Ibuprofen PMdiphenhydramine citrate, ibuprofen | Ibuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1 | Tablet, CoatedOral | Family Dollar (FAMILY WELLNESS) | 55319-197 | 55319-0197-2055319-0197-40 |
| Ibuprofen PMibuprofen, diphenhydramine hcl | Ibuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1 | Capsule, Liquid filledOral | CVS Pharmacy | 69842-870 | 69842-0870-15 |
| Ibuprofen PMibuprofen, diphenhydramine hcl | Ibuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1 | Capsule, Liquid filledOral | TOP CARE (Topco Associates LLC) | 36800-237 | 36800-0237-15 |
Other NDCs under ANDA 079113
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| good neighbor pharmacy ibuprofen pmdiphenhydramine citrate, ibuprofen | Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1 | Tablet, Film coatedOral | Amerisource Bergen | 46122-708 |
| Care One Ibuprofen PMdiphenhydramine citrate and ibuprofen | Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1 | Tablet, Film coatedOral | American Sales Company | 41520-050 |
| 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 |
| 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 | Rite Aid Corporation | 11822-0050 |
| ibuprofen pmdiphenhydramine citrate, ibuprofen | Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1 | Tablet, Film coatedOral | Kroger Company | 30142-050 |
| basic care ibuprofen pmdiphenhydramine citrate, ibuprofen | Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1 | Tablet, Film coatedOral | Amazon.com Services LLC | 72288-050 |
| ibuprofen pmdiphenhydramine citrate, ibuprofen | Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1 | Tablet, Film coatedOral | Publix Super Markets Inc | 56062-050 |
| 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 | Walgreen Company | 0363-0050 |
| Ibuprofen PMdiphenhydramine citrate, ibuprofen | Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1 | Tablet, Film coatedOral | Safeway | 21130-623 |
| 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 |
| 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 |
| Topcare Ibuprofen PMdiphenhydramine citrate and ibuprofen | Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1 | Tablet, Film coatedOral | Topco Associates LLC | 36800-050 |
| up and up ibuprofen pmdiphenhydramine citrate and ibuprofen | Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1 | Tablet, Film coatedOral | Target Corporation | 11673-050 |
| Motrin PMibuprofen and diphenhydramine citrate | Ibuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1 | Tablet, CoatedOral | Kenvue Brands LLC | 50580-563 |
| 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 |
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