NDC codes

FDA NDC Directory
Product NDC (as listed)52389-656Labeler and product segments. Claims need a package NDC.
Product NDC at billing width52389-0656Add 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
52389-656-60523890656602 BLISTER PACK in 1 CARTON (52389-656-60) / 30 TABLET, FILM COATED in 1 BLISTER PACK (52389-656-01)Marketed from Oct 31, 2015

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)
Diurex UltimateSuffix: Ultimate
Generic name (nonproprietary)
caffeine
Active ingredients
Caffeine — 100 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 027
Marketing start
Listing expires
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)Xanthines (Chemical structure)
Identifiers
Product ID 52389-656_53c43c3f-7dd9-4887-e063-6294a90a0db4SPL ID 53c43c3f-7dd9-4887-e063-6294a90a0db4SPL set ID c6debbfe-6061-463f-8f17-fb240c6f1babRxCUI 308853UNII 3G6A5W338EUPC 0072959010560
Pharmacologic class
Central Nervous System Stimulant; Methylxanthine

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

N452389065660 followed by a unit qualifier and the quantity

Package 52389-0656-60. 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 the relief of temporary: water retention bloating swelling full feeling fatigue associated with the premenstrual and menstrual periods.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under M 027

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

FDA NDC Directory listings under M 027
ProductStrengthForm · routeLabelerProduct NDC
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralGeiss, Destin & Dunn Inc.50804-990
PamabromPamabrom 50 mg/1Capsule, Liquid filledOralSoftgel Healthcare Pvt Ltd35916-1654
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralWALMART INC.79903-266
Mantra Menstrual Pain Gel strawberryacetaminophen, pamabromAcetaminophen .5 g/24g; Pamabrom .025 g/24gGelOralMOREMED INC.85410-060
Menstrual Pain Relief Maximum Strength / Multi Symptomacetaminophen, pamabrom, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralDOLGENCORP, LLC55910-967
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralRite Aid Corporation11822-3900
Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralARMY AND AIR FORCE EXCHANGE SERVICE55301-679
Midol Completeacetaminophen, caffeine, and pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTabletOralSelect Consumer Group85237-1841
Green Guard Cramp Reliefacetaminophen, pamabrom, pyrilamine maleatePyrilamine maleate 15 mg/1 + 2 more ingredientsTablet, Film coatedOralUnifirst First Aid Corporation47682-049
RIGHT REMEDIES Maximum Strength DiureticpamabromPamabrom 50 mg/1Capsule, Liquid filledOralStrive Pharmaceuticals Inc.70692-595
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralChain Drug Marketing Association, Inc.83324-017
Cramp Tabsacetaminophen, pamabrom, and pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsCapsule, CoatedOralJHK DBA American Safety & First Aid73598-1472
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralL.N.K. International, Inc.50844-399
Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralFamily Dollar Services Inc55319-979
Diurex UltracaffeineCaffeine 100 mg/1Tablet, Film coatedOralKobayashi Healthcare International, Inc.52389-155
Pamprin BloatpamabromPamabrom 50 mg/1Tablet, Film coatedOralFocus Consumer Healthcare, LLC71687-3009
Diurex MaxpamabromPamabrom 50 mg/1Tablet, Film coatedOralKobayashi Healthcare International, Inc.52389-249
Midol Completeacetaminophen, caffeine, and pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTabletOralBayer HealthCare LLC.0280-8005
Diurex Water Pillscaffeine, magnesium salicylateMagnesium salicylate 162.5 mg/1; Caffeine 50 mg/1Tablet, CoatedOralKobayashi Healthcare International, Inc.52389-306
Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralL.N.K. International, Inc.50844-679

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