NDC codes

FDA NDC Directory
Product NDC (as listed)55301-679Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55301-0679Add 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
55301-679-27553010679271 BOTTLE in 1 CARTON (55301-679-27) / 32 TABLET, FILM COATED in 1 BOTTLEMarketed from Jan 13, 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)
Menstrual Relief Maximum StrengthSuffix: Maximum Strength
Generic name (nonproprietary)
acetaminophen, pamabrom, pyrilamine maleate
Active ingredients
Acetaminophen — 500 mg/1Pamabrom — 25 mg/1Pyrilamine maleate — 15 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
Identifiers
Product ID 55301-679_122ae47d-b5c6-49b0-9c55-fec5b08e0be3SPL ID 122ae47d-b5c6-49b0-9c55-fec5b08e0be3SPL set ID 8282cb5a-6c38-4500-93bb-461e4d65df1cRxCUI 1052637UNII 362O9ITL9D, UA8U0KJM72, R35D29L3ZA

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

N455301067927 followed by a unit qualifier and the quantity

Package 55301-0679-27. 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 the temporary relief of these symptoms associated with menstrual periods: headache bloating cramps backache muscular aches irritability water-weight gain

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
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 UltimatecaffeineCaffeine 100 mg/1Tablet, Film coatedOralKobayashi Healthcare International, Inc.52389-656
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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