Over-the-counter drug · OTC MONOGRAPH DRUG
Menstrual Relief NDC 55910-123
acetaminophen, caffeine and pyrilamine maleate · Acetaminophen 500 mg/1 + 2 more ingredients · Tablet, Film coated · Oral · DOLGENCORP, LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 55910-123-10 | 55910012310 | 1 BOTTLE, PLASTIC in 1 CARTON (55910-123-10) / 40 TABLET, FILM COATED in 1 BOTTLE, PLASTICMarketed from Feb 21, 2024 |
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
- Generic name (nonproprietary)
- acetaminophen, caffeine and pyrilamine maleate
- Active ingredients
- Acetaminophen — 500 mg/1Caffeine — 60 mg/1Pyrilamine maleate — 15 mg/1
- Dosage form
- Tablet, Film coated
- Route
- Oral
- Labeler
- DOLGENCORP, LLC
- 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 55910-123_7a8a2cbb-71cd-48cc-96a4-9a0a4296cc0aSPL ID 7a8a2cbb-71cd-48cc-96a4-9a0a4296cc0aSPL set ID 89eb8196-54c6-4e30-8655-502cc4313c8aRxCUI 1597298UNII 362O9ITL9D, 3G6A5W338E, R35D29L3ZAUPC 0350844390103
- 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
N455910012310followed by a unit qualifier and the quantityPackage 55910-0123-10. 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: bloating headache muscle aches cramps backache fatigue water-weight gain
Excerpt only. Read the full label for complete information.
Other NDCs under M 027
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 |
|---|---|---|---|---|
| Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Geiss, Destin & Dunn Inc. | 50804-990 |
| Pamabrom | Pamabrom 50 mg/1 | Capsule, Liquid filledOral | Softgel Healthcare Pvt Ltd | 35916-1654 |
| Menstrual Completeacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | WALMART INC. | 79903-266 |
| Mantra Menstrual Pain Gel strawberryacetaminophen, pamabrom | Acetaminophen .5 g/24g; Pamabrom .025 g/24g | GelOral | MOREMED INC. | 85410-060 |
| Menstrual Pain Relief Maximum Strength / Multi Symptomacetaminophen, pamabrom, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | DOLGENCORP, LLC | 55910-967 |
| Menstrual Completeacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Rite Aid Corporation | 11822-3900 |
| Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | ARMY AND AIR FORCE EXCHANGE SERVICE | 55301-679 |
| Midol Completeacetaminophen, caffeine, and pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | TabletOral | Select Consumer Group | 85237-1841 |
| Green Guard Cramp Reliefacetaminophen, pamabrom, pyrilamine maleate | Pyrilamine maleate 15 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Unifirst First Aid Corporation | 47682-049 |
| RIGHT REMEDIES Maximum Strength Diureticpamabrom | Pamabrom 50 mg/1 | Capsule, Liquid filledOral | Strive Pharmaceuticals Inc. | 70692-595 |
| Menstrual Completeacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Chain Drug Marketing Association, Inc. | 83324-017 |
| Cramp Tabsacetaminophen, pamabrom, and pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Capsule, CoatedOral | JHK DBA American Safety & First Aid | 73598-1472 |
| Menstrual Completeacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | L.N.K. International, Inc. | 50844-399 |
| Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Family Dollar Services Inc | 55319-979 |
| Diurex Ultracaffeine | Caffeine 100 mg/1 | Tablet, Film coatedOral | Kobayashi Healthcare International, Inc. | 52389-155 |
| Pamprin Bloatpamabrom | Pamabrom 50 mg/1 | Tablet, Film coatedOral | Focus Consumer Healthcare, LLC | 71687-3009 |
| Diurex Maxpamabrom | Pamabrom 50 mg/1 | Tablet, Film coatedOral | Kobayashi Healthcare International, Inc. | 52389-249 |
| Midol Completeacetaminophen, caffeine, and pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | TabletOral | Bayer HealthCare LLC. | 0280-8005 |
| Diurex Ultimatecaffeine | Caffeine 100 mg/1 | Tablet, Film coatedOral | Kobayashi Healthcare International, Inc. | 52389-656 |
| Diurex Water Pillscaffeine, magnesium salicylate | Magnesium salicylate 162.5 mg/1; Caffeine 50 mg/1 | Tablet, CoatedOral | Kobayashi Healthcare International, Inc. | 52389-306 |
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