NDC codes

FDA NDC Directory
Product NDC (as listed)55910-374Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55910-0374Add 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
55910-374-6255910037462559100374621 BOTTLE in 1 CARTON (55910-374-62) / 24 TABLET, FILM COATED in 1 BOTTLEMarketed from Dec 4, 2009
55910-374-7155910037471559100374711 BOTTLE in 1 CARTON (55910-374-71) / 50 TABLET, FILM COATED in 1 BOTTLEMarketed from Dec 4, 2009
55910-374-7855910037478559100374781 BOTTLE in 1 CARTON (55910-374-78) / 100 TABLET, FILM COATED in 1 BOTTLEMarketed from Apr 5, 2023

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)
DG Health migraine relief
Generic name (nonproprietary)
acetaminophen, aspirin, caffeine
Active ingredients
Acetaminophen — 250 mg/1Aspirin — 250 mg/1Caffeine — 65 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Dolgencorp, LLCNDC labeler code 55910
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075794
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Central Nervous System Stimulation (Physiologic effect)Cyclooxygenase Inhibitors (Mechanism)Decreased Platelet Aggregation (Physiologic effect)Decreased Prostaglandin Production (Physiologic effect)Xanthines (Chemical structure)
Identifiers
Product ID 55910-374_493d5a66-5d53-4cea-9df0-b5eaec08292cSPL ID 493d5a66-5d53-4cea-9df0-b5eaec08292cSPL set ID d0e82cac-dfbb-49cb-99c8-560b02fb1a8cRxCUI 308297UNII 362O9ITL9D, R16CO5Y76E, 3G6A5W338E
Pharmacologic class
Central Nervous System Stimulant; Methylxanthine; Nonsteroidal Anti-inflammatory Drug; Platelet Aggregation Inhibitor

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

N455910037462 followed by a unit qualifier and the quantity

Package 55910-0374-62. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

About NDC 55910-374

What is NDC 55910-374?
55910-374 is the product NDC for DG Health migraine relief, Acetaminophen 250 mg/1 + 2 more ingredients tablet, film coated, listed with the FDA by Dolgencorp, LLC. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
DG Health migraine relief (Acetaminophen, Aspirin, Caffeine).
What is the active ingredient?
Acetaminophen, Aspirin, Caffeine.
Who is the labeler?
Dolgencorp, LLC, NDC labeler code 55910. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for DG Health migraine relief?
1 other product NDC are listed under this name. See all DG Health migraine relief NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other DG Health migraine relief NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
dg health migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralDolgencorp Inc55910-44855910-0448-2755910-0448-60

Other NDCs under ANDA 075794

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

FDA NDC Directory listings under ANDA 075794
ProductStrengthForm · routeLabelerProduct NDC
basic care migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralAmazon.com Services LLC72288-295
basic care migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralAmazon.com Services LLC72288-374
Care One migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralAmerican Sales Company41520-374
dg health migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralDolgencorp Inc55910-448
Equaline migraine formulaacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralUnited Natural Foods, Inc. dba UNFI41163-374
foster and thrive migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralStrategic Sourcing Services LLC70677-1133
good neighbor pharmacy migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralAmerisource Bergen24385-365
good sense migraine formulaacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralL. Perrigo Company0113-0374
good sense migraine formulaacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralL. Perrigo Company0113-1619
good sense migraine formulaacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralProficient Rx LP82804-002
good sense migraine formulaacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralSportpharm LLC85766-180
Leader Migraine Reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralCardinal Health 110, LLC. dba Leader70000-0247
leader migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralCardinal Health 110, LLC. dba Leader70000-0611
migraine formulaacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralH E B37808-374
migraine formulaacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralMeijer Distribution Inc41250-374
migraine formulaacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralHyVee Inc42507-374
Migraine Formulaacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralMeijer, Inc.79481-0211
migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralWalgreen Company0363-0374
migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralWalgreen Company0363-1235
migraine reliefacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralRite Aid Corporation11822-0374

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