Over-the-counter drug · OTC MONOGRAPH DRUG
Pain Relief PM NDC 55910-834
acetaminophen, diphenhydramine hcl · Acetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1 · Tablet · Oral · DOLGENCORP, INC.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 55910-834-01 | 55910083401 | 1 BOTTLE in 1 CARTON (55910-834-01) / 100 TABLET in 1 BOTTLEMarketed from Dec 25, 2023 | |
| 55910-834-05 | 55910083405 | 1 BOTTLE in 1 CARTON (55910-834-05) / 50 TABLET in 1 BOTTLEMarketed from Dec 25, 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)
- Pain Relief PM
- Generic name (nonproprietary)
- acetaminophen, diphenhydramine hcl
- Active ingredients
- Acetaminophen — 500 mg/1Diphenhydramine hydrochloride — 25 mg/1
- Dosage form
- Tablet
- Route
- Oral
- Labeler
- DOLGENCORP, INC.
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 013
- Marketing start
- Listing expires
- Other FDA classes
- Histamine H1 Receptor Antagonists (Mechanism)
- Identifiers
- Product ID 55910-834_0d05f2d6-747e-27e1-e063-6394a90a1797SPL ID 0d05f2d6-747e-27e1-e063-6394a90a1797SPL set ID 06553550-5685-f3c3-e063-6394a90aef07RxCUI 1092189UNII 362O9ITL9D, TC2D6JAD40UPC 0355910834055, 0355910834017
- Pharmacologic class
- Histamine-1 Receptor Antagonist
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
N455910083401followed by a unit qualifier and the quantityPackage 55910-0834-01. 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 temporary relief of occasional headaches and minor aches and pains with accompanying sleeplessness
Excerpt only. Read the full label for complete information.
Other NDCs under M 013
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 |
|---|---|---|---|---|
| equate pain relieveracetaminophen | Acetaminophen 325 mg/1 | TabletOral | WALMART INC. | 79903-299 |
| Unishield Aspirinaspirin | Aspirin 325 mg/1 | Tablet, Film coatedOral | Unishield | 49314-1163 |
| dg health aspirinaspirin | Aspirin 81 mg/1 | Tablet, ChewableOral | Dolgencorp, LLC | 55910-467 |
| Nite-Time COLD/FLU ORIGINALacetaminophen, dextromethorphan hydrobromide, doxylamine succinate | Acetaminophen 650 mg/30mL + 2 more ingredients | LiquidOral | Salado Sales, Inc. | 57243-501 |
| Aspirina Cafeinaaspirin,caffeine | Caffeine 32.5 mg/1; Aspirin 500 mg/1 | TabletOral | Bayer HealthCare LLC. | 0280-0162 |
| Aspirin Low Dose Safety Coatedaspirin | Aspirin 81 mg/1 | Tablet, CoatedOral | Care One (Retail Business Services, LLC.) | 72476-263 |
| Acetaminophen | Acetaminophen 500 mg/1 | TabletOral | WALMART INC | 79903-296 |
| Dolex Children Pain and Feveracetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | Pharmadel LLC | 55758-026 |
| Acetaminophen PM Extra Strengthacetaminophen and diphenhydramine hydrochloride | Acetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1 | Tablet, CoatedOral | WinCo Foods, LLC | 67091-137 |
| Aspirin Low Doseaspirin | Aspirin 81 mg/1 | Tablet, ChewableOral | Walgreen Company | 0363-0218 |
| Acetaminophen | Acetaminophen 500 mg/1 | TabletOral | Meijer Distribution Inc | 79481-0780 |
| Children Acetaminophen Oral Solutionacetaminophen | Acetaminophen 160 mg/5mL | LiquidOral | MAJOR PHARMACEUTICALS | 0904-7014 |
| Headache Relief Extra Strengthacetaminophen, aspirin, caffeine | Acetaminophen 250 mg/1 + 2 more ingredients | TabletOral | Safeway, Inc. | 21130-586 |
| Back and Body Extra Strengthaspirin, caffeine | Aspirin 500 mg/1; Caffeine 32.5 mg/1 | Tablet, Film coatedOral | Meijer Distribution Inc | 41250-143 |
| TYLENOL Extra Strengthacetaminophen | Acetaminophen 960 mg/30mL | SuspensionOral | Kenvue Brands LLC | 50580-187 |
| Acetaminophen | Acetaminophen 325 mg/1 | TabletOral | Prostat First Aid | 58228-0061 |
| Aspirin 81mgaspirin enteric coated tablets 81mg | Aspirin 81 mg/1 | TabletOral | VITANE PHARMACEUTICALS, INC | 60577-807 |
| Acetaminophen PMacetaminophen, diphenhydramine hcl | Acetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1 | Tablet, CoatedOral | COSTCO WHOLESALE CORPORATION | 63981-056 |
| Childrens Pain and Fever, Grape flavoracetaminophen | Acetaminophen 160 mg/5mL | SuspensionOral | Walgreen Company | 0363-0323 |
| Amazon Basics Acetaminophenacetaminophen | Acetaminophen 500 mg/1 | TabletOral | Amazon.com Services LLC | 72288-008 |
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