NDC codes

FDA NDC Directory
Product NDC (as listed)59779-879Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59779-0879Add 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
59779-879-2759779087927597790879271 BOTTLE in 1 CARTON (59779-879-27) / 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)
PMS 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
Labeler
CVS PharmacyNDC labeler code 59779
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 027
Marketing start
Listing expires
Identifiers
Product ID 59779-879_7f1a3fe0-fdcb-4a96-8954-ed8fc0da7b97SPL ID 7f1a3fe0-fdcb-4a96-8954-ed8fc0da7b97SPL set ID 760ee367-0625-48d7-98a7-84c69389ad3eRxCUI 1052637UNII 362O9ITL9D, UA8U0KJM72, R35D29L3ZAUPC 0050428534878

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

N459779087927 followed by a unit qualifier and the quantity

Package 59779-0879-27. 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)

About NDC 59779-879

What is NDC 59779-879?
59779-879 is the product NDC for PMS Relief Maximum Strength, Acetaminophen 500 mg/1 + 2 more ingredients tablet, film coated, listed with the FDA by CVS Pharmacy. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
PMS Relief Maximum Strength (Acetaminophen, Pamabrom, Pyrilamine Maleate).
What is the active ingredient?
Acetaminophen, Pamabrom, Pyrilamine maleate.
Who is the labeler?
CVS Pharmacy, NDC labeler code 59779. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for PMS Relief Maximum Strength?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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 Complete Pain Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralWalgreen Company0363-9390
Medi First Plus PMS Reliefacetaminophen, pamabrom, pyrilamine maleatePamabrom 25 mg/1 + 2 more ingredientsTablet, CoatedOralUnifirst First Aid Corporation47682-723
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralCVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED51316-390
Menstrual Pain Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralWalgreen Company0363-3900
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralTopco Associates, LLC36800-391
Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralTopco Associates, LLC36800-979
Medi First PMS Reliefacetaminophen, pamabrom, pyrilamine maleatePamabrom 25 mg/1 + 2 more ingredientsTablet, CoatedOralUnifirst First Aid Corporation47682-823
Pamprin BloatpamabromPamabrom 50 mg/1Tablet, Film coatedOralFocus Consumer Healthcare, LLC71687-3009
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralWalgreen Company0363-3909
PamabromPamabrom 50 mg/1Capsule, Liquid filledOralSoftgel Healthcare Pvt Ltd35916-1654
Cramp Tabsacetaminophen, pamabrom, and pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsCapsule, CoatedOralJHK DBA American Safety & First Aid73598-1472
Menstrual Reliefacetaminophen, caffeine and pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralDOLGENCORP, LLC55910-123
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralCVS Pharmacy59779-930
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralFamily Dollar Services Inc55319-301
Midol Completeacetaminophen, caffeine, and pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTabletOralBayer HealthCare LLC.0280-8005
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralRite Aid Corporation11822-3900
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralH E B37808-389
Menstrual Bloat ReliefpamabromPamabrom 50 mg/1Tablet, Film coatedOralWALMART INC.79903-425
Midol Complete Gelcapsmidol completeCaffeine 60 mg/1 + 2 more ingredientsTablet, CoatedOralBayer HealthCare LLC0280-8015
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralDiscount Drug Mart53943-390

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