Over-the-counter drug · OTC MONOGRAPH DRUG
Menstrual Relief NDC 59779-930
acetaminophen, caffeine, pyrilamine maleate · Acetaminophen 500 mg/1 + 2 more ingredients · Tablet, Film coated · Oral · CVS Pharmacy
NDC codes
FDA NDC DirectoryProduct NDC (as listed)59779-930Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59779-0930Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 59779-930-08 | 59779093008 | 3 BLISTER PACK in 1 CARTON (59779-930-08) / 8 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Apr 29, 2002 | |
| 59779-930-10 | 59779093010 | 1 BOTTLE in 1 CARTON (59779-930-10) / 40 TABLET, FILM COATED in 1 BOTTLEMarketed from Apr 29, 2002 | |
| 59779-930-21 | 59779093021 | 2 BLISTER PACK in 1 CARTON (59779-930-21) / 8 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Apr 29, 2002 |
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, pyrilamine maleate
- Active ingredients
- Acetaminophen — 500 mg/1Caffeine — 60 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
- Other FDA classes
- Central Nervous System Stimulation (Physiologic effect)Xanthines (Chemical structure)
- Identifiers
- Product ID 59779-930_630291ae-ead8-401a-8c27-454f118cb5d6SPL ID 630291ae-ead8-401a-8c27-454f118cb5d6SPL set ID 289ec101-c9a3-45f1-b2cd-8eaf8e580130RxCUI 1597298UNII 362O9ITL9D, 3G6A5W338E, R35D29L3ZA
- 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
N459779093008followed by a unit qualifier and the quantityPackage 59779-0930-08. 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.
About NDC 59779-930
- What is NDC 59779-930?
- 59779-930 is the product NDC for Menstrual Relief, Acetaminophen 500 mg/1 + 2 more ingredients tablet, film coated, listed with the FDA by CVS Pharmacy. It has 3 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Menstrual Relief (Acetaminophen, Caffeine, Pyrilamine maleate).
- What is the active ingredient?
- Acetaminophen, Caffeine, 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 Menstrual Relief?
- 7 other product NDCs are listed under this name. See all Menstrual Relief NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Menstrual Relief products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED | 51316-390 | 51316-0390-1051316-0390-21 |
| Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | United Natural Foods, Inc. dba UNFI | 41163-391 | 41163-0391-10 |
| Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Better Living Brands, LLC | 21130-930 | 21130-0930-10 |
| Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Walgreen Company | 0363-3909 | 00363-3909-21 |
| Menstrual Reliefacetaminophen, caffeine and pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | DOLGENCORP, LLC | 55910-123 | 55910-0123-10 |
| Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Geiss, Destin & Dunn Inc. | 50804-990 | 50804-0990-08 |
| Menstrual Reliefacetaminophen, caffeine and pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Target Corporation | 11673-390 | 11673-0390-10 |
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 |
|---|---|---|---|---|
| Cramp Tabsacetaminophen, pamabrom, and pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Capsule, CoatedOral | JHK DBA American Safety & First Aid | 73598-1472 |
| Diurex Maxpamabrom | Pamabrom 50 mg/1 | Tablet, Film coatedOral | Kobayashi Healthcare International, Inc. | 52389-249 |
| Diurex Ultimatecaffeine | Caffeine 100 mg/1 | Tablet, Film coatedOral | Kobayashi Healthcare International, Inc. | 52389-656 |
| Diurex Ultracaffeine | Caffeine 100 mg/1 | Tablet, Film coatedOral | Kobayashi Healthcare International, Inc. | 52389-155 |
| Diurex Water Pillscaffeine, magnesium salicylate | Magnesium salicylate 162.5 mg/1; Caffeine 50 mg/1 | Tablet, CoatedOral | Kobayashi Healthcare International, Inc. | 52389-306 |
| Green Guard Cramp Reliefacetaminophen, pamabrom, pyrilamine maleate | Pyrilamine maleate 15 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Unifirst First Aid Corporation | 47682-049 |
| Mantra Menstrual Pain Gel strawberryacetaminophen, pamabrom | Acetaminophen .5 g/24g; Pamabrom .025 g/24g | GelOral | MOREMED INC. | 85410-060 |
| Medi First Plus PMS Reliefacetaminophen, pamabrom, pyrilamine maleate | Pamabrom 25 mg/1 + 2 more ingredients | Tablet, CoatedOral | Unifirst First Aid Corporation | 47682-723 |
| Medi First PMS Reliefacetaminophen, pamabrom, pyrilamine maleate | Pamabrom 25 mg/1 + 2 more ingredients | Tablet, CoatedOral | Unifirst First Aid Corporation | 47682-823 |
| Menstrual Bloat Reliefpamabrom | Pamabrom 50 mg/1 | Tablet, Film coatedOral | WALMART INC. | 79903-425 |
| Menstrual Completeacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Rite Aid Corporation | 11822-3900 |
| Menstrual Completeacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Kroger Company | 30142-390 |
| Menstrual Completeacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Topco Associates, LLC | 36800-391 |
| Menstrual Completeacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | H E B | 37808-389 |
| Menstrual Completeacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | L.N.K. International, Inc. | 50844-399 |
| Menstrual Completeacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Discount Drug Mart | 53943-390 |
| Menstrual Completeacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Family Dollar Services Inc | 55319-301 |
| Menstrual Completeacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | WinCo Foods, LLC | 67091-334 |
| Menstrual Completeacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | Meijer Distribution, Inc. | 79481-0390 |
| Menstrual Completeacetaminophen, caffeine, pyrilamine maleate | Acetaminophen 500 mg/1 + 2 more ingredients | Tablet, Film coatedOral | WALMART INC. | 79903-266 |
Showing 20 of 39.