NDC codes

FDA NDC Directory
Product NDC (as listed)72090-006Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72090-0006Add 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
72090-006-2572090000625375 TABLET in 1 BOTTLE (72090-006-25)Marketed from May 8, 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)
Pain Relief PM
Generic name (nonproprietary)
acetaminophen, diphenhydramine
Active ingredients
Diphenhydramine hydrochloride — 25 mg/1Acetaminophen — 500 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Pioneer Life Sciences, LLCNDC labeler code 72090
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 72090-006_99b7581b-b3ad-4191-8245-665177a21686SPL ID 99b7581b-b3ad-4191-8245-665177a21686SPL set ID ad29a37f-39a2-5c84-e053-2995a90a2f39RxCUI 1092189UNII TC2D6JAD40, 362O9ITL9D
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

N472090000625 followed by a unit qualifier and the quantity

Package 72090-0006-25. 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.

Full label on DailyMed (opens in a new tab)

About NDC 72090-006

What is NDC 72090-006?
72090-006 is the product NDC for Pain Relief PM, Diphenhydramine hydrochloride 25 mg/1; Acetaminophen 500 mg/1 tablet, listed with the FDA by Pioneer Life Sciences, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pain Relief PM (Acetaminophen, Diphenhydramine).
What is the active ingredient?
Diphenhydramine hydrochloride, Acetaminophen.
Who is the labeler?
Pioneer Life Sciences, LLC, NDC labeler code 72090. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pain Relief PM?
14 other product NDCs are listed under this name. See all Pain Relief PM 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 Pain Relief PM NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
pain relief pmibuprofen and diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralBionpharma Inc.69452-50769452-0507-78
Pain Relief PMacetaminophen and diphenhydramine hydrochlorideAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralHYVEE INC42507-09542507-0095-0342507-0095-17
Pain Relief PMacetaminophen, diphenhydramineDiphenhydramine hydrochloride 25 mg/1; Acetaminophen 500 mg/1TabletOralPioneer Life Sciences, LLC72090-03272090-0032-01
Pain Relief PMacetaminophen, diphenhydramineDiphenhydramine hydrochloride 25 mg/1; Acetaminophen 500 mg/1TabletOralNUVICARE LLC84324-00584324-0005-01
Pain Relief PMacetaminophen, diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1TabletOralDOLGENCORP, INC.55910-83455910-0834-0155910-0834-05
Pain Relief PMacetaminophen and diphenhydramine hydrochlorideAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralAMERIFOODS TRADING COMPANY61504-09561504-0095-03
Pain Relief PMacetaminophen, diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralTopco Associates, LLC36800-55636800-0556-0936800-0556-10
Pain Relief PMacetaminophen, diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralStrategic Sourcing Services LLC70677-008170677-0081-01
pain relief pmibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralBionpharma Inc.69452-26469452-0264-22
Pain Relief PMacetaminophen, aspirin, diphenhydramine citrateAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralCVS Pharmacy59779-89459779-0894-12

All 15 Pain Relief PM NDCs

Other NDCs under M 013

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

FDA NDC Directory listings under M 013
ProductStrengthForm · routeLabelerProduct NDC
365 whole foods market acetaminophenacetaminophenAcetaminophen 500 mg/1TabletOralWhole Foods Market, INC.42681-0025
AcetaminophenAcetaminophen 160 mg/5mLSolutionOralPAI Holdings, LLC dba PAI Pharma0121-0657
AcetaminophenAcetaminophen 160 mg/5mLSuspensionOralPAI Holdings, LLC dba PAI Pharma0121-0941
AcetaminophenAcetaminophen 160 mg/5mLSolutionOralPAI Holdings, LLC dba PAI Pharma0121-1047
AcetaminophenAcetaminophen 325 mg/10.15mLSolutionOralPAI Holdings, LLC dba PAI Pharma0121-1314
AcetaminophenAcetaminophen 325 mg/10.15mLSuspensionOralPAI Holdings, LLC dba PAI Pharma0121-1882
AcetaminophenAcetaminophen 650 mg/20.3mLSolutionOralPAI Holdings, LLC dba PAI Pharma0121-1971
AcetaminophenAcetaminophen 325 mg/10.15mLSolutionOralPAI Holdings, LLC dba PAI Pharma0121-2094
AcetaminophenAcetaminophen 650 mg/20.3mLSuspensionOralPAI Holdings, LLC dba PAI Pharma0121-2823
AcetaminophenAcetaminophen 650 mg/20.3mLSolutionOralPAI Holdings, LLC dba PAI Pharma0121-3141
AcetaminophenAcetaminophen 500 mg/1TabletOralWALGREENS0363-9538
AcetaminophenAcetaminophen 500 mg/1TabletOralWALGREEN CO.0363-9595
AcetaminophenAcetaminophen 160 mg/1TabletOralWALGREEN CO.0363-9605
AcetaminophenAcetaminophen 500 mg/1TabletOralWALGREEN CO.0363-9798
AcetaminophenAcetaminophen 500 mg/1TabletOralWalgreens0363-9810
AcetaminophenAcetaminophen 500 mg/1TabletOralRugby Laboratories0536-1172
AcetaminophenAcetaminophen 500 mg/1Tablet, CoatedOralRugby Laboratories0536-1292
AcetaminophenAcetaminophen 500 mg/1Tablet, Film coatedOralRugby Laboratories0536-1413
AcetaminophenAcetaminophen 325 mg/1Tablet, Film coatedOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8608
AcetaminophenAcetaminophen 325 mg/1Tablet, Film coatedOralNCS HealthCare of KY, LLC dba Vangard Labs0615-8609

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