What is NDC 79903-425?

79903-425 is the product NDC for Menstrual Bloat Relief (pamabrom), Pamabrom 50 mg/1 tablet, film coated, listed with the FDA by WALMART INC.. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Menstrual Bloat Relief (Pamabrom).

WALMART INC., NDC labeler code 79903. 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 Bloat Relief?

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.

Menstrual Bloat Relief NDC 79903-425

NDC codes

FDA NDC Directory

Product NDC (as listed)79903-425Labeler and product segments. Claims need a package NDC.

Product NDC at billing width79903-0425Add 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 NDC	11-digit (billing)	Package	Copy
79903-425-30	7990304253079903042530	1 BOTTLE, PLASTIC in 1 CARTON (79903-425-30) / 30 TABLET, FILM COATED in 1 BOTTLE, PLASTICMarketed from Apr 7, 2026

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 Bloat Relief
Generic name (nonproprietary): pamabrom
Active ingredients: Pamabrom — 50 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: WALMART INC.NDC labeler code 79903
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 027
Marketing start: Apr 7, 2026
Listing expires: Dec 31, 2027
Identifiers: Product ID 79903-425_6bcbbfe8-6328-4442-8b41-6a8c3b71859aSPL ID 6bcbbfe8-6328-4442-8b41-6a8c3b71859aSPL set ID 6479b326-8b20-401e-8224-a05f6d7dce2eRxCUI 199158UNII UA8U0KJM72UPC 0194346617012

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

N479903042530 followed by a unit qualifier and the quantity

Package 79903-0425-30. 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 Apr 7, 2026.

Indications (excerpt from the label)

Uses for the temporary relief of: bloating water-weight gain swelling full feeling associated with the premenstrual and menstrual periods

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 79903-425

What is NDC 79903-425?: 79903-425 is the product NDC for Menstrual Bloat Relief (pamabrom), Pamabrom 50 mg/1 tablet, film coated, listed with the FDA by WALMART INC.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Menstrual Bloat Relief (Pamabrom).
What is the active ingredient?: Pamabrom.
Who is the labeler?: WALMART INC., NDC labeler code 79903. 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 Bloat Relief?: 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
Product	Strength	Form · route	Labeler	Product NDC
PMS Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	CVS Pharmacy	59779-879
Menstrual Complete Pain Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Walgreen Company	0363-9390
Medi First Plus PMS Reliefacetaminophen, pamabrom, pyrilamine maleate	Pamabrom 25 mg/1 + 2 more ingredients	Tablet, CoatedOral	Unifirst First Aid Corporation	47682-723
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED	51316-390
Menstrual Pain Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Walgreen Company	0363-3900
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Topco Associates, LLC	36800-391
Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Topco Associates, LLC	36800-979
Medi First PMS Reliefacetaminophen, pamabrom, pyrilamine maleate	Pamabrom 25 mg/1 + 2 more ingredients	Tablet, CoatedOral	Unifirst First Aid Corporation	47682-823
Pamprin Bloatpamabrom	Pamabrom 50 mg/1	Tablet, Film coatedOral	Focus Consumer Healthcare, LLC	71687-3009
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Walgreen Company	0363-3909
Pamabrom	Pamabrom 50 mg/1	Capsule, Liquid filledOral	Softgel Healthcare Pvt Ltd	35916-1654
Cramp Tabsacetaminophen, pamabrom, and pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Capsule, CoatedOral	JHK DBA American Safety & First Aid	73598-1472
Menstrual Reliefacetaminophen, caffeine and pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	DOLGENCORP, LLC	55910-123
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	CVS Pharmacy	59779-930
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Family Dollar Services Inc	55319-301
Midol Completeacetaminophen, caffeine, and pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	TabletOral	Bayer HealthCare LLC.	0280-8005
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	H E B	37808-389
Midol Complete Gelcapsmidol complete	Caffeine 60 mg/1 + 2 more ingredients	Tablet, CoatedOral	Bayer HealthCare LLC	0280-8015
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Discount Drug Mart	53943-390

Showing 20 of 39.

Menstrual Bloat Relief (Pamabrom) NDC 79903-425