NDC codes

FDA NDC Directory
Product NDC (as listed)84379-284Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84379-0284Add 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
84379-284-0484379028404118 mL in 1 BOTTLE (84379-284-04)Marketed from Feb 3, 2025

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)
Revasol Sleep Aid
Generic name (nonproprietary)
diphenhydramine hcl
Active ingredients
Diphenhydramine HCl — 50 mg/30mL
Dosage form
Liquid
Route
Oral
Labeler
Rnv LLCNDC labeler code 84379
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 010
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 84379-284_30131010-be71-c940-e063-6394a90a190aSPL ID 30131010-be71-c940-e063-6394a90a190aSPL set ID 30131010-be70-c940-e063-6394a90a190aRxCUI 1248354UNII TC2D6JAD40
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

N484379028404 followed by a unit qualifier and the quantity

Package 84379-0284-04. 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 relief of occasional sleeplessness • reduces time to fall asleep if you have difficulty falling asleep

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 84379-284

What is NDC 84379-284?
84379-284 is the product NDC for Revasol Sleep Aid (diphenhydramine hcl), Diphenhydramine HCl 50 mg/30mL liquid, listed with the FDA by Rnv LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Revasol Sleep Aid (Diphenhydramine HCl).
What is the active ingredient?
Diphenhydramine HCl.
Who is the labeler?
Rnv LLC, NDC labeler code 84379. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Revasol Sleep Aid?
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 010

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

FDA NDC Directory listings under M 010
ProductStrengthForm · routeLabelerProduct NDC
ADWE dye-free childrens allergydiphenhydramine hydrochlorideDiphenhydramine hydrochloride 12.5 mg/5mLSyrupOralRARITAN PHARMACEUTICALS INC68163-710
Allergy Relief 25 mgdiphenhydramine hcl 25mgDiphenhydramine hydrochloride 25 mg/1CapsuleOralUlai Health LLC73057-348
AXIV - VroZzzdiphenhydramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralVivunt Pharma LLC82706-014
basic care nighttime sleep aiddiphenhydramine hclDiphenhydramine hydrochloride 50 mg/30mLSolutionOralAmazon.com Services LLC72288-186
berkley and jensen sleep aiddiphenhydramine hclDiphenhydramine hydrochloride 50 mg/30mLSolutionOralBJWC68391-186
Best Choice Childrens Allergy Relief Bubblegum flavordiphenhydramine hclDiphenhydramine hydrochloride 12.5 mg/5mLLiquidOralBEST CHOICE (VALU MERCHANDISERS COMPANY)63941-710
Betr sleep aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1Tablet, Film coatedOralLive Betr LLC80267-431
Calmco Sleep Aiddiphenhydramine hclDiphenhydramine hydrochloride 25 mg/5mLSolutionOralCalmCo LLC73282-2525
CalmCo Sleep Aiddiphenhydramine hclDiphenhydramine hydrochloride 25 mg/1Chewable gelOralCalmCo LLC73282-2527
CalmCo Sleep Aiddiphenhydramine hclDiphenhydramine hydrochloride 25 mg/1Chewable gelOralCalmCo LLC73282-2528
CalmCo Sleep Aid Gummy Bitediphenhydramine hclDiphenhydramine hydrochloride 25 mg/1Bar, ChewableOralCalmCo LLC73282-2518
careone nighttime sleep aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1Tablet, Film coatedOralAmerican Sales Company41520-431
CVS Childrens Nighttime Multi Symptom Coldacetaminophen , diphenhydramine hydrochloride,phenylephrine hydrochlorideAcetaminophen 325 mg/10mL + 2 more ingredientsLiquidOralCVS PHARMACY51316-733
CVS Health Nighttime Sleep-Aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 50 mg/30mLLiquidOralCVS Pharmacy,Inc.59779-893
CVS Nighttime Childrens Cold and Cough Multi-Symptom Reliefchlorpheniramine maleate and dextromethorphan hydrobromideChlorpheniramine maleate 2 mg/15mL; Dextromethorphan hydrobromide 15 mg/15mLSolutionOralCVS PHARMACY51316-752
CVS NightTime Coldacetaminophen, dextromethorphan hydrobromide, doxylamine succinate, and phenylephrine hydrochlorideAcetaminophen 650 mg/30mL + 3 more ingredientsSolutionOralCVS PHARMACY51316-641
CVS Nighttime Cold and Flu Reliefacetaminophen, dextromethorphan hbr, doxylamine succinateAcetaminophen 650 mg/30mL + 2 more ingredientsSolutionOralCVS PHARMACY51316-692
CVS Nighttime Sleep Aiddiphenhydramine hydrochloride and acetaminophenAcetaminophen 1000 mg/30mL; Diphenhydramine hydrochloride 50 mg/30mLLiquidOralCVS PHARMACY69842-448
dg health sleep aiddiphenhydramine hclDiphenhydramine hydrochloride 50 mg/30mLSolutionOralDolgencorp, LLC55910-186
dg health sleep aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1Tablet, Film coatedOralDolgencorp Inc55910-431

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