What is NDC 0363-1175?

0363-1175 is the product NDC for Free and Pure Allergy Relief Dye Free, Diphenhydramine hydrochloride 25 mg/1 capsule, liquid filled, listed with the FDA by WALGREEN COMPANY. It has 2 package NDCs, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Free and Pure Allergy Relief Dye Free (Diphenhydramine HCl).

WALGREEN COMPANY, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Free and Pure Allergy Relief Dye Free?

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.

Free and Pure Allergy Relief Dye Free NDC 0363-1175

NDC codes

FDA NDC Directory

Product NDC (as listed)0363-1175Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00363-1175Add 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
0363-1175-24	0036311752400363117524	2 BLISTER PACK in 1 CARTON (0363-1175-24) / 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACKMarketed from Oct 22, 2023
0363-1175-48	0036311754800363117548	4 BLISTER PACK in 1 CARTON (0363-1175-48) / 12 CAPSULE, LIQUID FILLED in 1 BLISTER PACKMarketed from Oct 22, 2023

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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): Free and Pure Allergy Relief Dye FreeSuffix: Dye Free
Generic name (nonproprietary): diphenhydramine hcl
Active ingredients: Diphenhydramine hydrochloride — 25 mg/1
Dosage form: Capsule, Liquid filled
Route: Oral
Labeler: WALGREEN COMPANYNDC labeler code 0363
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication 505G(a)(3)
Marketing start: Oct 22, 2023
Listing expires: Dec 31, 2026
Other FDA classes: Histamine H1 Receptor Antagonists (Mechanism)
Identifiers: Product ID 0363-1175_4279aaad-dde8-08be-e063-6394a90ad40bSPL ID 4279aaad-dde8-08be-e063-6394a90ad40bSPL set ID 93182db8-05bc-4eb5-aa14-cef58de25359RxCUI 1049909UNII 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

N400363117524 followed by a unit qualifier and the quantity

Package 00363-1175-24. 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 Oct 31, 2025.

Indications (excerpt from the label)

Uses temporarily relieves these symptoms due to hay fever or other upper respiratory allergies: sneezing, runny nose, itchy, watery eyes, itching of the nose or throat temporarily relieves these symptoms due to common cold: runny nose, sneezing

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-1175

What is NDC 0363-1175?: 0363-1175 is the product NDC for Free and Pure Allergy Relief Dye Free, Diphenhydramine hydrochloride 25 mg/1 capsule, liquid filled, listed with the FDA by WALGREEN COMPANY. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Free and Pure Allergy Relief Dye Free (Diphenhydramine HCl).
What is the active ingredient?: Diphenhydramine hydrochloride.
Who is the labeler?: WALGREEN COMPANY, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Free and Pure Allergy Relief Dye Free?: 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 505G(a)(3)

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

FDA NDC Directory listings under 505G(a)(3)
Product	Strength	Form · route	Labeler	Product NDC
Touchland Power Mist Spiced Pumpkin tini Scented Hydrating Hand sanitizeralcohol	Alcohol 70 mL/100mL	SprayTopical	Church & Dwight Co., Inc.	10237-117
DrugStore Antibacterial Hand Wipesbenzalkonium chloride	Benzalkonium chloride .13 g/100g	ClothTopical	Lil' Drug Store Products, Inc.	29485-6666
Ecolabalcohol	Alcohol 62 mL/100mL	SolutionTopical	Ecolab Inc.	47593-472
Covex Antibacterial Bar Fresh Protectionbenzalkonium chloride	Benzalkonium chloride 1.3 mg/g	SoapTopical	DALAN KIMYA ENDUSTRI ANONIM SIRKETI	51209-020
Anti Bacterial Hand Gel Cookie Butter Trufflealcohol	Alcohol 71 mL/100mL	GelTopical	Bath & Body Works, Inc.	62670-6759
Anti Bacterial Hand Gel Strawberry Kiwialcohol	Alcohol 71 mL/100mL	GelTopical	Bath & Body Works, Inc.	62670-7020
Hyvee LHSbwenzalkonium chloride	Benzalkonium chloride 130 mg/100mL	LiquidTopical	Apollo Health and Beauty Care	63148-326
Benzalkonium chloride	Benzalkonium chloride 1.3 mg/mL	LiquidTopical	Pharmacy Value Alliance, LLC	68016-866
Lavender ALOE HAND SANITIZERalcohol	Alcohol .62 mL/mL	GelTopical	K7 Design Group Inc.	74177-025
hair treatmentminoxidil	Minoxidil 1 mg/473mL	CreamTopical	LABORATORIO MK SRL	87022-009
SoftSoap Antibacterial with moisturizers Fresh Citrusbenzalkonium chloride	Benzalkonium chloride 1.33 mg/mL	LiquidTopical	Colgate-Palmolive Company	35000-087
MediChoice PVP Prep Solutionpovidone-iodine	Povidone-iodine 100 mg/mL	SolutionTopical	O&M HALYARD, INC.	39892-0841
Tartar control pluseucalyptol, menthol, methyl salicylate, thymol	Eucalyptol .92 mg/mL + 3 more ingredients	MouthwashOral	United Natural Foods, Inc. dba UNFI	41163-855
Covex Antibacterial Bar Active Protectionbenzalkonium chloride	Benzalkonium chloride 1.3 mg/g	SoapTopical	DALAN KIMYA ENDUSTRI ANONIM SIRKETI	51209-017
everyone hand sanitizer wipes ruby grapefruitethyl alcohol	Alcohol 62 mL/100mL	ClothTopical	EO Products, LLC	54748-703
Povidone-Iodine Prep Sterilepovidone-iodine	Povidone-iodine 100 mg/g	SpongeTopical	Changzhou Maokang Medical Products Co., Ltd	59050-658
Anti Bacterial Hand Gel Bright Christmas Morningalcohol	Alcohol 71 mL/100mL	GelTopical	Bath & Body Works, Inc.	62670-6758
Iced Lemon Pound Cake Pistachio Milk and Honeyalcohol	Alcohol 71 mL/100mL	GelTopical	Bath & Body Works, Inc.	62670-7018
Hy-Vee LHSbenzalkonium chloride	Benzalkonium chloride 130 mg/100mL	LiquidTopical	Apollo Health and Beauty Care	63148-316
Smart Care 2 HAND SANITIZERS 1.35 FL OZ (PUMPKIN SPICE, FRESH RAIN)ethyl alcohol	—	Kit	Ashtel Studios, Inc.	70108-372

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Free and Pure Allergy Relief Dye Free (Diphenhydramine hcl) NDC 0363-1175