What is NDC 0363-3900?

0363-3900 is the product NDC for Menstrual Pain Relief, Acetaminophen 500 mg/1 + 2 more ingredients tablet, film coated, listed with the FDA by Walgreen Company. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Menstrual Pain Relief (Acetaminophen, Caffeine, Pyrilamine maleate).

What is the active ingredient?

Acetaminophen, Caffeine, Pyrilamine maleate.

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 Menstrual Pain Relief?

1 other product NDC are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Menstrual Pain Relief NDC 0363-3900

NDC codes

FDA NDC Directory

Product NDC (as listed)0363-3900Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00363-3900Add 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
0363-3900-22	0036339002200363390022	1 BOTTLE, PLASTIC in 1 CARTON (0363-3900-22) / 48 TABLET, FILM COATED in 1 BOTTLE, PLASTICMarketed from Apr 29, 2002

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): Menstrual Pain 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: Walgreen CompanyNDC labeler code 0363
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 027
Marketing start: Apr 29, 2002
Listing expires: Dec 31, 2027
Other FDA classes: Central Nervous System Stimulation (Physiologic effect)Xanthines (Chemical structure)
Identifiers: Product ID 0363-3900_35841db3-5eae-43a9-9790-fed756d30970SPL ID 35841db3-5eae-43a9-9790-fed756d30970SPL set ID 3916230c-39e5-4f64-aa0b-b090b000ec35RxCUI 1597298UNII 362O9ITL9D, 3G6A5W338E, R35D29L3ZAUPC 0311917212739
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

N400363390022 followed by a unit qualifier and the quantity

Package 00363-3900-22. 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 Jan 20, 2026.

Indications (excerpt from the label)

Uses for the temporary relief of these symptoms associated with menstrual periods: fatigue bloating headache water-weight gain cramps backache muscle aches

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-3900

What is NDC 0363-3900?: 0363-3900 is the product NDC for Menstrual Pain Relief, Acetaminophen 500 mg/1 + 2 more ingredients tablet, film coated, listed with the FDA by Walgreen Company. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Menstrual Pain Relief (Acetaminophen, Caffeine, Pyrilamine maleate).
What is the active ingredient?: Acetaminophen, Caffeine, Pyrilamine maleate.
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 Menstrual Pain Relief?: 1 other product NDC are listed under this name. See all Menstrual Pain Relief 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 Menstrual Pain Relief NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Menstrual Pain Reliefacetaminophen, pamabrom, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Chain Drug Marketing Association, Inc.	83324-057	83324-0057-20

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 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
Menstrual Bloat Reliefpamabrom	Pamabrom 50 mg/1	Tablet, Film coatedOral	WALMART INC.	79903-425
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

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