NDC codes

FDA NDC Directory
Product NDC (as listed)0573-0167Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00573-0167Add 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
0573-0167-25005730167251 BOTTLE in 1 CARTON (0573-0167-25) / 20 CAPSULE, LIQUID FILLED in 1 BOTTLEMarketed from Dec 20, 2005
0573-0167-26005730167261 BOTTLE in 1 CARTON (0573-0167-26) / 30 CAPSULE, LIQUID FILLED in 1 BOTTLEMarketed from Dec 20, 2005
0573-0167-43005730167431 BOTTLE in 1 CARTON (0573-0167-43) / 40 CAPSULE, LIQUID FILLED in 1 BOTTLEMarketed from Dec 20, 2005
0573-0167-44005730167441 BOTTLE in 1 CARTON (0573-0167-44) / 50 CAPSULE, LIQUID FILLED in 1 BOTTLEMarketed from Dec 20, 2005
0573-0167-55005730167551 BOTTLE in 1 CARTON (0573-0167-55) / 80 CAPSULE, LIQUID FILLED in 1 BOTTLEMarketed from Dec 20, 2005
0573-0167-56005730167561 BOTTLE in 1 CARTON (0573-0167-56) / 100 CAPSULE, LIQUID FILLED in 1 BOTTLEMarketed from Dec 20, 2005

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)
Advil PM
Generic name (nonproprietary)
diphenhydramine hcl, ibuprofen
Active ingredients
Diphenhydramine hydrochloride25 mg/1Ibuprofen200 mg/1
Dosage form
Capsule, Liquid filled
Route
Oral
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021393
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 0573-0167_57c5339d-4ab8-ce7f-e063-6394a90a75a5SPL ID 57c5339d-4ab8-ce7f-e063-6394a90a75a5SPL set ID 405afdb4-c157-1d88-f232-848063ba4714RxCUI 901814UNII WK2XYI10QM, TC2D6JAD40
Pharmacologic class
Histamine-1 Receptor Antagonist; Nonsteroidal Anti-inflammatory Drug

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

N400573016725 followed by a unit qualifier and the quantity

Package 00573-0167-25. 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 for relief of occasional sleeplessness when associated with minor aches and pains helps you fall asleep and stay asleep

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 021393

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

FDA NDC Directory listings under NDA 021393
ProductStrengthForm · routeLabelerProduct NDC
Advil PMdiphenhydramine hcl, ibuprofenDiphenhydramine hydrochloride 25 mg/1; Ibuprofen 200 mg/1Capsule, Liquid filledOralHaleon US Holdings LLC0573-0148

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