NDC codes

FDA NDC Directory
Product NDC (as listed)0904-2051Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00904-2051Add 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
0904-2051-1200904205112009042051122 BLISTER PACK in 1 CARTON (0904-2051-12) / 6 TABLET in 1 BLISTER PACKMarketed from Dec 1, 1992
0904-2051-5900904205159009042051591 BOTTLE, PLASTIC in 1 CARTON (0904-2051-59) / 100 TABLET in 1 BOTTLE, PLASTICMarketed from Dec 1, 1992

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)
Driminate
Generic name (nonproprietary)
dimenhydrinate
Active ingredients
Dimenhydrinate — 50 mg/1
Dosage form
Tablet
Route
Oral
Labeler
Major PharmaceuticalsNDC labeler code 0904
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 009
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 0904-2051_a0972926-caa6-4d35-8a38-1483cd74a925SPL ID a0972926-caa6-4d35-8a38-1483cd74a925SPL set ID d2967f78-41ee-4c30-8b47-0757df9f3d91RxCUI 198603, 211482UNII JB937PER5CUPC 0309042051590
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

N400904205112 followed by a unit qualifier and the quantity

Package 00904-2051-12. 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 prevention and treatment of these symptoms associated with motion sickness: nausea vomiting dizziness

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0904-2051

What is NDC 0904-2051?
0904-2051 is the product NDC for Driminate (dimenhydrinate), Dimenhydrinate 50 mg/1 tablet, listed with the FDA by Major Pharmaceuticals. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Driminate (Dimenhydrinate).
What is the active ingredient?
Dimenhydrinate.
Who is the labeler?
Major Pharmaceuticals, NDC labeler code 0904. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Driminate?
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 009

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

FDA NDC Directory listings under M 009
ProductStrengthForm · routeLabelerProduct NDC
Airmit AcedimenhydrinateDimenhydrinate 25 mg/1TabletOralSato Pharmaceutical Co., Ltd.49873-802
Allergy DyeFreeDiphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralAllegiant Health69168-409
Bangbrek Bee Venom Wart Corn Callus Removersalicylic acid 17%Salicylic acid 17 mg/mLLiquidTopicalBrilliance Trade LLC85792-001
Boninemeclizine hydrochlorideMeclizine hydrochloride 25 mg/1Tablet, ChewableOralWellSpring Pharmaceutical Corporation65197-275
Boninemeclizine hydrochlorideMeclizine hydrochloride 25 mg/1Tablet, ChewableOralWellSpring Pharmaceutical Corporation65197-296
Boninemeclizine hydrochlorideMeclizine hydrochloride 25 mg/1Tablet, ChewableOralWellSpring Pharmaceutical Corporation65197-297
Bonine Maxmeclizine hydrochlorideMeclizine hydrochloride 50 mg/1Tablet, ChewableOralWellSpring Pharmaceutical Corporation65197-520
Childrens Allergydiphenhydramine hydrochlorideDiphenhydramine hydrochloride 12.5 mg/5mLLiquidOralDeMoulas Market Basket53942-505
CVS Motion Sickness Fast Meltingmeclizine hydrochlorideMeclizine hydrochloride 25 mg/1Tablet, Orally disintegratingOralCVS Pharmacy, Inc.59779-534
DimenhydrinateDimenhydrinate 50 mg/1TabletOralMajor Pharmaceuticals0904-6772
DimenhydrinateDimenhydrinate 50 mg/1TabletOralCVS Pharmacy, Inc.69842-206
DimenhydrinateDimenhydrinate 50 mg/1TabletOralLEADER/ Cardinal Health 110, Inc.70000-0404
Dramaminemeclizine hydrochlorideMeclizine hydrochloride 25 mg/1Tablet, ChewableOralMedtech Products Inc.63029-906
Dramaminemeclizine hydrochlorideMeclizine dihydrochloride 50 mg/1PowderOralMedtech Products Inc.63029-912
Dramaminemeclizine hydrochlorideMeclizine hydrochloride 25 mg/1Tablet, ChewableOralMedtech Products Inc.63029-913
Dramaminemeclizine hydrochlorideMeclizine hydrochloride 25 mg/1Tablet, ChewableOralMedtech Products Inc.63029-914
DramaminedimenhydrinateDimenhydrinate 50 mg/1Tablet, ChewableOralLil' Drug Store Products, Inc.66715-9809
Dramamine - Nmeclizine hydrochlorideMeclizine hydrochloride 25 mg/1TabletOralMedtech Products Inc.63029-905
Dramamine Chewable Orangemeclizine hydrochlorideMeclizine hydrochloride 25 mg/1Tablet, ChewableOralMedtech Products Inc.63029-915
Dramamine for KidsdimenhydrinateDimenhydrinate 25 mg/1Tablet, ChewableOralMedtech Products Inc.63029-904

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