What is NDC 0904-6772?

0904-6772 is the product NDC for Dimenhydrinate, Dimenhydrinate 50 mg/1 tablet, listed with the FDA by Major Pharmaceuticals. It has 1 package NDC, shown above in 10- and 11-digit form.

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 Dimenhydrinate?

3 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Dimenhydrinate NDC 0904-6772 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)0904-6772Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00904-6772Add 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
0904-6772-12	0090467721200904677212	1 BLISTER PACK in 1 CARTON (0904-6772-12) / 12 TABLET in 1 BLISTER PACKMarketed from Feb 14, 2019

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): Dimenhydrinate
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: Feb 14, 2019
Marketing end: Aug 31, 2028
Identifiers: Product ID 0904-6772_3c44729b-0a55-8eaf-e063-6394a90a5ba4SPL ID 3c44729b-0a55-8eaf-e063-6394a90a5ba4SPL set ID 78d22836-a442-7c0c-e053-2991aa0a62f3RxCUI 198603UNII JB937PER5CUPC 0309046772125

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

N400904677212 followed by a unit qualifier and the quantity

Package 00904-6772-12. 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 Aug 13, 2025.

Indications (excerpt from the label)

Uses for the prevention and treatment of nausea, vomiting, or dizziness associated with motion sickness

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0904-6772

What is NDC 0904-6772?: 0904-6772 is the product NDC for Dimenhydrinate, Dimenhydrinate 50 mg/1 tablet, listed with the FDA by Major Pharmaceuticals. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: 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 Dimenhydrinate?: 3 other product NDCs are listed under this name. See all Dimenhydrinate 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 Dimenhydrinate NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Dimenhydrinate	Dimenhydrinate 50 mg/1	TabletOral	LEADER/ Cardinal Health 110, Inc.	70000-0404	70000-0404-01
Dimenhydrinate	Dimenhydrinate 50 mg/1	TabletOral	CVS Pharmacy, Inc.	69842-206	69842-0206-1269842-0206-36
Dimenhydrinate	Dimenhydrinate 50 mg/mL	Injection, SolutionIntramuscular, Intravenous	Fresenius Kabi USA, LLC	63323-366	63323-0366-01

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
Product	Strength	Form · route	Labeler	Product NDC
Airmit Acedimenhydrinate	Dimenhydrinate 25 mg/1	TabletOral	Sato Pharmaceutical Co., Ltd.	49873-802
Allergy DyeFree	Diphenhydramine hydrochloride 25 mg/1	Capsule, Liquid filledOral	Allegiant Health	69168-409
Bangbrek Bee Venom Wart Corn Callus Removersalicylic acid 17%	Salicylic acid 17 mg/mL	LiquidTopical	Brilliance Trade LLC	85792-001
Boninemeclizine hydrochloride	Meclizine hydrochloride 25 mg/1	Tablet, ChewableOral	WellSpring Pharmaceutical Corporation	65197-275
Boninemeclizine hydrochloride	Meclizine hydrochloride 25 mg/1	Tablet, ChewableOral	WellSpring Pharmaceutical Corporation	65197-296
Boninemeclizine hydrochloride	Meclizine hydrochloride 25 mg/1	Tablet, ChewableOral	WellSpring Pharmaceutical Corporation	65197-297
Bonine Maxmeclizine hydrochloride	Meclizine hydrochloride 50 mg/1	Tablet, ChewableOral	WellSpring Pharmaceutical Corporation	65197-520
Childrens Allergydiphenhydramine hydrochloride	Diphenhydramine hydrochloride 12.5 mg/5mL	LiquidOral	DeMoulas Market Basket	53942-505
CVS Motion Sickness Fast Meltingmeclizine hydrochloride	Meclizine hydrochloride 25 mg/1	Tablet, Orally disintegratingOral	CVS Pharmacy, Inc.	59779-534
Dimenhydrinate	Dimenhydrinate 50 mg/1	TabletOral	CVS Pharmacy, Inc.	69842-206
Dimenhydrinate	Dimenhydrinate 50 mg/1	TabletOral	LEADER/ Cardinal Health 110, Inc.	70000-0404
Dramaminemeclizine hydrochloride	Meclizine hydrochloride 25 mg/1	Tablet, ChewableOral	Medtech Products Inc.	63029-906
Dramaminemeclizine hydrochloride	Meclizine dihydrochloride 50 mg/1	PowderOral	Medtech Products Inc.	63029-912
Dramaminemeclizine hydrochloride	Meclizine hydrochloride 25 mg/1	Tablet, ChewableOral	Medtech Products Inc.	63029-913
Dramaminemeclizine hydrochloride	Meclizine hydrochloride 25 mg/1	Tablet, ChewableOral	Medtech Products Inc.	63029-914
Dramaminedimenhydrinate	Dimenhydrinate 50 mg/1	Tablet, ChewableOral	Lil' Drug Store Products, Inc.	66715-9809
Dramamine - Nmeclizine hydrochloride	Meclizine hydrochloride 25 mg/1	TabletOral	Medtech Products Inc.	63029-905
Dramamine Chewable Orangemeclizine hydrochloride	Meclizine hydrochloride 25 mg/1	Tablet, ChewableOral	Medtech Products Inc.	63029-915
Dramamine for Kidsdimenhydrinate	Dimenhydrinate 25 mg/1	Tablet, ChewableOral	Medtech Products Inc.	63029-904
Dramamine for Kidsdimenhydrinate	Dimenhydrinate 25 mg/1	Tablet, ChewableOral	Medtech Products Inc.	63029-908

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