NDC codes

FDA NDC Directory
Product NDC (as listed)11822-0789Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-0789Add 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
11822-0789-411822078904118220789041 BOTTLE in 1 CARTON (11822-0789-4) / 40 CAPSULE, LIQUID FILLED in 1 BOTTLEMarketed from Apr 15, 2020

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Ibuprofen, Diphenhydramine HCl
Generic name (nonproprietary)
ibuprofen, diphenhydramine hcl
Active ingredients
Ibuprofen — 200 mg/1Diphenhydramine hydrochloride — 25 mg/1
Dosage form
Capsule, Liquid filled
Route
Oral
Labeler
Rite Aid CorporationNDC labeler code 11822
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090397
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 11822-0789_a35f6b2b-8e67-dd2d-e053-2995a90a27e1SPL ID a35f6b2b-8e67-dd2d-e053-2995a90a27e1SPL set ID a35f68f3-c7f8-a55f-e053-2a95a90a9047RxCUI 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

N411822078904 followed by a unit qualifier and the quantity

Package 11822-0789-04. 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)

About NDC 11822-0789

What is NDC 11822-0789?
11822-0789 is the product NDC for Ibuprofen, Diphenhydramine HCl, Ibuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1 capsule, liquid filled, listed with the FDA by Rite Aid Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Ibuprofen, Diphenhydramine HCl.
What is the active ingredient?
Ibuprofen, Diphenhydramine hydrochloride.
Who is the labeler?
Rite Aid Corporation, NDC labeler code 11822. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Ibuprofen, Diphenhydramine HCl?
2 other product NDCs are listed under this name. See all Ibuprofen, Diphenhydramine HCl 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 Ibuprofen, Diphenhydramine HCl NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Ibuprofen, Diphenhydramine HClIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralTARGET Corporation11673-22511673-0225-15
Ibuprofen, Diphenhydramine HClIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralBionpharma Inc.69452-20569452-0205-0469452-0205-1169452-0205-15+2 more

Other NDCs under ANDA 090397

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

FDA NDC Directory listings under ANDA 090397
ProductStrengthForm · routeLabelerProduct NDC
Ibuprofen and Diphenhydramine HClibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralVALU MERCHANDISERS COMPANY63941-682
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralWALGREEN COMPANY0363-0207
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralKROGER COMPANY30142-232
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralTOP CARE (Topco Associates LLC)36800-237
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralMEIJER DISTRIBUTION INC.41250-285
Ibuprofen PMibuprofen and diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralWhole Foods Market, INC.42681-0061
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralWal-Mart Stores, Inc.49035-670
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralHEB59640-020
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralCHAIN DRUG MARKETING ASSOCIATION INC.63868-829
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralPremier Value Alliance LLC68016-057
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralCVS Pharmacy69842-870
Ibuprofen, Diphenhydramine HClIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralTARGET Corporation11673-225
Ibuprofen, Diphenhydramine HClIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralBionpharma Inc.69452-205
pain relief pmibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralBionpharma Inc.69452-264
pain relief pmibuprofen and diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralBionpharma Inc.69452-507

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