What is NDC 11822-6790?

11822-6790 is the product NDC for menstrual pain relief maximum strength, Acetaminophen 500 mg/1 + 2 more ingredients tablet, film coated, 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?

menstrual pain relief maximum strength (Acetaminophen, pamabrom, pyrilamine maleate).

What is the active ingredient?

Acetaminophen, Pamabrom, Pyrilamine maleate.

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 menstrual pain relief maximum strength?

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.

menstrual pain relief maximum strength NDC 11822-6790

NDC codes

FDA NDC Directory

Product NDC (as listed)11822-6790Labeler and product segments. Claims need a package NDC.

Product NDC at billing width11822-6790Add 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
11822-6790-4	1182267900411822679004	1 BOTTLE in 1 CARTON (11822-6790-4) / 40 TABLET, FILM COATED in 1 BOTTLEMarketed from Jan 3, 2015

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): menstrual pain relief maximum strengthSuffix: maximum strength
Generic name (nonproprietary): acetaminophen, pamabrom, pyrilamine maleate
Active ingredients: Acetaminophen — 500 mg/1Pamabrom — 25 mg/1Pyrilamine maleate — 15 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: Rite Aid CorporationNDC labeler code 11822
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 027
Marketing start: Jan 3, 2015
Listing expires: Dec 31, 2027
Identifiers: Product ID 11822-6790_4b30e3ab-59ef-46af-8b28-19ea3b4f0e1cSPL ID 4b30e3ab-59ef-46af-8b28-19ea3b4f0e1cSPL set ID 4a4ce4cd-1554-4772-a6f4-8f7830544949RxCUI 1052637UNII 362O9ITL9D, UA8U0KJM72, R35D29L3ZAUPC 0011822082303

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

N411822679004 followed by a unit qualifier and the quantity

Package 11822-6790-04. 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 Apr 1, 2026.

Indications (excerpt from the label)

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

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 11822-6790

What is NDC 11822-6790?: 11822-6790 is the product NDC for menstrual pain relief maximum strength, Acetaminophen 500 mg/1 + 2 more ingredients tablet, film coated, 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?: menstrual pain relief maximum strength (Acetaminophen, pamabrom, pyrilamine maleate).
What is the active ingredient?: Acetaminophen, Pamabrom, Pyrilamine maleate.
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 menstrual pain relief maximum strength?: 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 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
Green Guard Cramp Reliefacetaminophen, pamabrom, pyrilamine maleate	Pyrilamine maleate 15 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Unifirst First Aid Corporation	47682-049
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Meijer Distribution, Inc.	79481-0390
Multi-Symptom PMS Reliefacetaminophen, pamabrom, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED	51316-679
Menstrual Pain Reliefacetaminophen, pamabrom, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Chain Drug Marketing Association, Inc.	83324-057
Midol Bloat Reliefpamabrom	Pamabrom 50 mg/1	TabletOral	Bayer HealthCare LLC.	0280-0070
Mantra Menstrual Pain Gel strawberryacetaminophen, pamabrom	Acetaminophen .5 g/24g; Pamabrom .025 g/24g	GelOral	MOREMED INC.	85410-060
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Geiss, Destin & Dunn Inc.	50804-990
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	WALMART INC.	79903-266
Midol Complete Caffeine Freeacetaminophen, caffeine, and pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	TabletOral	Bayer HealthCare LLC.	0280-0078
Menstrual Pain Relief Maximum Strength / Multi Symptomacetaminophen, pamabrom, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	DOLGENCORP, LLC	55910-967
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Kroger Company	30142-390
Midol Completeacetaminophen, caffeine, and pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	TabletOral	Select Consumer Group	85237-1841
Syncol Maxacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Laboratorios Sanfer, S.A. de C.V.	83393-390
Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	ARMY AND AIR FORCE EXCHANGE SERVICE	55301-679
Menstrual Complete Pain Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Walgreen Company	0363-9390
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	L.N.K. International, Inc.	50844-399
Menstrual Pain Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Walgreen Company	0363-3900
Diurex Ultracaffeine	Caffeine 100 mg/1	Tablet, Film coatedOral	Kobayashi Healthcare International, Inc.	52389-155
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Better Living Brands, LLC	21130-930
Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Family Dollar Services Inc	55319-979

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