NDC codes

FDA NDC Directory
Product NDC (as listed)30142-232Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0232Add 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
30142-232-1530142023215301420232151 BOTTLE, PLASTIC in 1 CARTON (30142-232-15) / 40 CAPSULE, LIQUID FILLED in 1 BOTTLE, PLASTICMarketed from Aug 24, 2021
30142-232-7830142023278301420232781 BOTTLE, PLASTIC in 1 CARTON (30142-232-78) / 80 CAPSULE, LIQUID FILLED in 1 BOTTLE, PLASTICMarketed from Aug 24, 2021

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Ibuprofen PM
Generic name (nonproprietary)
ibuprofen, diphenhydramine hcl
Active ingredients
Ibuprofen — 200 mg/1Diphenhydramine hydrochloride — 25 mg/1
Dosage form
Capsule, Liquid filled
Route
Oral
Labeler
KROGER COMPANYNDC labeler code 30142
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 30142-232_46184215-a798-8ac7-e063-6294a90a0deaSPL ID 46184215-a798-8ac7-e063-6294a90a0deaSPL set ID ca5418f2-4dc0-ad31-e053-2995a90ac1d3RxCUI 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

N430142023215 followed by a unit qualifier and the quantity

Package 30142-0232-15. 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 30142-232

What is NDC 30142-232?
30142-232 is the product NDC for Ibuprofen PM, Ibuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1 capsule, liquid filled, listed with the FDA by KROGER COMPANY. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Ibuprofen PM (Ibuprofen, Diphenhydramine HCl).
What is the active ingredient?
Ibuprofen, Diphenhydramine hydrochloride.
Who is the labeler?
KROGER COMPANY, NDC labeler code 30142. 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 PM?
24 other product NDCs are listed under this name. See all Ibuprofen PM 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 PM NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Ibuprofen PMibuprofen and diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralWhole Foods Market, INC.42681-006142681-0061-01
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralHEB59640-02059640-0020-15
Ibuprofen PMdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralSafeway21130-62321130-0623-76
Ibuprofen PMdiphenhydramine citrate, ibuprofenIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralWR Group, Inc.69607-197069607-1970-01
Ibuprofen PMdiphenhydramine citrate, ibuprofenIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralWALMART INC. (see also Equate)79903-18679903-0186-2079903-0186-80
Ibuprofen PMibuprofen and diphenhydramine citrateIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralKROGER COMPANY30142-27830142-0278-80
Ibuprofen PMdiphenhydramine citrate, ibuprofenIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralSafeway, Inc.21130-05621130-0056-4021130-0056-80
Ibuprofen PMdiphenhydramine citrate, ibuprofenIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralFamily Dollar (FAMILY WELLNESS)55319-19755319-0197-2055319-0197-40
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralCVS Pharmacy69842-87069842-0870-15
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralTOP CARE (Topco Associates LLC)36800-23736800-0237-15

All 25 Ibuprofen PM NDCs

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 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 filledOralRite Aid Corporation11822-0789
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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