NDC codes

FDA NDC Directory
Product NDC (as listed)30142-292Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0292Add 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
30142-292-123014202921230142029212354 mL in 1 BOTTLE (30142-292-12)Marketed from Jan 29, 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)
Kroger Nighttime Cold and Flu Relief
Generic name (nonproprietary)
acetaminophen, dextromethorphan hbr, doxylamine succinate
Active ingredients
Acetaminophen — 650 mg/30mLDextromethorphan hydrobromide — 30 mg/30mLDoxylamine succinate — 12.5 mg/30mL
Dosage form
Solution
Route
Oral
Labeler
Kroger CompanyNDC labeler code 30142
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 010
Marketing start
Listing expires
Other FDA classes
Histamine Receptor Antagonists (Mechanism)Sigma-1 Receptor Agonists (Mechanism)Uncompetitive NMDA Receptor Antagonists (Mechanism)
Identifiers
Product ID 30142-292_af91508e-c9b5-4749-9d34-af8b7229bda6SPL ID af91508e-c9b5-4749-9d34-af8b7229bda6SPL set ID c5ce0901-a5d7-46c4-8492-5a80c76e8517RxCUI 1043400UNII 362O9ITL9D, 9D2RTI9KYH, V9BI9B5YI2UPC 0041260010903
Pharmacologic class
Antihistamine; Sigma-1 Agonist; Uncompetitive N-methyl-D-aspartate 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

N430142029212 followed by a unit qualifier and the quantity

Package 30142-0292-12. 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 temporarily relieves common cold/flu symptoms: ▪ cough due to minor throat and bronchial irritation ▪ sore throat ▪ headache ▪ minor aches and pains ▪ fever ▪ runny nose and sneezing

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 30142-292

What is NDC 30142-292?
30142-292 is the product NDC for Kroger Nighttime Cold and Flu Relief, Acetaminophen 650 mg/30mL + 2 more ingredients solution, listed with the FDA by Kroger Company. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Kroger Nighttime Cold and Flu Relief (Acetaminophen, Dextromethorphan HBr, Doxylamine succinate).
What is the active ingredient?
Acetaminophen, Dextromethorphan hydrobromide, Doxylamine succinate.
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 Kroger Nighttime Cold and Flu Relief?
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 010

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

FDA NDC Directory listings under M 010
ProductStrengthForm · routeLabelerProduct NDC
Vicks ZzzQuil Night Paindiphenhydramine hydrochloride and acetaminophenDiphenhydramine hydrochloride 50 mg/30mL; Acetaminophen 1000 mg/30mLLiquidOralThe Procter & Gamble Manufacturing Company69423-985
Nighttime Sleep Aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 50 mg/30mLLiquidOralBJWC (Berkley & Jensen / BJ's)68391-793
Sleep Aiddiphenhydramine hclDiphenhydramine hydrochloride 50 mg/1CapsuleOralEQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC)49035-736
Diphenhydramine HCl 25mgsleep aidDiphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralAllegiant Health69168-002
berkley and jensen sleep aiddiphenhydramine hclDiphenhydramine hydrochloride 50 mg/30mLSolutionOralBJWC68391-186
AXIV - VroZzzdiphenhydramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralVivunt Pharma LLC82706-014
Revasol Sleep Aiddiphenhydramine hclDiphenhydramine HCl 50 mg/30mLLiquidOralRnv LLC84379-284
Vicks ZzzQuil Night Paindiphenhydramine hydrochloride and acetaminophenDiphenhydramine hydrochloride 25 mg/1; Acetaminophen 500 mg/1Tablet, CoatedOralThe Procter & Gamble Manufacturing Company37000-974
Nighttime sleep aid Maximum Strengthdiphenhydramine hydrochlorideDiphenhydramine hydrochloride 50 mg/1Capsule, Liquid filledOralBest Choice (Valu Merchandisers Company)63941-860
Sleep Tabsdiphenhydramine hclDiphenhydramine hydrochloride 25 mg/1TabletOralMajor Pharmaceuticals0904-4274
Nightime Sleep Aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 50 mg/30mLLiquidOralBETTER LIVING BRANDS LLC.21130-711
Diphenhydramine HClDiphenhydramine HCl 50 mg/30mLLiquidOralBI-MART37835-519
Sleep Aid NightTimediphenhydramine hclDiphenhydramine hydrochloride 25 mg/1Tablet, Film coatedOralWal-Mart Stores Inc49035-672
Nighttime sleep aid Maximum Strengthdiphenhydramine hydrochlorideDiphenhydramine hydrochloride 50 mg/1Capsule, Liquid filledOralBest Choice (Valu Merchandisers Company)63941-916
Nighttime Sleep-Aiddiphenhydramine hclDiphenhydramine hydrochloride 50 mg/1Capsule, Liquid filledOralBIONPHARMA INC.69452-427
Diphenhydramine HydrochlorideDiphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralAAA Pharmaceutical, Inc.57344-091
Sleep AidDiphenhydramine hydrochloride 50 mg/1Capsule, Liquid filledOralBetter Living Brands LLC21130-052
Sleep Aiddiphenhydramine hclDiphenhydramine hydrochloride 50 mg/1CapsuleOralDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-894
Quality Choice Nighttime Sleep-Aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralChain Drug Marketing Association, Inc.63868-970
Nighttime Sleep Aiddiphenhydramine hcl 50mgDiphenhydramine hydrochloride 50 mg/1Capsule, Liquid filledOralGrocery Outlet85828-410

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