NDC codes

FDA NDC Directory
Product NDC (as listed)30142-390Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0390Add 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
30142-390-1030142039010301420390101 BOTTLE, PLASTIC in 1 CARTON (30142-390-10) / 40 TABLET, FILM COATED in 1 BOTTLE, PLASTICMarketed from Jun 3, 2019

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)
Menstrual Complete
Generic name (nonproprietary)
acetaminophen, caffeine, pyrilamine maleate
Active ingredients
Acetaminophen — 500 mg/1Caffeine — 60 mg/1Pyrilamine maleate — 15 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Kroger CompanyNDC labeler code 30142
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 027
Marketing start
Listing expires
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)Xanthines (Chemical structure)
Identifiers
Product ID 30142-390_9856e366-6eea-4dc8-89b9-c942ba9e07feSPL ID 9856e366-6eea-4dc8-89b9-c942ba9e07feSPL set ID e97383af-6fbe-4531-af6a-c9ea9153e438RxCUI 1597298UNII 362O9ITL9D, 3G6A5W338E, R35D29L3ZAUPC 0041260003301
Pharmacologic class
Central Nervous System Stimulant; Methylxanthine

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

N430142039010 followed by a unit qualifier and the quantity

Package 30142-0390-10. 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 the temporary relief of these symptoms associated with menstrual periods: bloating headache muscle aches cramps backache fatigue water-weight gain

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 30142-390

What is NDC 30142-390?
30142-390 is the product NDC for Menstrual Complete, Acetaminophen 500 mg/1 + 2 more ingredients tablet, film coated, 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?
Menstrual Complete (Acetaminophen, Caffeine, Pyrilamine maleate).
What is the active ingredient?
Acetaminophen, Caffeine, Pyrilamine maleate.
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 Menstrual Complete?
15 other product NDCs are listed under this name. See all Menstrual Complete 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 Menstrual Complete NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTabletOralKroger41226-34841226-0348-44
Menstrual CompleteAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralAllegiant Health69168-47069168-0470-0669168-0470-82
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralWALMART INC.79903-26679903-0266-40
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralRite Aid Corporation11822-390011822-3900-0111822-3900-08
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralMeijer Distribution, Inc.79481-039079481-0390-01
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralH E B37808-38937808-0389-10
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralFamily Dollar Services Inc55319-30155319-0301-21
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralChain Drug Marketing Association, Inc.83324-01783324-0017-24
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralL.N.K. International, Inc.50844-39950844-0399-0850844-0399-21
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTabletOralStrive Pharmaceuticals Inc.70692-13170692-0131-2470692-0131-46

All 16 Menstrual Complete NDCs

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
ProductStrengthForm · routeLabelerProduct NDC
menstrual pain relief maximum strengthacetaminophen, pamabrom, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralRite Aid Corporation11822-6790
Green Guard Cramp Reliefacetaminophen, pamabrom, pyrilamine maleatePyrilamine maleate 15 mg/1 + 2 more ingredientsTablet, Film coatedOralUnifirst First Aid Corporation47682-049
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralMeijer Distribution, Inc.79481-0390
Multi-Symptom PMS Reliefacetaminophen, pamabrom, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralCVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED51316-679
Menstrual Pain Reliefacetaminophen, pamabrom, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralChain Drug Marketing Association, Inc.83324-057
Midol Bloat ReliefpamabromPamabrom 50 mg/1TabletOralBayer HealthCare LLC.0280-0070
Mantra Menstrual Pain Gel strawberryacetaminophen, pamabromAcetaminophen .5 g/24g; Pamabrom .025 g/24gGelOralMOREMED INC.85410-060
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralGeiss, Destin & Dunn Inc.50804-990
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralWALMART INC.79903-266
Midol Complete Caffeine Freeacetaminophen, caffeine, and pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTabletOralBayer HealthCare LLC.0280-0078
Menstrual Pain Relief Maximum Strength / Multi Symptomacetaminophen, pamabrom, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralDOLGENCORP, LLC55910-967
Midol Completeacetaminophen, caffeine, and pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTabletOralSelect Consumer Group85237-1841
Syncol Maxacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralLaboratorios Sanfer, S.A. de C.V.83393-390
Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralARMY AND AIR FORCE EXCHANGE SERVICE55301-679
Menstrual Complete Pain Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralWalgreen Company0363-9390
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralL.N.K. International, Inc.50844-399
Menstrual Pain Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralWalgreen Company0363-3900
Diurex UltracaffeineCaffeine 100 mg/1Tablet, Film coatedOralKobayashi Healthcare International, Inc.52389-155
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralBetter Living Brands, LLC21130-930
Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralFamily Dollar Services Inc55319-979

Showing 20 of 39.

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