NDC codes

FDA NDC Directory
Product NDC (as listed)52389-155Labeler and product segments. Claims need a package NDC.
Product NDC at billing width52389-0155Add 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
52389-155-0252389015502523890155022 BOTTLE, PLASTIC in 1 PACKAGE (52389-155-02) / 80 TABLET, FILM COATED in 1 BOTTLE, PLASTICMarketed from Jan 4, 2024
52389-155-80523890155805238901558080 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (52389-155-80)Marketed from Sep 1, 2005
52389-155-9052389015590523890155901 BOTTLE in 1 CARTON (52389-155-90) / 90 TABLET, FILM COATED in 1 BOTTLEMarketed from Sep 1, 2005

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)
Diurex UltraSuffix: Ultra
Generic name (nonproprietary)
caffeine
Active ingredients
Caffeine — 100 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Kobayashi Healthcare International, Inc.NDC labeler code 52389
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 52389-155_32c05c2a-5010-0362-e063-6394a90af7cfSPL ID 32c05c2a-5010-0362-e063-6394a90af7cfSPL set ID 9a035265-40c6-43f5-8de6-6bece8449840RxCUI 308853UNII 3G6A5W338EUPC 0072959550905
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

N452389015502 followed by a unit qualifier and the quantity

Package 52389-0155-02. 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 relief of: temporary water retention bloating swelling full feeling fatigue associated with the pre-menstrual and menstrual periods

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 52389-155

What is NDC 52389-155?
52389-155 is the product NDC for Diurex Ultra (caffeine), Caffeine 100 mg/1 tablet, film coated, listed with the FDA by Kobayashi Healthcare International, Inc.. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Diurex Ultra (Caffeine).
What is the active ingredient?
Caffeine.
Who is the labeler?
Kobayashi Healthcare International, Inc., NDC labeler code 52389. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Diurex Ultra?
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
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
Menstrual Completeacetaminophen, caffeine, pyrilamine maleateAcetaminophen 500 mg/1 + 2 more ingredientsTablet, Film coatedOralKroger Company30142-390
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
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

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