NDC codes

FDA NDC Directory
Product NDC (as listed)55910-050Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55910-0050Add 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
55910-050-2755910005027559100050271 BOTTLE in 1 CARTON (55910-050-27) / 80 TABLET, FILM COATED in 1 BOTTLEMarketed from Mar 19, 2020
55910-050-6055910005060559100050601 BOTTLE in 1 CARTON (55910-050-60) / 20 TABLET, FILM COATED in 1 BOTTLEMarketed from Jan 24, 2010

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)
dg health Ibuprofen pm
Generic name (nonproprietary)
diphenhydramine citrate and ibuprofen
Active ingredients
Diphenhydramine citrate — 38 mg/1Ibuprofen — 200 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
Dolgencorp IncNDC labeler code 55910
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 079113
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 55910-050_6eea1216-fa5d-4c82-a575-e382356d409dSPL ID 6eea1216-fa5d-4c82-a575-e382356d409dSPL set ID 4bbe40de-0957-4705-893d-fcb4191885c9RxCUI 895664UNII 4OD433S209, WK2XYI10QM
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

N455910005027 followed by a unit qualifier and the quantity

Package 55910-0050-27. 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 55910-050

What is NDC 55910-050?
55910-050 is the product NDC for dg health Ibuprofen pm, Diphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1 tablet, film coated, listed with the FDA by Dolgencorp Inc. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
dg health Ibuprofen pm (Diphenhydramine citrate and ibuprofen).
What is the active ingredient?
Diphenhydramine citrate, Ibuprofen.
Who is the labeler?
Dolgencorp Inc, NDC labeler code 55910. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for dg health Ibuprofen pm?
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 ANDA 079113

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

FDA NDC Directory listings under ANDA 079113
ProductStrengthForm · routeLabelerProduct NDC
basic care ibuprofen pmdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralAmazon.com Services LLC72288-050
Care One Ibuprofen PMdiphenhydramine citrate and ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralAmerican Sales Company41520-050
equaline ibuprofen pmdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralUnited Natural Foods, Inc. dba UNFI41163-050
equate ibuprofen pmdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralWal-Mart Stores Inc49035-699
Exchange Select Ibuprofen PMdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralArmy & Air Force Exchange Service55301-050
foster and thrive ibuprofen pmdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralStrategic Sourcing Services LLC70677-1131
good neighbor pharmacy ibuprofen pmdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralAmerisource Bergen46122-708
good sense ibuprofen pmdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralL. Perrigo Company0113-0050
Ibuprofen PMdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralWalgreen Company0363-0050
ibuprofen pmdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralRite Aid Corporation11822-0050
Ibuprofen PMdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralSafeway21130-623
ibuprofen pmdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralKroger Company30142-050
ibuprofen pmdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralH E B37808-703
Ibuprofen PMdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralMeijer Distribution Inc41250-050
ibuprofen pmdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralHyVee Inc42507-050
ibuprofen pmdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralPublix Super Markets Inc56062-050
ibuprofen pmdiphenhydramine citrate and ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralCVS Pharmacy59779-050
Leader Ibuprofen PMdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralCardinal Health 110, LLC. dba Leader70000-0157
Motrin PMibuprofen and diphenhydramine citrateIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralKenvue Brands LLC50580-563
Topcare Ibuprofen PMdiphenhydramine citrate and ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralTopco Associates LLC36800-050

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