What is NDC 55910-123?

55910-123 is the product NDC for Menstrual Relief, Acetaminophen 500 mg/1 + 2 more ingredients tablet, film coated, listed with the FDA by DOLGENCORP, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Menstrual Relief (Acetaminophen, Caffeine and Pyrilamine maleate).

What is the active ingredient?

Acetaminophen, Caffeine, Pyrilamine maleate.

DOLGENCORP, LLC, 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 Menstrual Relief?

7 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Menstrual Relief NDC 55910-123 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)55910-123Labeler and product segments. Claims need a package NDC.

Product NDC at billing width55910-0123Add 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 NDC	11-digit (billing)	Package	Copy
55910-123-10	5591001231055910012310	1 BOTTLE, PLASTIC in 1 CARTON (55910-123-10) / 40 TABLET, FILM COATED in 1 BOTTLE, PLASTICMarketed from Feb 21, 2024

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 Relief
Generic name (nonproprietary): acetaminophen, caffeine and pyrilamine maleate
Active ingredients: Acetaminophen — 500 mg/1Caffeine — 60 mg/1Pyrilamine maleate — 15 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: DOLGENCORP, LLCNDC labeler code 55910
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 027
Marketing start: Feb 21, 2024
Listing expires: Dec 31, 2027
Other FDA classes: Central Nervous System Stimulation (Physiologic effect)Xanthines (Chemical structure)
Identifiers: Product ID 55910-123_7a8a2cbb-71cd-48cc-96a4-9a0a4296cc0aSPL ID 7a8a2cbb-71cd-48cc-96a4-9a0a4296cc0aSPL set ID 89eb8196-54c6-4e30-8655-502cc4313c8aRxCUI 1597298UNII 362O9ITL9D, 3G6A5W338E, R35D29L3ZAUPC 0350844390103
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

N455910012310 followed by a unit qualifier and the quantity

Package 55910-0123-10. 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 Feb 2, 2026.

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 55910-123

What is NDC 55910-123?: 55910-123 is the product NDC for Menstrual Relief, Acetaminophen 500 mg/1 + 2 more ingredients tablet, film coated, listed with the FDA by DOLGENCORP, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Menstrual Relief (Acetaminophen, Caffeine and Pyrilamine maleate).
What is the active ingredient?: Acetaminophen, Caffeine, Pyrilamine maleate.
Who is the labeler?: DOLGENCORP, LLC, 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 Menstrual Relief?: 7 other product NDCs are listed under this name. See all Menstrual Relief 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 Relief NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED	51316-390	51316-0390-1051316-0390-21
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	United Natural Foods, Inc. dba UNFI	41163-391	41163-0391-10
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Better Living Brands, LLC	21130-930	21130-0930-10
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Walgreen Company	0363-3909	00363-3909-21
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Geiss, Destin & Dunn Inc.	50804-990	50804-0990-08
Menstrual Reliefacetaminophen, caffeine and pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Target Corporation	11673-390	11673-0390-10
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	CVS Pharmacy	59779-930	59779-0930-0859779-0930-1059779-0930-21

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
Product	Strength	Form · route	Labeler	Product NDC
PMS Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	CVS Pharmacy	59779-879
Menstrual Complete Pain Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Walgreen Company	0363-9390
Medi First Plus PMS Reliefacetaminophen, pamabrom, pyrilamine maleate	Pamabrom 25 mg/1 + 2 more ingredients	Tablet, CoatedOral	Unifirst First Aid Corporation	47682-723
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	CVS WOONSOCKET PRESCRIPTION CENTER, INCORPORATED	51316-390
Menstrual Pain Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Walgreen Company	0363-3900
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Topco Associates, LLC	36800-391
Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Topco Associates, LLC	36800-979
Medi First PMS Reliefacetaminophen, pamabrom, pyrilamine maleate	Pamabrom 25 mg/1 + 2 more ingredients	Tablet, CoatedOral	Unifirst First Aid Corporation	47682-823
Pamprin Bloatpamabrom	Pamabrom 50 mg/1	Tablet, Film coatedOral	Focus Consumer Healthcare, LLC	71687-3009
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Walgreen Company	0363-3909
Pamabrom	Pamabrom 50 mg/1	Capsule, Liquid filledOral	Softgel Healthcare Pvt Ltd	35916-1654
Cramp Tabsacetaminophen, pamabrom, and pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Capsule, CoatedOral	JHK DBA American Safety & First Aid	73598-1472
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	CVS Pharmacy	59779-930
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Family Dollar Services Inc	55319-301
Midol Completeacetaminophen, caffeine, and pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	TabletOral	Bayer HealthCare LLC.	0280-8005
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Rite Aid Corporation	11822-3900
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	H E B	37808-389
Menstrual Bloat Reliefpamabrom	Pamabrom 50 mg/1	Tablet, Film coatedOral	WALMART INC.	79903-425
Midol Complete Gelcapsmidol complete	Caffeine 60 mg/1 + 2 more ingredients	Tablet, CoatedOral	Bayer HealthCare LLC	0280-8015
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Discount Drug Mart	53943-390

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