Menstrual Relief NDC 59779-930

NDC codes

FDA NDC Directory

Product NDC (as listed)59779-930Labeler and product segments. Claims need a package NDC.

Product NDC at billing width59779-0930Add 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
59779-930-08	59779093008	3 BLISTER PACK in 1 CARTON (59779-930-08) / 8 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Apr 29, 2002
59779-930-10	59779093010	1 BOTTLE in 1 CARTON (59779-930-10) / 40 TABLET, FILM COATED in 1 BOTTLEMarketed from Apr 29, 2002
59779-930-21	59779093021	2 BLISTER PACK in 1 CARTON (59779-930-21) / 8 TABLET, FILM COATED in 1 BLISTER PACKMarketed from Apr 29, 2002

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, pyrilamine maleate
Active ingredients: Acetaminophen — 500 mg/1Caffeine — 60 mg/1Pyrilamine maleate — 15 mg/1
Dosage form: Tablet, Film coated
Route: Oral
Labeler: CVS Pharmacy
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 027
Marketing start: Apr 29, 2002
Listing expires: Dec 31, 2027
Other FDA classes: Central Nervous System Stimulation (Physiologic effect)Xanthines (Chemical structure)
Identifiers: Product ID 59779-930_630291ae-ead8-401a-8c27-454f118cb5d6SPL ID 630291ae-ead8-401a-8c27-454f118cb5d6SPL set ID 289ec101-c9a3-45f1-b2cd-8eaf8e580130RxCUI 1597298UNII 362O9ITL9D, 3G6A5W338E, R35D29L3ZA
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

N459779093008 followed by a unit qualifier and the quantity

Package 59779-0930-08. 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 May 12, 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)

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
Menstrual Reliefacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Geiss, Destin & Dunn Inc.	50804-990
Pamabrom	Pamabrom 50 mg/1	Capsule, Liquid filledOral	Softgel Healthcare Pvt Ltd	35916-1654
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	WALMART INC.	79903-266
Mantra Menstrual Pain Gel strawberryacetaminophen, pamabrom	Acetaminophen .5 g/24g; Pamabrom .025 g/24g	GelOral	MOREMED INC.	85410-060
Menstrual Pain Relief Maximum Strength / Multi Symptomacetaminophen, pamabrom, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	DOLGENCORP, LLC	55910-967
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Rite Aid Corporation	11822-3900
Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	ARMY AND AIR FORCE EXCHANGE SERVICE	55301-679
Midol Completeacetaminophen, caffeine, and pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	TabletOral	Select Consumer Group	85237-1841
Green Guard Cramp Reliefacetaminophen, pamabrom, pyrilamine maleate	Pyrilamine maleate 15 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Unifirst First Aid Corporation	47682-049
RIGHT REMEDIES Maximum Strength Diureticpamabrom	Pamabrom 50 mg/1	Capsule, Liquid filledOral	Strive Pharmaceuticals Inc.	70692-595
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Chain Drug Marketing Association, Inc.	83324-017
Cramp Tabsacetaminophen, pamabrom, and pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Capsule, CoatedOral	JHK DBA American Safety & First Aid	73598-1472
Menstrual Completeacetaminophen, caffeine, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	L.N.K. International, Inc.	50844-399
Menstrual Relief Maximum Strengthacetaminophen, pamabrom, pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	Tablet, Film coatedOral	Family Dollar Services Inc	55319-979
Diurex Ultracaffeine	Caffeine 100 mg/1	Tablet, Film coatedOral	Kobayashi Healthcare International, Inc.	52389-155
Pamprin Bloatpamabrom	Pamabrom 50 mg/1	Tablet, Film coatedOral	Focus Consumer Healthcare, LLC	71687-3009
Diurex Maxpamabrom	Pamabrom 50 mg/1	Tablet, Film coatedOral	Kobayashi Healthcare International, Inc.	52389-249
Midol Completeacetaminophen, caffeine, and pyrilamine maleate	Acetaminophen 500 mg/1 + 2 more ingredients	TabletOral	Bayer HealthCare LLC.	0280-8005
Diurex Ultimatecaffeine	Caffeine 100 mg/1	Tablet, Film coatedOral	Kobayashi Healthcare International, Inc.	52389-656
Diurex Water Pillscaffeine, magnesium salicylate	Magnesium salicylate 162.5 mg/1; Caffeine 50 mg/1	Tablet, CoatedOral	Kobayashi Healthcare International, Inc.	52389-306

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