NDC codes

FDA NDC Directory
Product NDC (as listed)63941-682Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63941-0682Add 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
63941-682-15639410682151 BOTTLE in 1 CARTON (63941-682-15) / 40 CAPSULE, LIQUID FILLED in 1 BOTTLEMarketed from Oct 3, 2023

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)
Ibuprofen and Diphenhydramine HCl
Generic name (nonproprietary)
ibuprofen, diphenhydramine hcl
Active ingredients
Ibuprofen200 mg/1Diphenhydramine hydrochloride25 mg/1
Dosage form
Capsule, Liquid filled
Route
Oral
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090397
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 63941-682_06d3d2fc-a073-863f-e063-6394a90a2374SPL ID 06d3d2fc-a073-863f-e063-6394a90a2374SPL set ID fed2f7ae-2827-f967-e053-6294a90adc0aRxCUI 901814UNII WK2XYI10QM, TC2D6JAD40
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

N463941068215 followed by a unit qualifier and the quantity

Package 63941-0682-15. 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)

Other NDCs under ANDA 090397

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

FDA NDC Directory listings under ANDA 090397
ProductStrengthForm · routeLabelerProduct NDC
Ibuprofen, Diphenhydramine HClIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralTARGET Corporation11673-225
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralWal-Mart Stores, Inc.49035-670
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralCVS Pharmacy69842-870
pain relief pmibuprofen and diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralBionpharma Inc.69452-507
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralHEB59640-020
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralMEIJER DISTRIBUTION INC.41250-285
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralKROGER COMPANY30142-232
Ibuprofen PMibuprofen and diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralWhole Foods Market, INC.42681-0061
Ibuprofen, Diphenhydramine HClIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralRite Aid Corporation11822-0789
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralTOP CARE (Topco Associates LLC)36800-237
Ibuprofen, Diphenhydramine HClIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralBionpharma Inc.69452-205
pain relief pmibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralBionpharma Inc.69452-264
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralCHAIN DRUG MARKETING ASSOCIATION INC.63868-829
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralWALGREEN COMPANY0363-0207
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralPremier Value Alliance LLC68016-057

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