NDC codes

FDA NDC Directory
Product NDC (as listed)71205-611Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71205-0611Add 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
71205-611-207120506112020 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (71205-611-20)Marketed from Oct 11, 2021
71205-611-307120506113030 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (71205-611-30)Marketed from Oct 11, 2021
71205-611-607120506116060 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (71205-611-60)Marketed from Oct 11, 2021
71205-611-907120506119090 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (71205-611-90)Marketed from Oct 11, 2021

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)
Banophen
Generic name (nonproprietary)
diphenhydramine hcl
Active ingredients
Diphenhydramine hydrochloride25 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 012
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 71205-611_449c7ca6-7fd4-4728-b330-2a3e261c6693SPL ID 449c7ca6-7fd4-4728-b330-2a3e261c6693SPL set ID 62934d0f-b23d-4c03-9d60-a7bad41f9b42RxCUI 1049630, 1092421UNII TC2D6JAD40UPC 0371205611200
Pharmacologic class
Histamine-1 Receptor Antagonist

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

N471205061120 followed by a unit qualifier and the quantity

Package 71205-0611-20. 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 • temporarily relieves these symptoms due to hay fever or other upper respiratory allergies: o runny nose o itchy, watery eyes o sneezing o itching of the nose or throat • temporarily relieves these symptoms due to the common cold: o runny nose o sneezing

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under M 012

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

FDA NDC Directory listings under M 012
ProductStrengthForm · routeLabelerProduct NDC
XL-3 Day Timeacetaminophen, dextromethorphan hbr, phenylephrine hclDextromethorphan hydrobromide 10 mg/15mL + 2 more ingredientsLiquidOralRnv LLC84379-441
Halls Sugar Free WatermelonmentholMenthol 2.5 mg/1LozengeOralMondelez Global LLC12546-351
Xpect Cherry Cough Dropscherry cough dropsMenthol 7 mg/1LozengeOralCintas Corporation42961-232
Childrens TYLENOL COLD PLUS COUGH PLUS SORE THROATacetaminophen and dextromethorphan hydrobromideAcetaminophen 160 mg/5mL; Dextromethorphan hydrobromide 5 mg/5mLSuspensionOralKenvue Brands LLC50580-194
Nighttime Cough DMdextromethorphan hbr, doxylamine succinateDextromethorphan hydrobromide 30 mg/20mL; Doxylamine succinate 12.5 mg/20mLSolutionOralL.N.K. International, Inc.50844-043
Diphenhydramine HClDiphenhydramine hydrochloride 50 mg/1Tablet, CoatedOralCVS Pharmacy, Inc.51316-221
DayTime and Nighttime Cold/Flu Relief Softgels - Combo Packacetaminophen, dextromethorphan hbr, phenylephrine hcl, doxylamine succinateKitARMY AND AIR FORCE EXCHANGE SERVICE55301-605
Sleep Aid NightTimediphenhydramine hclDiphenhydramine hydrochloride 50 mg/30mLLiquidOralDolgencorp, Inc. (DOLLAR GENERAL & REXALL)55910-981
Codeine-Guaifenesincodeine phosphate and guaifenesinCodeine phosphate 10 mg/5mL; Guaifenesin 100 mg/5mLSolutionOralMethod Pharmaceuticals, LLC58657-500
Dual Action Glacier Mint Cough Suppressant Oral AnestheticmentholMenthol 8.3 mg/1LozengeOralRicola USA Inc.63667-603
DayQuil Cold and Flu w/VapoCOOL, 4ct (PE-free), BSXacetaminophen, dextromethorphan hydrobromide tablet, coatedDextromethorphan hydrobromide 10 mg/1; Acetaminophen 325 mg/1Tablet, CoatedOralLil' Drug Store Products, Inc.66715-6204
Multi Symptom Severe Coldacetaminophen, dextromethorphan hbr, phenylephrine hclAcetaminophen 500 mg/1 + 2 more ingredientsPowder, For solutionOralRARITAN PHARMACEUTICALS INC68163-547
Vicks DayQuil Cough DM plus Congestiondextromethorphan hydrobromide, guaifenesin and phenylephrine hydrochlorideDextromethorphan hydrobromide 10 mg/15mL + 2 more ingredientsLiquidOralThe Procter & Gamble Manufacturing Company69423-922
dimaphen dmbrompheniramine maleate, dextromethorphan hbr, phenylephrine hclBrompheniramine maleate 2 mg/10mL + 2 more ingredientsSolutionOralPreferred Pharmaceuticals Inc.68788-8134
Nighttime Cold and Fluacetaminophen, dextromethorphan hydrobromide, doxylamine succinateAcetaminophen 650 mg/30mL + 2 more ingredientsLiquidOralHarris Teeter, LLC69256-343
Cold and Flu Dayacetaminophen, dextromethorphan hbr, phenylephrine hclAcetaminophen 325 mg/15mL + 2 more ingredientsSolutionOralWalgreen Company0363-9912
Multi Symptom Cold and Multi Symptom Nighttime Cold Childrensdextromethorphan hbr, guaifenesin, phenylephrine hci, acetaminophen, diphenhydramine hci, phenylephrine hciKitCVS Pharmacy69842-820
Allergy Relief Diphenhydramine HCl 25mg SoftGeldiphenhydramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralPioneer Life Sciences, LLC72090-052
SofSkin Vaporizing Chest Rub and Cough Suppressantcamphor, menthol, eucalyptus oilCamphor (Natural) 4.8 g/100g + 2 more ingredientsOintmentTopicalViny Health and Beauty Inc76436-144
Nighttime Cold and Flu Multi Symptom Reliefacetaminophen, dextromethorphan hbr, doxylamine succinateAcetaminophen 325 mg/1 + 2 more ingredientsCapsule, Liquid filledOralShield Pharmaceuticals Corp83059-0177

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