NDC codes

FDA NDC Directory
Product NDC (as listed)79903-186Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0186Add 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
79903-186-2079903018620799030186201 BOTTLE, PLASTIC in 1 BOX (79903-186-20) / 20 TABLET, COATED in 1 BOTTLE, PLASTICMarketed from Jun 8, 2024
79903-186-8079903018680799030186801 BOTTLE, PLASTIC in 1 BOX (79903-186-80) / 80 TABLET, COATED in 1 BOTTLE, PLASTICMarketed from Jun 8, 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)
Ibuprofen PM
Generic name (nonproprietary)
diphenhydramine citrate, ibuprofen
Active ingredients
Ibuprofen — 200 mg/1Diphenhydramine citrate — 38 mg/1
Dosage form
Tablet, Coated
Route
Oral
Labeler
WALMART INC. (see also Equate)NDC labeler code 79903
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 211404
Marketing start
Marketing end
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 79903-186_fec3c891-139c-4171-8c7a-dfe802e7e04dSPL ID fec3c891-139c-4171-8c7a-dfe802e7e04dSPL set ID d86151b6-d5c5-4d93-9cfd-43ab7ad0443aRxCUI 895664UNII WK2XYI10QM, 4OD433S209UPC 0194346099269
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

N479903018620 followed by a unit qualifier and the quantity

Package 79903-0186-20. 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 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 79903-186

What is NDC 79903-186?
79903-186 is the product NDC for Ibuprofen PM, Ibuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1 tablet, coated, listed with the FDA by WALMART INC. (see also Equate). It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Ibuprofen PM (Diphenhydramine Citrate, Ibuprofen).
What is the active ingredient?
Ibuprofen, Diphenhydramine citrate.
Who is the labeler?
WALMART INC. (see also Equate), NDC labeler code 79903. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Ibuprofen PM?
24 other product NDCs are listed under this name. See all Ibuprofen PM 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 Ibuprofen PM NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Ibuprofen PMibuprofen and diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralWhole Foods Market, INC.42681-006142681-0061-01
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralHEB59640-02059640-0020-15
Ibuprofen PMdiphenhydramine citrate, ibuprofenDiphenhydramine citrate 38 mg/1; Ibuprofen 200 mg/1Tablet, Film coatedOralSafeway21130-62321130-0623-76
Ibuprofen PMdiphenhydramine citrate, ibuprofenIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralWR Group, Inc.69607-197069607-1970-01
Ibuprofen PMibuprofen and diphenhydramine citrateIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralKROGER COMPANY30142-27830142-0278-80
Ibuprofen PMdiphenhydramine citrate, ibuprofenIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralSafeway, Inc.21130-05621130-0056-4021130-0056-80
Ibuprofen PMdiphenhydramine citrate, ibuprofenIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralFamily Dollar (FAMILY WELLNESS)55319-19755319-0197-2055319-0197-40
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralCVS Pharmacy69842-87069842-0870-15
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralTOP CARE (Topco Associates LLC)36800-23736800-0237-15
Ibuprofen PMibuprofen, diphenhydramine hclIbuprofen 200 mg/1; Diphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralKROGER COMPANY30142-23230142-0232-1530142-0232-78

All 25 Ibuprofen PM NDCs

Other NDCs under ANDA 211404

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

FDA NDC Directory listings under ANDA 211404
ProductStrengthForm · routeLabelerProduct NDC
Ibuprofen 200 mg and Diphenhydramine Citrate 38 mgibuprofen, diphenhydramine citrateIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1TabletOralPLD Acquisitions LLC DBA Avma Pharma Solutions63548-0197
Ibuprofen PMdiphenhydramine citrate, ibuprofenIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralSafeway, Inc.21130-056
Ibuprofen PMdiphenhydramine citrate, ibuprofenIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralFamily Dollar (FAMILY WELLNESS)55319-197
Ibuprofen PMdiphenhydramine citrate, ibuprofenIbuprofen 200 mg/1; Diphenhydramine citrate 38 mg/1Tablet, CoatedOralWR Group, Inc.69607-1970

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