Over-the-counter drug · OTC MONOGRAPH DRUG

Pain Reliever PM (Acetaminophen, diphenhydramine hcl) NDC 79903-307

Acetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1 · Tablet, Film coated · Oral · WALMART INC.

NDC codes

FDA NDC Directory
Product NDC (as listed)79903-307Labeler and product segments. Claims need a package NDC.
Product NDC at billing width79903-0307Add 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
79903-307-107990303071079903030710100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (79903-307-10)Marketed from Jan 23, 2025
79903-307-117990303071179903030711100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC (79903-307-11)Marketed from Apr 8, 2026
79903-307-2479903030724799030307241 BOTTLE, PLASTIC in 1 CARTON (79903-307-24) / 24 TABLET, FILM COATED in 1 BOTTLE, PLASTICMarketed from Nov 25, 2025

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)
Pain Reliever PM
Generic name (nonproprietary)
acetaminophen, diphenhydramine hcl
Active ingredients
Acetaminophen — 500 mg/1Diphenhydramine hydrochloride — 25 mg/1
Dosage form
Tablet, Film coated
Route
Oral
Labeler
WALMART INC.NDC labeler code 79903
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 013
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 79903-307_1f12d953-6e7f-46c1-bcb8-59dae3bec38fSPL ID 1f12d953-6e7f-46c1-bcb8-59dae3bec38fSPL set ID 42310898-cf3a-4ffb-88bb-b8b84449156eRxCUI 1092189UNII 362O9ITL9D, TC2D6JAD40UPC 0194346377107
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

N479903030710 followed by a unit qualifier and the quantity

Package 79903-0307-10. 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 .

Indications (excerpt from the label)

Uses temporary relief of occasional headaches and minor aches and pains with accompanying sleeplessness

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 79903-307

What is NDC 79903-307?
79903-307 is the product NDC for Pain Reliever PM, Acetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1 tablet, film coated, listed with the FDA by WALMART INC.. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pain Reliever PM (Acetaminophen, Diphenhydramine HCl).
What is the active ingredient?
Acetaminophen, Diphenhydramine hydrochloride.
Who is the labeler?
WALMART INC., 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 Pain Reliever PM?
11 other product NDCs are listed under this name. See all Pain Reliever 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 Pain Reliever PM NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Pain Reliever PMacetaminophen, diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralWR Group, Inc.69607-863069607-8630-01
Pain Reliever PMacetaminophen, diphenhydramine hydrochlorideAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1TabletOralWalmart Inc.79903-29879903-0298-10
Pain Reliever PMacetaminophen, diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralCVS PHARMACY, INC51316-86351316-0863-50
Pain Reliever PMacetaminophen diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralQUALITY CHOICE (Chain Drug Marketing Association)83324-16683324-0166-50
Pain Reliever PMacetaminophen, diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralTARGET Corporation11673-75411673-0754-10
Pain Reliever PMacetaminophen, diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralFamily Dollar (FAMILY WELLNESS)55319-56255319-0562-1055319-0562-2455319-0562-50
Pain Reliever PMacetaminophen, diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralStrategic Sourcing Services LLC70677-114970677-1149-01
Pain Reliever PMacetaminophen, diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralWALMART INC.79903-05079903-0050-0979903-0050-3179903-0050-80
Pain Reliever PMacetaminophen, diphenhydramine hydrochlorideAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1TabletOralMagno-Humphries, Inc.54257-27854257-0278-02
Pain Reliever PMacetaminophen, diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, Film coatedOralL.N.K. International, Inc.50844-25650844-0256-08

All 12 Pain Reliever PM NDCs

Other NDCs under M 013

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

FDA NDC Directory listings under M 013
ProductStrengthForm · routeLabelerProduct NDC
Childrens AcetaminophenacetaminophenAcetaminophen 160 mg/5mLSuspensionOralGrocery Outlet, Inc.85828-922
Pain Relief Regular StrengthacetaminophenAcetaminophen 325 mg/1TabletOralCHAIN DRUG MARKETING ASSOCIATION INC83324-076
equate pain and fever childrensacetaminophenAcetaminophen 160 mg/5mLSuspensionOralWal-Mart Stores Inc49035-042
good neighbor pharmacy childrens pain and feveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralAmerisource Bergen46122-210
AspirinAspirin 81 mg/1Tablet, Delayed releaseOralGOODSENSE50804-880
Tylenol PM Extra Strengthacetaminophen and diphenhydramine hydrochlorideAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, Film coatedOralMorning Star OTC53209-1002
AcetaminophenAcetaminophen 500 mg/1TabletOralCardinal Health 107, LLC55154-7897
Headache Formula Extra Strengthacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTablet, Film coatedOralARMY AND AIR FORCE EXCHANGE SERVICE55301-334
childrens pain and feveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralWalgreen Company0363-1239
Tylenol PMacetaminophen, diphenhydramine hydrochlorideAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, Film coatedOralSavings Distributors LLC73097-013
Alka-Seltzer Originalanhydrous citric acid, aspirin, and sodium bicarbonateAnhydrous citric acid 1000 mg/1 + 2 more ingredientsTablet, EffervescentOralBayer HealthCare LLC.0280-4000
Aspirin Low DoseaspirinAspirin 81 mg/1Tablet, Delayed releaseOralStrategic Sourcing Services LLC70677-1260
basic care infants pain and feveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralAmazon.com Services LLC72288-946
AcetaminophenAcetaminophen 500 mg/1TabletOralSportpharm LLC85766-223
Pain Relief Aspirin Low DoseaspirinAspirin 81 mg/1Tablet, Delayed releaseOralRite Aid Corporation11822-0600
Equaline Effervescent Antacid and Pain Reliefaspirin, citric acid, sodium bicarbonateAspirin 325 mg/1 + 2 more ingredientsTablet, EffervescentOralUnited Natural Foods, Inc. dba UNFI41163-421
Night Time Severe Cold and Cough Reliefacetaminophen, diphenhydramine hcl, phenylephrine hclAcetaminophen 325 mg/15mL + 2 more ingredientsLiquidOralChain Drug Consortium, LLC68016-154
Tension Headache ReliefAcetaminophen 500 mg/1; Caffeine 65 mg/1Capsule, CoatedOralAllegiant Health69168-001
Childrens AcetaminophenacetaminophenAcetaminophen 160 mg/5mLSuspensionOralProficient Rx LP71205-263
Chewable AspirinaspirinAspirin 81 mg/1Tablet, ChewableOralChain Drug Marketing Association, Inc.83324-075

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