NDC codes

FDA NDC Directory
Product NDC (as listed)82179-004Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82179-0004Add 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
82179-004-04821790004041 BOTTLE in 1 CARTON (82179-004-04) / 118 mL in 1 BOTTLEMarketed from Apr 18, 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)
Kosher Meds Childrens Allergy Relief
Generic name (nonproprietary)
diphenhydramine hcl
Active ingredients
Diphenhydramine hydrochloride12.5 mg/5mL
Dosage form
Solution
Route
Oral
Labeler
Mollec Inc
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 82179-004_18844590-5a14-4d49-e063-6394a90ae0cfSPL ID 18844590-5a14-4d49-e063-6394a90ae0cfSPL set ID 42ad618b-d2e5-4c58-9407-386df4fe4004RxCUI 1049906UNII TC2D6JAD40
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

N482179000404 followed by a unit qualifier and the quantity

Package 82179-0004-04. 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 respiratory allergies: sneezing itching of the nose or throat runny nose itchy watery eyes temporarily relieves these symptoms due to the common cold: sneezing runny nose

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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
equate pain relieveracetaminophenAcetaminophen 325 mg/1TabletOralWALMART INC.79903-299
Unishield AspirinaspirinAspirin 325 mg/1Tablet, Film coatedOralUnishield49314-1163
dg health aspirinaspirinAspirin 81 mg/1Tablet, ChewableOralDolgencorp, LLC55910-467
Nite-Time COLD/FLU ORIGINALacetaminophen, dextromethorphan hydrobromide, doxylamine succinateAcetaminophen 650 mg/30mL + 2 more ingredientsLiquidOralSalado Sales, Inc.57243-501
Aspirina Cafeinaaspirin,caffeineCaffeine 32.5 mg/1; Aspirin 500 mg/1TabletOralBayer HealthCare LLC.0280-0162
Aspirin Low Dose Safety CoatedaspirinAspirin 81 mg/1Tablet, CoatedOralCare One (Retail Business Services, LLC.)72476-263
AcetaminophenAcetaminophen 500 mg/1TabletOralWALMART INC79903-296
Dolex Children Pain and FeveracetaminophenAcetaminophen 160 mg/5mLSuspensionOralPharmadel LLC55758-026
Acetaminophen PM Extra Strengthacetaminophen and diphenhydramine hydrochlorideAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralWinCo Foods, LLC67091-137
Aspirin Low DoseaspirinAspirin 81 mg/1Tablet, ChewableOralWalgreen Company0363-0218
AcetaminophenAcetaminophen 500 mg/1TabletOralMeijer Distribution Inc79481-0780
Children Acetaminophen Oral SolutionacetaminophenAcetaminophen 160 mg/5mLLiquidOralMAJOR PHARMACEUTICALS0904-7014
Headache Relief Extra Strengthacetaminophen, aspirin, caffeineAcetaminophen 250 mg/1 + 2 more ingredientsTabletOralSafeway, Inc.21130-586
Back and Body Extra Strengthaspirin, caffeineAspirin 500 mg/1; Caffeine 32.5 mg/1Tablet, Film coatedOralMeijer Distribution Inc41250-143
TYLENOL Extra StrengthacetaminophenAcetaminophen 960 mg/30mLSuspensionOralKenvue Brands LLC50580-187
AcetaminophenAcetaminophen 325 mg/1TabletOralProstat First Aid58228-0061
Aspirin 81mgaspirin enteric coated tablets 81mgAspirin 81 mg/1TabletOralVITANE PHARMACEUTICALS, INC60577-807
Acetaminophen PMacetaminophen, diphenhydramine hclAcetaminophen 500 mg/1; Diphenhydramine hydrochloride 25 mg/1Tablet, CoatedOralCOSTCO WHOLESALE CORPORATION63981-056
Childrens Pain and Fever, Grape flavoracetaminophenAcetaminophen 160 mg/5mLSuspensionOralWalgreen Company0363-0323
Amazon Basics AcetaminophenacetaminophenAcetaminophen 500 mg/1TabletOralAmazon.com Services LLC72288-008

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