NDC codes

FDA NDC Directory
Product NDC (as listed)84876-001Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84876-0001Add 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
84876-001-0184876000101360 h in 1 PATCH (84876-001-01)Marketed from Nov 2, 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)
sleep patches
Generic name (nonproprietary)
sleep patches
Active ingredients
Lilium pumilum bulb — .7 g/100hJujube seed — .9 g/100h
Dosage form
Patch
Route
Cutaneous
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 010
Marketing start
Listing expires
Identifiers
Product ID 84876-001_471181af-c32f-8178-e063-6294a90a5ba6SPL ID 471181af-c32f-8178-e063-6294a90a5ba6SPL set ID 25eddec9-1713-c2c8-e063-6394a90af02cUNII AII1TBU98Q, I51YGQ1Q2L

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N484876000101 followed by a unit qualifier and the quantity

Package 84876-0001-01. 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)

Tear off the patch,Stick it 5 to 8 centimeters belowthe base of your palm, Place the product on the back of your neck

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under M 010

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

FDA NDC Directory listings under M 010
ProductStrengthForm · routeLabelerProduct NDC
meijer NIGHTTIME Sleep Aid SOFTGELdiphenhydramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralMeijer, Inc.79481-0779
Wal Som Nighttime Sleep Aiddiphenhydramine hclDiphenhydramine hydrochloride 50 mg/1CapsuleOralWalgreens0363-0816
Nighttime Sleep Aiddiphenhyramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralTARGET CORPORATION11673-703
Diphenhydramine HydrochlorideDiphenhydramine hydrochloride 50 mg/1Capsule, Liquid filledOralSoftgel Healthcare Pvt Ltd35916-0470
Nighttime sleep aid Maximum Strengthdiphenhydramine hydrochlorideDiphenhydramine hydrochloride 50 mg/1Capsule, Liquid filledOralBest Choice (Valu Merchandisers Company)63941-860
InstaRelief Nighttime Sleep Aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 50 mg/3mLLiquidOralDXM Pharmacuetical, Inc.71598-120
Diphenhydramine hydrochlorideDiphenhydramine hydrochloride 50 mg/1Capsule, Liquid filledOralSoftgel Healthcare Pvt Ltd35916-0472
Unisom SleepMelts Nighttime Sleep-Aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1Tablet, ChewableOralChattem, Inc.41167-0014
Nighttime Sleep Aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 50 mg/30mLLiquidOralKroger41226-793
Discount Drugmart Nighttime Sleep-Aiddiphenhydramine hclDiphenhydramine hydrochloride 50 mg/1Capsule, Liquid filledOralDiscount Drug Mart, Inc53943-822
Nighttime Sleep Aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 50 mg/1Capsule, Liquid filledOralShield Pharmaceuticals Corp83059-0073
RoboCoughdextromethorphan hbrDextromethorphan hydrobromide 30 mg/3mLLiquidOralDXM Pharmacuetical, Inc.71598-102
careone nighttime sleep aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1Tablet, Film coatedOralAmerican Sales Company41520-431
Sleep Aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralShield Pharmaceuticals Corp83059-0075
Sleep Aiddiphenhydramine hclDiphenhydramine hydrochloride 50 mg/1CapsuleOralThe Kroger Co.30142-715
CVS Childrens Nighttime Multi Symptom Coldacetaminophen , diphenhydramine hydrochloride,phenylephrine hydrochlorideAcetaminophen 325 mg/10mL + 2 more ingredientsLiquidOralCVS PHARMACY51316-733
Quality Choice Nighttime Sleep-Aiddiphenhydramine hydrochlorideDiphenhydramine hydrochloride 25 mg/1Capsule, Liquid filledOralChain Drug Marketing Association, Inc.63868-970
Sleep Aiddiphenhydramine hcl 25 mgDiphenhydramine hydrochloride 25 mg/1TabletOralPioneer Life Sciences, LLC72090-020
Nighttime sleep aid Maximum Strengthdiphenhydramine hydrochlorideDiphenhydramine hydrochloride 50 mg/1Capsule, Liquid filledOralBest Choice (Valu Merchandisers Company)63941-916
Sleep-Aid, Circle Kdiphenhydramine hcl caplet, 25mgDiphenhydramine hydrochloride 25 mg/1Tablet, Film coatedOralLil' Drug Store Products, Inc.66715-5503

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