Extra Strength Nite-time Pain Relief Tablet
NDC Package 0363-0715-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Extra Strength Nite-time Pain Relief (430r walgreens acetaminophen 500 mg, diphenhydramine hcl 25 mg tablet) tablets is uses temporary relief of occasional headaches and minor aches and pains with accompanying sleeplessness. This formulation utilizes a tablet delivery system. Marketed by Walgreens, this product is identified by NDC 0363-0715 and is authorized under FDA application M012.

Identification & Billing

NDC Package Code
0363-0715-01
Package Description
1 BOTTLE in 1 CARTON / 100 TABLET in 1 BOTTLE
Product Code
0363-0715
11-Digit Billing Format
00363071501
RxNorm Crosswalk
  • RxCUI: 1092189 - acetaminophen 500 MG / diphenhydrAMINE HCl 25 MG Oral Tablet
  • RxCUI: 1092189 - acetaminophen 500 MG / diphenhydramine hydrochloride 25 MG Oral Tablet
  • RxCUI: 1092189 - APAP 500 MG / diphenhydramine hydrochloride 25 MG Oral Tablet

Clinical Specifications

Proprietary Name
Extra Strength Nite-time Pain Relief
Non-Proprietary Name
430r Walgreens Acetaminophen 500 Mg, Diphenhydramine Hcl 25 Mg Tablet
Substance Name
Acetaminophen; Diphenhydramine Hydrochloride
Dosage Form
Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Uses temporary relief of occasional headaches and minor aches and pains with accompanying sleeplessness

Regulatory & Marketing

Labeler Name
Walgreens
Product Type
Human Otc Drug
FDA Application #
M012
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
10-12-2021
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0363-0715-01 identifies a specific commercial package of 1 bottle in 1 carton / 100 tablet in 1 bottle of Extra Strength Nite-time Pain Relief, a human over the counter drug labeled by Walgreens. This tablet is formulated for oral use and contains acetaminophen; diphenhydramine hydrochloride as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Walgreens on October 12, 2021. The current certification is valid through December 31, 2026.

How is this Walgreens product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363071501. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0363-0715-01
11-Digit CMS (5-4-2)
00363-0715-01

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.