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  5. NDC Package Code: 0363-7100-04 Adult Allergy Relief Dye Free

NDC Package 0363-7100-04 Adult Allergy Relief Dye Free

Diphenhydramine Hydrochloride Solution Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
0363-7100-04
Package Description:
1 BOTTLE in 1 CARTON / 118 mL in 1 BOTTLE
Product Code:
0363-7100
Proprietary Name:
Adult Allergy Relief Dye Free
Non-Proprietary Name:
Diphenhydramine Hydrochloride
Substance Name:
Diphenhydramine Hydrochloride
Usage Information:
▪measure only with dosing cup provided▪Keep dosing cup with product▪mL = milliliter▪do not take more than 6 doses in 24 hours Age (yr)Dose (mL)Adult and children 12 years and older10 mL to 20 mL (2 to 4 tsp) every 4 to 6 hrsChildren under 12 yearsDo not use
11-Digit NDC Billing Format:
00363710004
NDC to RxNorm Crosswalk:
  • RxCUI: 1049906 - diphenhydrAMINE HCl 12.5 MG in 5 mL Oral Solution
  • RxCUI: 1049906 - diphenhydramine hydrochloride 2.5 MG/ML Oral Solution
  • RxCUI: 1049906 - diphenhydramine HCl 12.5 MG per 5 ML Oral Solution
  • RxCUI: 1049906 - diphenhydramine hydrochloride 25 MG per 10 ML Oral Solution
  • RxCUI: 1049906 - diphenhydramine hydrochloride 50 MG per 20 ML Oral Solution
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Walgreen Company
    Dosage Form:
    Solution - A clear, homogeneous liquid1 dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • DIPHENHYDRAMINE HYDROCHLORIDE 25 mg/10mL
    • Pharmacologic Class(es):
  • Histamine H1 Receptor Antagonists - [MoA] (Mechanism of Action)
  • Histamine-1 Receptor Antagonist - [EPC] (Established Pharmacologic Class)
    • Sample Package:
    No
    FDA Application Number:
    M012
    Marketing Category:
    OTC MONOGRAPH DRUG -
    Start Marketing Date:
    01-30-2020
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    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 disclaimer below.

    Frequently Asked Questions

    What is NDC 0363-7100-04?

    The NDC Packaged Code 0363-7100-04 is assigned to a package of 1 bottle in 1 carton / 118 ml in 1 bottle of Adult Allergy Relief Dye Free, a human over the counter drug labeled by Walgreen Company. The product's dosage form is solution and is administered via oral form.

    Is NDC 0363-7100 included in the NDC Directory?

    Yes, Adult Allergy Relief Dye Free with product code 0363-7100 is active and included in the NDC Directory. The product was first marketed by Walgreen Company on January 30, 2020 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 0363-7100-04?

    The 11-digit format is 00363710004. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    4-4-20363-7100-045-4-200363-7100-04