Diphenhydramine Hydrochloride
NDC Package 0363-9895-48

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Diphenhydramine Hydrochloride is adults & children under 12 years and over: 1 gelcap at bedtime if needed or as directed by a doctor. Marketed by Walgreens, this product is identified by NDC 0363-9895 and is authorized under FDA application part338.

Identification & Billing

NDC Package Code
0363-9895-48
Package Description
48 CAPSULE in 1 BOTTLE
Product Code
0363-9895
11-Digit Billing Format
00363989548
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
48 EA
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Diphenhydramine Hydrochloride
Dosage Form
-
Usage Information
Adults & children under 12 years and over: 1 gelcap at bedtime if needed or as directed by a doctor

Regulatory & Marketing

Labeler Name
Walgreens
FDA Application #
part338
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
07-20-2017
Listing Expiration
12-31-2023
Exclude Flag
I
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 0363-9895-48 identifies a specific commercial package of 48 capsule in 1 bottle of Diphenhydramine Hydrochloride, labeled by Walgreens. This product is billed for "EA" each discreet unit and contains an estimated amount of 48 billable units per package. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Walgreens on July 20, 2017. The current certification is valid through December 31, 2023.

How is this Walgreens product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363989548. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 48 total billable units per package. 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)
0363-9895-48
11-Digit CMS (5-4-2)
00363-9895-48

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